After neck surgery, which sign should you closely monitor for in a patient?

Monitoring for tracheal deviation after neck surgery is crucial as it can indicate serious complications such as tension pneumothorax or other airway obstructions. Tracheal deviation may suggest a shift in the mediastinal structures, which can occur due to an increase in pressure from fluid accumulation in the thoracic cavity or from hematomas that form post-surgery. Recognizing this sign early allows for timely intervention to secure the airway and prevent respiratory distress.

While evidence of swelling, changes in vital signs, and neurological deficits are also important to monitor post-operatively, tracheal deviation specifically relates directly to potential airway compromise in the context of neck surgeries. It is essential for a post-anesthesia care unit nurse to be vigilant about airway integrity, making tracheal assessment a priority.