Obstructive Fibrinous Tracheal Pseudomembrane After Tracheal Intubation: A Case Report.
10.3346/jkms.2010.25.9.1384
- Author:
Hyeon Hui KANG
1
;
Jin Woo KIM
;
Ji Young KANG
;
Ju Sang KIM
;
Myung Sook KIM
;
Seung Su KIM
;
Yong Hyun KIM
;
Sang Haak LEE
;
Hwa Sik MOON
Author Information
1. Division of Pulmonary, Critical Care and Sleep Medicine, Department of Internal Medicine, The Catholic University of Korea, College of Medicine, Seoul, Korea. mdlee@catholic.ac.kr
- Publication Type:Case Report
- Keywords:
Airway Obstruction;
Intubation;
Bronchoscopy
- MeSH:
Aged;
Airway Obstruction/*etiology/surgery;
Bronchoscopy;
Female;
Humans;
Intubation, Intratracheal/*adverse effects;
Tomography, X-Ray Computed;
Tracheal Diseases/*diagnosis/etiology/surgery
- From:Journal of Korean Medical Science
2010;25(9):1384-1386
- CountryRepublic of Korea
- Language:English
-
Abstract:
Obstructive fibrinous tracheal pseudomembrane is a rare, but potentially fatal complication associated with endotracheal intubation. It has been known that the formation of tracheal pseudomembrane is related with intracuff pressure during endotracheal intubation or infectious cause. But in the patient described in this case, pseudomembrane formation in the trachea was associated with subglottic epithelial trauma or caustic injuries to the trachea caused by aspirated gastric contents during intubation rather than tracheal ischemia due to high cuff pressure. We report a patient with obstructive fibrinous tracheal pseudomembrane after endotracheal intubation who presented with dyspnea and stridor and was treated successfully with mechanical removal using rigid bronchoscopy.
