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

Medicine (Baltimore). 2023 Jun 30;102(26):e34140. doi: 10.1097/MD.0000000000034140.

Abstract

Background: High-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.

Case: A 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.

Conclusions: HFNC is a safe device that can effectively provide oxygen to pregnant with acute respiratory failure.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Anesthesia, Epidural*
  • Cannula
  • Dyspnea
  • Female
  • Humans
  • Oxygen
  • Oxygen Inhalation Therapy
  • Pregnancy
  • Pulmonary Edema* / etiology
  • Pulmonary Edema* / therapy

Substances

  • Oxygen