Evidence map›Paper›PMID 34545943›Full record

GuidelineAnaesthesia2022

Management of haematoma after thyroid surgery: systematic review and multidisciplinary consensus guidelines from the Difficult Airway Society, the British Association of Endocrine and Thyroid Surgeons and the British Association of Otorhinolaryngology, Head and Neck Surgery.

H A Iliff, K El-Boghdadly, I Ahmad, J Davis, A Harris, S Khan, V Lan-Pak-Kee, J O'Connor, L Powell, G Rees and 1 more

Open access · greenAbstract readPractice GuidelineSystematic Review
In one paragraph

Guideline in Anaesthesia, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 3 pooled it
11.2field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 3 syntheses or guidelines pooled it, 73 citations in OpenAlex.

  1. Pooled it
  2. Guideline
  3. Pooled it
  4. Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Article
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  11. Review
  12. Injury patterns of suicide attempts in the head and neck area-a retrospective analysis over 15 years.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2025
    Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. CORESS Feedback: Cases from the Confidential Reporting System for Surgery.Annals of the Royal College of Surgeons of England · 2024
    Article
  18. Article
  19. Review
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors at 6 institutions in 1 country.

H A IliffDepartment of Anaesthesia, Cwm Taf Morgannwg University Health Board, Merthyr, UK.
K El-BoghdadlyDepartment of Anaesthesia and Peri-operative Medicine, Guy's and St Thomas' NHS Foundation Trust, London, UK.ORCID 0000-0002-9912-717X
I AhmadDepartment of Anaesthesia and Peri-operative Medicine, Guy's and St Thomas' NHS Foundation Trust, London, UK.
J DavisDepartment of Otolaryngology Head and Neck Surgery, Medway NHS Foundation Trust, Gillingham, UK.
A HarrisPatient Representative, London, UK.
S KhanDepartment of Endocrine Surgery, Oxford University Hospitals NHS Foundation Trust, Oxford, UK.
V Lan-Pak-KeeDepartment of Anaesthesia, Barts Health NHS Trust, London, UK.ORCID 0000-0002-0729-2961
J O'ConnorDepartment of Otolaryngology Head and Neck Surgery, London North West University Healthcare NHS Trust, London, UK.
L PowellDepartment of Anaesthesia, Cwm Taf Morgannwg University Health Board, Merthyr, UK.
G ReesDepartment of Anaesthesia, Cwm Taf Morgannwg University Health Board, Merthyr, UK.
T S TatlaDepartment of Otolaryngology Head and Neck Surgery, London North West University Healthcare NHS Trust, London, UK.ORCID 0000-0002-4933-9297
Cwm Taf University Health Board · GBKing's College London · GBLondon North West Healthcare NHS Trust · GBBarts Health NHS Trust · GBMedway NHS Foundation Trust · GBOxford University Hospitals NHS Trust · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

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.

Indexed as

Airway ObstructionCognitionElective Surgical ProceduresHematomaHumansHyperbaric OxygenationIntubation, IntratrachealThyroid Glandairwayemergencyhaematomahaemorrhagethyroid

Identifiers

PMID34545943
PMCPMC9291554
OpenAlexW3200088563

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.