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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
PubMed

Insights

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.
Keywords:
endotracheal intubationpost intubation stenosisrigid bronchoscopytracheal membranetracheal pseudomembraneupper airway obstruction

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