Obstructive Fibrinous Tracheal Pseudomembrane: A Rare condition in post-extubation stridor

Abstract

Obstructive fibrinous tracheal pseudomembrane (OFTP) is an airway complication which 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 post-extubation stridor. We present a case of post-extubation stridor secondary to OFTP, resulting in clinical features of upper airway obstruction over 8 hours after extubation. The case features complete obstruction at tip of endotracheal tube from OFTP.