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Efficacy of HFNO during airway management of a COVID pneumonia patient with super morbid obesity undergoing emergency laparotomy.
- Source :
- Saudi Journal of Anaesthesia; Jul-Sep2022, Vol. 16 Issue 3, p368-370, 3p
- Publication Year :
- 2022
-
Abstract
- This case report describes the use of high flow nasal oxygen (HFNO) in a patient with morbid obesity (BMI = 90 kg/m²) who underwent emergency laparotomy under general anesthesia. This 54‑year‑old female patient with American Society of Anesthesia classification 4 E is known to have COVID pneumonia with Obstuctive Sleep Apnea. She was admitted in the ICU for 3 days and she was on Bilevel Positive Airway Pressure (BiPAP) alternating with HFNO to keep her SpO<subscript>2</subscript> 91%–92%, on FiO<subscript>2</subscript> 60%, and respiratory rate (RR) 40–45/min. The plan for airway management was rapid sequence intubation with preoxygenation using the HFNO. We here report this case to show the usefulness of HFNO, which adds a new dimension in airway management of similar cases. [ABSTRACT FROM AUTHOR]
Details
- Language :
- English
- ISSN :
- 1658354X
- Volume :
- 16
- Issue :
- 3
- Database :
- Complementary Index
- Journal :
- Saudi Journal of Anaesthesia
- Publication Type :
- Academic Journal
- Accession number :
- 158530569
- Full Text :
- https://doi.org/10.4103/sja.sja_327_22