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KMID : 0191120100250091384
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Journal of Korean Medical Science
2010 Volume.25 No. 9 p.1384 ~ p.1386
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Obstructive Fibrinous Tracheal Pseudomembrane After Tracheal Intubation
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Kang Hyeon-Hui
Kim Jin-Woo
Kang Ji-Young
Kim Ju-Sang
Kim Myung-Sook
Kim Seung-Su
Kim Yong-Hyun
Lee Sang-Haak
Moon Hwa-Sik
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Abstract
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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.
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KEYWORD
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Airway Obstruction, Intubation, Bronchoscopy
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