Tracheal crusting: A rare but fatal complication of Endotracheal Intubation
Abstract
Endotracheal intubation is an intervention frequently performed in the hospital setting in order to protect the central airway and provide mechanical support for ventilation. The complications of the endotracheal tube include tracheitis, tracheal stenosis, tracheomalacia, and granuloma formation. Tracheal crusting following tracheitis is a very rare but fatal complication of endotracheal intubation especially in children. Tracheal crusting should be kept in mind as a differential for weaning failure. Several cases of tracheal stenosis after extubation have been reported. However, to the best of our knowledge, there are no cases of obstructive tracheal crusting in children following tracheitis in the current literature. Here, we present the case of a 1-year-old girl who developed complications as a result of intubation.
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References
Sandur S, Stoller JK. Pulmonary complications of mechanical ventilation. Clin Chest Med. 1999; 20(2):223-47.
DOI: https://doi.org/10.1016/S0272-5231(05)70139-8
Thille AW, Richard JC, Brochard L. The decision to extubate in the intensive care unit. Am J Respir Crit Care Med. 2013 ;187(12):1294-302.
DOI: https://doi.org/10.1164/rccm.201208-1523CI
Cavallone LF, Vannucci A. Extubation of the difficult airway and extubation failure. Anesthesia & Analgesia. 2013; 116(2):368-83.
DOI: https://doi.org/10.1213/ANE.0b013e31827ab572
Mak G, Porter PC, Bandi V, Kheradmand F, Corry DB. Tracheobronchial mycosis in a retrospective case-series study of five status asthmaticus patients. Clin Immunol. 2013; 46(2):77-83.
DOI: https://doi.org/10.1016/j.clim.2012.11.005
Lins M, Dobbeleir I, Germonpré P, Waelput W, Pauwels P, Jorens PG. Postextubation obstructive pseudo membranes: a case series and review of a rare complication after endotracheal intubation. Lung. 2011; 189(1):81-6.
DOI: https://doi.org/10.1007/s00408-010-9263-2
Deslee G, Brichet A, Lebuffe G, Copin MC, Ramon P, Marquette CH. Obstructive fibrinous tracheal pseudomembrane: a potentially fatal complication of tracheal intubation. Am J Respir Crit Care Med.. 2000; 162(3):1169-71.
DOI: https://doi.org/10.1164/ajrccm.162.3.9910047
Tillman EM, Firmani SE, Ackerman VL, Slaven JE, Cristea AI. Evaluation of the treatment of Stenotrophomonas maltophilia in tracheostomy-dependent pediatric patients. J Pediatr Pharmacol Ther. 2019; 24(6):510-6.
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