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Obstructive Fibrinous Tracheal Pseudomembrane After Endotracheal Intubation
Inderpaul Singh Sehgal1, Sahajal Dhooria1, Amanjit Bal2
1Department of Pulmonary Medicine.
Respiratory Care
|June 2, 2016
Summary
Obstructive fibrinous tracheal pseudomembrane (OFTP) is a rare complication after tracheal intubation. Diagnosis is confirmed via flexible bronchoscopy, and treatment involves membrane removal using bronchoscopy.
Area of Science:
- Pulmonology
- Critical Care Medicine
Background:
- Obstructive fibrinous tracheal pseudomembrane (OFTP) is an uncommon complication following tracheal intubation.
- It can lead to significant respiratory distress and failure.
Purpose of the Study:
- To systematically review all reported cases of OFTP.
- To analyze patient demographics, intubation parameters, clinical presentation, diagnosis, and treatment outcomes.
Main Methods:
- Systematic review of PubMed and EmBase databases.
- Inclusion of all case reports describing OFTP.
- Data extraction on patient characteristics, intubation details, and management.
Main Results:
- Reviewed 28 citations describing 53 subjects with OFTP.
- Median age was 40.5 years; 61.1% were female.
- Common symptoms included stridor; diagnosis confirmed by flexible bronchoscopy (70.4%); treatment via flexible or rigid bronchoscopy.
Conclusions:
- OFTP is a serious complication of tracheal intubation requiring prompt diagnosis and intervention.
- Flexible bronchoscopy is effective for both diagnosis and treatment of OFTP.
- While rare, OFTP can have fatal outcomes.
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