• Medicine · Jun 2023

    Case Reports

    Application of high-flow nasal cannula oxygen therapy in patient with pulmonary edema following cesarean-section under combined spinal-epidural anesthesia: A case report.

    • Taeil Lee, Helen Ki Shinn, Na Eun Kim, and Doyeon Kim.
    • Department of Anesthesiology and Pain Medicine, Inha University, Incheon, South Korea.
    • Medicine (Baltimore). 2023 Jun 30; 102 (26): e34140e34140.

    BackgroundHigh-flow nasal cannula (HFNC), which overcomes the disadvantages of the existing low flow mask, is an efficient method that can immediately provide a high volume of heated oxygen to the patient.[1] Therefore, this case reports a case in which HFNC was applied to a pregnant with acute respiratory failure.CaseA 37-year-old woman pregnant (GA 30 + 5 weeks) with twin was diagnosed with preeclampsia. It was decided to perform an emergency Cesarean-section under combined spinal-epidural technique worsening respiratory failure. After delivery, maternal dyspnea was not alleviated applying of O28 L/min via facial mask. Thus, high-flow nasal cannula (HFNC) oxygen therapy was applied (60 L/min, partial pressure of oxygen (FiO2) 80%) and SpO2 subsequently rose to 98% and the patient's dyspnea was resolved.ConclusionsHFNC is a safe device that can effectively provide oxygen to pregnant with acute respiratory failure.Copyright © 2023 the Author(s). Published by Wolters Kluwer Health, Inc.

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