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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), 2023-06, Vol.102 (26), p.e34140-e34140 [Peer Reviewed Journal]

Copyright © 2023 the Author(s). Published by Wolters Kluwer Health, Inc. ;Copyright © 2023 the Author(s). Published by Wolters Kluwer Health, Inc. 2023 ;ISSN: 0025-7974 ;EISSN: 1536-5964 ;DOI: 10.1097/MD.0000000000034140 ;PMID: 37390235

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  • Title:
    Application of high-flow nasal cannula oxygen therapy in patient with pulmonary edema following cesarean-section under combined spinal-epidural anesthesia: A case report
  • Author: Lee, Taeil ; Shinn, Helen Ki ; Kim, Na Eun ; Kim, Doyeon
  • Subjects: Adult ; Anesthesia, Epidural ; Cannula ; Clinical Case Report ; Dyspnea ; Female ; Humans ; Oxygen ; Oxygen Inhalation Therapy ; Pregnancy ; Pulmonary Edema - etiology ; Pulmonary Edema - therapy
  • Is Part Of: Medicine (Baltimore), 2023-06, Vol.102 (26), p.e34140-e34140
  • Description: 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. 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. HFNC is a safe device that can effectively provide oxygen to pregnant with acute respiratory failure.
  • Publisher: United States: Lippincott Williams & Wilkins
  • Language: English
  • Identifier: ISSN: 0025-7974
    EISSN: 1536-5964
    DOI: 10.1097/MD.0000000000034140
    PMID: 37390235
  • Source: IngentaConnect Free/Open Access Journals
    Journals@Ovid Open Access Journal Collection Rolling
    Wolters Kluwer Open Health
    MEDLINE
    PubMed Central
    DOAJ Directory of Open Access Journals
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