High flow nasal cannula to prevent intubation in obese patient with COVID-19 induced ARDS: a case report

  • Ni Made Ayu Suria Mariati Department of Anesthesiology & Intensive Care, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia.
  • Adhrie Sugiarto Department of Anesthesiology & Intensive Care, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia.
  • Elya Endriani Department of Anesthesiology & Intensive Care, Faculty of Medicine, University of Mataram-West Nusa Tenggara General Hospital, Lombok, Indonesia.
  • Rina Lestari Pulmonology Department, Faculty of Medicine, University of Mataram-West Nusa Tenggara General Hospital, Lombok, Indonesia.
  • Karina Anindita Department of Internal Medicine, Siloam Hospitals Mataram, Jl. Majapahit, Pagesangan, Kec. Mataram, Kota Mataram, Nusa Tenggara Bar. 83115, Indonesia
DOI: https://doi.org/10.35975/apic.v25i2.1473
Keywords: ARDS, COVID-19, High flow nasal cannula, HFNC, Obese

Abstract

Obese patients have been identified to have a poor prognosis and a higher risk of death from coronavirus disease-2019 (COVID-19). We present reports of two obese patients infected with COVID-19 with acute respiratory distress syndrome (ARDS) who showed improvement with high flow nasal cannula (HFNC). HFNC is a noninvasive oxygen delivery device which is capable of delivering a high concentration of oxygen that can reduce the requirement for tracheal intubation. HFNC is convenient to use, can reduce dyspnea without effecting the length of stay in ICU in these cases; and has a high merit to be used in selected patients requiring oxygen before attempting intubation and mechanical ventilation.

Key words: ARDS; COVID-19; High flow nasal cannula; HFNC; Obese

Citation: Mariati NMAS, Sugiarto A, Endriani E, Lestari R, Anindita K. High flow nasal cannula to prevent intubation in obese patient with COVID-19 induced ARDS: a case report. Anaesth pain intensive care 2021;25(2):212-216. DOI: 10.35975/apic.v25i2.1473

Received: 18 November 2020, Reviewed: 24 November 2020, Accepted: 7 December 2020

Published
04-26-2021
How to Cite
Mariati, N., Sugiarto, A., Endriani, E., Lestari, R., & Anindita, K. (2021). High flow nasal cannula to prevent intubation in obese patient with COVID-19 induced ARDS: a case report. Anaesthesia, Pain & Intensive Care, 25(2), 212-216. https://doi.org/10.35975/apic.v25i2.1473
Issue
Vol 25 No 2 (2021): April 2021
Section
Case Reports