Question:
What are other complications and postop care of PH?
Author: H KAnswer:
-If hypoparathyroidism persists, oral supplementation with calcium and vit D is required -Ca citrate or Ca carbonate may be started at 2 tbs 4 times per day -Some patients require substantially more -Calcitriol is started at 0.5 mcg twice daily and increased as required -Patients in whom total parathyroidectomy and autotransplantation is performed can be expected to require A potential life-threatening emergency in the postop period is the development of an expanding hematoma in the pretracheal space -This complication=treated immediately by opening the wound and evacuating the hematoma -If untreated, laryngeal edema may progress rapidly, causing airway obstruction -Most small hematomas do not require treatment -A subplatysmal fluid collection may occasionally form, and these are usually treated adequately with a single aspiration -In a few cases, aspiration may need to be repeated
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