Akute subglottische Trachealstenose nach Reanimation

Walter, Sebastian; Gasthaus, M.; Schätz, Joachim; Koop, Irmtraut; Paschen, H.-R.

doi:10.1007/s00101-007-1195-8

Cited by 3 publications

(1 citation statement)

References 8 publications

(4 reference statements)

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“…The present case differs in several aspects from previous publications on pseudomembranous fibrinoid post-intubation injuries [2][3][4][5][6][7][8][9][10]. Both the very young age of the patient and the location (subglottis) and type (bridge-like) of the lesion are somewhat unique.…”

Section: Discussioncontrasting

confidence: 75%

Stridor due to a bridge-like subglottic stenosis in a 10-week-old male infant

Dinther¹,

Boudewyns²,

Jorens³

et al. 2009

International Journal of Pediatric Otorhinolaryngology

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Section: Discussioncontrasting

confidence: 75%

Stridor due to a bridge-like subglottic stenosis in a 10-week-old male infant

Dinther¹,

Boudewyns²,

Jorens³

et al. 2009

International Journal of Pediatric Otorhinolaryngology

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Postextubation Obstructive Pseudomembranes: A Case Series and Review of a Rare Complication After Endotracheal Intubation

Lins

Dobbeleir

Germonpré

et al. 2010

Lung

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Endotracheal intubation obviously may be life-saving, but it may also lead to complications, including those related to damage of the airways. Superficial damage of the trachea at the site of the endotracheal cuff may trigger the formation of an obstructive fibrinous tracheal pseudomembrane (OFTP). Shortly after extubation, this clot, consisting of fibrin, leucocytes, and necrotic epithelium, can cause stridor due to adherence to the tracheal wall and obstruction of the airway. In most cases, the lesion is easily removed by rigid or fiberoptic bronchoscopy and virtually never leads to permanent damage. The study consisted of case series and review of the literature. This report describes a series of five adult cases and reviews all 19 other previously described cases. A careful analysis of all reported cases, however, did not highlight a simple predisposing factor or illness. It is important to consider OFTP in the differential diagnosis of stridor and respiratory insufficiency in the postextubation period.

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Obstructive Fibrinous Tracheal Pseudomembrane

Ammar

Vella-Boucaud

Launois

et al. 2017

Anesthesia &Amp; Analgesia

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Obstructive fibrinous tracheal pseudomembrane (OFTP) is a rare and potentially severe complication of endotracheal intubation characterized by a tubular pseudomembrane that obstructs the trachea and induces clinical symptoms of airway obstruction after extubation. In this report, we reviewed and summarized all published cases of OFTP (n = 58) between 1981 and 2015. Twenty-three of 52 patients were men, and the mean age was 36 ± 22 years. Intubation was emergent in 41 of 53 cases. OFTP was revealed by acute symptoms in 19 of 39 cases and led to acute respiratory failure in 13 of 39 cases. Symptoms occurred 3 ± 3 days after extubation. A tracheal obstruction ≥70% was observed in 14 of 18 cases. Bronchoscopic removal was performed in 49 of 58 cases with no recurrence. In conclusion, OFTP is characterized by a typical clinical and endoscopic presentation, with no recurrence after bronchoscopic removal. Early recognition and bronchoscopy are key elements for efficient diagnosis and treatment.

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Akute subglottische Trachealstenose nach Reanimation

Cited by 3 publications

References 8 publications

Stridor due to a bridge-like subglottic stenosis in a 10-week-old male infant

Stridor due to a bridge-like subglottic stenosis in a 10-week-old male infant

Postextubation Obstructive Pseudomembranes: A Case Series and Review of a Rare Complication After Endotracheal Intubation

Obstructive Fibrinous Tracheal Pseudomembrane

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