title: Obstructive fibrinous tracheal pseudomembrane: a rare condition in postextubation stridor.
abstract: Obstructive fibrinous tracheal pseudomembrane (OFTP) is an airway complication that occurs after endotracheal intubation. It originates from superficial mucosal abrasion and desquamation of necrotic tracheal epithelium at the site of cuff pressure. This condition is a rare cause of postextubation stridor. We present a case of postextubation stridor secondary to OFTP, resulting in clinical features of upper airway obstruction > 8 h after extubation. The case features complete obstruction at the tip of the endotracheal tube from OFTP.
authors.affiliation: Division of Pulmonology, Department of Medicine, Hat Yai Medical Education Center, Hat Yai Hospital, Songkhla, Thailand. naronak@hotmail.com.
authors.forename: Narongwit
authors.initials: N
authors.lastname: Nakwan
mesh_terms: D000328:Adult; D060666:Airway Extubation; D000402:Airway Obstruction / Q000175:diagnosis* / Q000209:etiology* / Q000628:therapy; D004417:Dyspnea / Q000209:etiology*; D006801:Humans; D007442:Intubation, Intratracheal / Q000009:adverse effects*; D008297:Male; D020545:Respiratory Mucosa / Q000473:pathology; D012135:Respiratory Sounds / Q000209:etiology*; D014133:Tracheal Diseases / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy
keywords: acquired subglottic stenosis; stridor; tracheal disease