Journal of Korean Medical Science

Korean Acad Medical Sciences (대한의학회)
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Obstructive Fibrinous Tracheal Pseudomembrane After Tracheal Intubation: A Case Report

  • Kang, Hyeon-Hui (Division of Pulmonary, Critical Care and Sleep Medicine, Department of Internal Medicine, The Catholic University of Korea, College of Medicine) ;
  • Kim, Jin-Woo (Division of Pulmonary, Critical Care and Sleep Medicine, Department of Internal Medicine, The Catholic University of Korea, College of Medicine) ;
  • Kang, Ji-Young (Division of Pulmonary, Critical Care and Sleep Medicine, Department of Internal Medicine, The Catholic University of Korea, College of Medicine) ;
  • Kim, Ju-Sang (Division of Pulmonary, Critical Care and Sleep Medicine, Department of Internal Medicine, The Catholic University of Korea, College of Medicine) ;
  • Kim, Myung-Sook (Division of Pulmonary, Critical Care and Sleep Medicine, Department of Internal Medicine, The Catholic University of Korea, College of Medicine) ;
  • Kim, Seung-Su (Division of Pulmonary, Critical Care and Sleep Medicine, Department of Internal Medicine, The Catholic University of Korea, College of Medicine) ;
  • Kim, Yong-Hyun (Division of Pulmonary, Critical Care and Sleep Medicine, Department of Internal Medicine, The Catholic University of Korea, College of Medicine) ;
  • Lee, Sang-Haak (Division of Pulmonary, Critical Care and Sleep Medicine, Department of Internal Medicine, The Catholic University of Korea, College of Medicine) ;
  • Moon, Hwa-Sik (Division of Pulmonary, Critical Care and Sleep Medicine, Department of Internal Medicine, The Catholic University of Korea, College of Medicine)
  • Published : 2010.09.30
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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.

Keywords

References

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