Obstructive fibrinous pseudomembrane tracheitis after double-lumen tube intubation -a case report-
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...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Korean Society of Anesthesiologists
2022-08-01
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| Series: | Korean Journal of Anesthesiology |
| Subjects: | |
| Online Access: | http://ekja.org/upload/pdf/kja-21460.pdf |
| _version_ | 1828189571197698048 |
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| author | Jia-Hui Chua Brenda Ling Hui Sim Tina Koh Puay Theng Sophia Chew |
| author_facet | Jia-Hui Chua Brenda Ling Hui Sim Tina Koh Puay Theng Sophia Chew |
| author_sort | Jia-Hui Chua |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-04-12T08:08:47Z |
| format | Article |
| id | doaj.art-54299bed587b45338e69fd0189378197 |
| institution | Directory Open Access Journal |
| issn | 2005-6419 2005-7563 |
| language | English |
| last_indexed | 2024-04-12T08:08:47Z |
| publishDate | 2022-08-01 |
| publisher | Korean Society of Anesthesiologists |
| record_format | Article |
| series | Korean Journal of Anesthesiology |
| spelling | doaj.art-54299bed587b45338e69fd01893781972022-12-22T03:41:03ZengKorean Society of AnesthesiologistsKorean Journal of Anesthesiology2005-64192005-75632022-08-0175435035310.4097/kja.214608794Obstructive fibrinous pseudomembrane tracheitis after double-lumen tube intubation -a case report-Jia-Hui Chua0Brenda Ling Hui Sim1Tina Koh Puay Theng2Sophia Chew3 Division of Anesthesiology and Perioperative Medicine, Singapore General Hospital, Singapore Department of Otorhinolaryngology - Head & Neck Surgery, Singapore General Hospital, Singapore Department of Cardiothoracic Surgery, National Heart Center, Singapore Division of Anesthesiology and Perioperative Medicine, Singapore General Hospital, SingaporeBackground 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.http://ekja.org/upload/pdf/kja-21460.pdfairway managementairway obstructionrespiratory insufficiencyrespiratory tract diseasestracheal stenosistracheitis |
| spellingShingle | Jia-Hui Chua Brenda Ling Hui Sim Tina Koh Puay Theng Sophia Chew Obstructive fibrinous pseudomembrane tracheitis after double-lumen tube intubation -a case report- Korean Journal of Anesthesiology airway management airway obstruction respiratory insufficiency respiratory tract diseases tracheal stenosis tracheitis |
| title | Obstructive fibrinous pseudomembrane tracheitis after double-lumen tube intubation -a case report- |
| title_full | Obstructive fibrinous pseudomembrane tracheitis after double-lumen tube intubation -a case report- |
| title_fullStr | Obstructive fibrinous pseudomembrane tracheitis after double-lumen tube intubation -a case report- |
| title_full_unstemmed | Obstructive fibrinous pseudomembrane tracheitis after double-lumen tube intubation -a case report- |
| title_short | Obstructive fibrinous pseudomembrane tracheitis after double-lumen tube intubation -a case report- |
| title_sort | obstructive fibrinous pseudomembrane tracheitis after double lumen tube intubation a case report |
| topic | airway management airway obstruction respiratory insufficiency respiratory tract diseases tracheal stenosis tracheitis |
| url | http://ekja.org/upload/pdf/kja-21460.pdf |
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