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논문 기본 정보

자료유형
학술저널
저자정보
Chua Jia-Hui (Division of Anesthesiology and Perioperative Medicine Singapore General Hospital) Sim Brenda Ling Hui (Department of Otorhinolaryngology - Head & Neck Surgery Singapore General Hospital) Theng Tina Koh Puay (Department of Cardiothoracic Surgery National Heart Center) Chew Sophia (Division of Anesthesiology and Perioperative Medicine Singapore General Hospital)
저널정보
대한마취통증의학회(구 대한마취과학회) Korean Journal of Anesthesiology Korean Journal of Anesthesiology Vol.75 No.4
발행연도
2022.8
수록면
350 - 353 (4page)
DOI
10.4097/kja.21460

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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.

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