09.11.2011 | | hemithyroidectomy on the right side and ipsilateral parathyroidectomy | 19.11.2011 | 3:00 | thightness in throat |
| 5:00 | thightness in throat much more intense, breathing and swallowing harder; emergency doctor called |
| 5:30 | approach of emergency doctor no intubation (not much experience in intubation); RR 141/84, P 106;SpO2 93%; prednisolone 250 mg, 10 mg |
| | metoclopramidehydrochloride and 5 mg tropisetrone; Diagnosis: „dyspnoea because of external cervical bleeding“ |
| | → Departure to University Hospital of Innsbruck (102 km, 20 minutes longer than to nearest hospital) |
| 7:45 | Arrival in clinic; swollen neck, hard breathing, almost unable to swallow and speak; |
| | →intubation via videolaryngoscopy evacuation of the hematoma in the operating theatre; |
| | arterial bleeding of a branch of the inferior thyroid artery could be detected and closed by ligature |
| 14:22 | CT of the neck |
| | Examination by otorhinolaryngologist: prednisolone 500 mg |
20.11.2011 | | Examination by otorhinolaryngologist: prednisolone 250 mg |
21.11.2011 | | attempt to extubate under control and standby of an otorhinolaryngologist in the operating theatre. |
| | Laryngoscopy before extubation: |
1. | | reduced swelling in the area of the supraglottis, epiglottis and the aryepiglottic plication to the arytenoid |
2. | | hematoma without swelling on the rear of the throat |
3. | | severe hematoma of the vocal cords |
| | →removal of the tracheal tubus |
22.11.2011 | | transfer to intermediate care unit |
23.11.2011 | | transfer to ward |
25.11.2011 | | laryngoscopic control: partial remission of the hematoma of the vocal cords |
26.11.2011 | | discharged from hospital |