Obstructive Fibrinous Tracheal Pseudomembrane: A Rare Condition in Postextubation Stridor

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 postex-tubation 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. Key words: stridor; acquired subglottic stenosis; tracheal disease. [Respir Care 2014;59(7):e91–e93. © 2014 Daedalus Enterprises