바로가기메뉴

본문 바로가기 주메뉴 바로가기

Obstructive Fibrinous Tracheal Pseudomenbrane Mimicking Tracheal Stents

Tuberculosis & Respiratory Diseases / Tuberculosis & Respiratory Diseases,
2011, v.71 no.1, pp.59-61


Ji Hyun Yu (Catholic University of Korea)
Yu Seung Kim (Catholic University of Korea)
Il Kim (Catholic University of Korea)
  • Downloaded
  • Viewed

Abstract

Obstructive Fibrinous Tracheal Pseudomenbrane (OFTP) is a rarely known but potentially fatal complication of endotracheal intubation. Sudden respiratory failure shortly after extubation is not infrequent in the ICU. However, these cases are commonly diagnosed as laryngospasm, retention of secretion or laryngeal edema. A 68-year-old woman presented with a 6-day history of progressive dyspnea. She had undergone invasive ventilator care for 24 hours. The patient was discharged from the hospital with improvement after having an extubation. However, after 3 days she revisited the emergency department with progressive dyspnea. The patient was diagnosed with OFTP from the results of chest CT and bronchoscopy. This is the first case studied in detail using CT images, pulmonary function test, and bronchoscopy.

keywords
Trachea, Airway Obstruction, Fibrin, Stents

Reference

1.

1. Deslée G, Brichet A, Lebuffe G, Copin MC, Ramon P, Marquette CH. Obstructive fibrinous tracheal pseudomembrane. A potentially fatal complication of tracheal intubation. Am J Respir Crit Care Med 2000;162:1169- 71.

2.

2. Lins M, Dobbeleir I, Germonpré P, Waelput W, Pauwels P, Jorens PG. Postextubation obstructive pseudomembranes: a case series and review of a rare complication after endotracheal intubation. Lung 2011;189: 81-6.

3.

3. Harbison J, Collins D, Lynch V, McNicholas WT. Acute stridor due to an upper tracheal membrane following endotracheal intubation. Eur Respir J 1999;14:1238.

4.

4. Kang HH, Kim JW, Kang JY, Kim JS, Kim MS, Kim SS, et al. Obstructive fibrinous tracheal pseudomembrane after tracheal intubation: a case report. J Korean Med Sci 2010;25:1384-6.

Tuberculosis & Respiratory Diseases