Haematoma after thyroid surgery can lead to airway obstruction and death. We therefore developed guidelines to improve the safety of peri-operative care of patients undergoing thyroid surgery. We conducted a systematic review to inform recommendations, with expert consensus used in the absence of high-quality evidence, and a Delphi study was used to ratify recommendations. We highlight the importance of multidisciplinary team management and make recommendations in key areas including: monitoring; recognition; post-thyroid surgery emergency box; management of suspected haematoma following thyroid surgery; cognitive aids; post-haematoma evacuation care; day-case thyroid surgery; training; consent and pre-operative communication; postoperative communication; and institutional policies. The guidelines support a multidisciplinary approach to the management of suspected haematoma following thyroid surgery through oxygenation and evaluation; haematoma evacuation; and tracheal intubation. They have been produced with materials to support implementation. While these guidelines are specific to thyroid surgery, the principles may apply to other forms of neck surgery. These guidelines and recommendations provided are the first in this area and it is hoped they will support multidisciplinary team working, improving care and outcomes for patients having thyroid surgery.

中文翻译：

---

甲状腺手术后血肿的管理：困难气道协会、英国内分泌和甲状腺外科医生协会和英国耳鼻咽喉头颈外科协会的系统评价和多学科共识指南

甲状腺手术后的血肿可导致气道阻塞和死亡。因此，我们制定了提高甲状腺手术患者围手术期护理安全性的指南。我们进行了系统评价以提供建议，在缺乏高质量证据的情况下使用专家共识，并使用德尔福研究来批准建议。我们强调多学科团队管理的重要性，并在关键领域提出建议，包括：监测；认出; 甲状腺手术后急救箱；甲状腺手术后疑似血肿的处理；认知辅助；血肿后疏散护理；日间甲状腺手术；训练; 同意和术前沟通；术后沟通；和体制政策。该指南支持通过氧合和评估来管理甲状腺手术后疑似血肿的多学科方法；血肿清除；和气管插管。它们是用支持实施的材料制作的。虽然这些指南专门针对甲状腺手术，但这些原则可能适用于其他形式的颈部手术。这些指南和建议是该领域的首创，希望它们能够支持多学科团队合作，改善甲状腺手术患者的护理和结果。这些原则可能适用于其他形式的颈部手术。这些指南和建议是该领域的首创，希望它们能够支持多学科团队合作，改善甲状腺手术患者的护理和结果。这些原则可能适用于其他形式的颈部手术。这些指南和建议是该领域的首创，希望它们能够支持多学科团队合作，改善甲状腺手术患者的护理和结果。