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KMID : 0356920220750040350
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Korean Journal of Anesthesiology
2022 Volume.75 No. 4 p.350 ~ p.353
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Obstructive fibrinous pseudomembrane tracheitis after double-lumen tube intubation -a case report-
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Chua Jia-Hui
Sim Brenda Ling Hui
Theng Tina Koh Puay
Chew Sophia
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Abstract
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Background: Obstructive fibrinous pseudomembrane tracheitis (OFPT) is a rare complication of endotracheal intubation.
Case: We describe the case of a 73-year-old woman who underwent short-term intubation for video-assisted thoracoscopic surgery and developed an acute life-threatening stridor two days after extubation. The patient required an emergency tracheostomy to maintain airway patency and a microscopic direct laryngoscopy procedure was performed thereafter with removal of the obstructive pseudomembrane. Subsequently, the patient also suffered a non-ST-elevation myocardial infarction. The patient successfully recovered, and the tracheostomy was subsequently decannulated two months later. Histological examination revealed mucosal ulcerations and inflammatory changes.
Conclusions: OFPT is an uncommon cause of life-threatening airway obstruction after extubation that is not often recognized immediately but can usually be treated with early bronchoscopic intervention or microscopic direct laryngoscopy.
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KEYWORD
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Airway management, Airway obstruction, Respiratory insufficiency, Respiratory tract diseases, Tracheal stenosis, Tracheitis.
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