The Utility of High-Flow Nasal Oxygen Therapy in a Patient with Pneumonia Undergoing Lower Limb Orthopaedic Surgery: A Case Report

A high-flow nasal cannula is commonly used to manage hypoxic respiratory failure. High-flow nasal cannula not only reduces respiratory effort and work of breathing but also provides better patient comfort. It lowers mortality compared to standard oxygen therapy or non-invasive ventilation and is associated with more ventilator-free days. A 60-year-old female presented for the correction of ankle fracture with pneumonia and successfully underwent lower limb orthopaedic surgery under the subarachnoid block with the use of high-flow nasal oxygen therapy. High-flow nasal cannula may be considered as one of the useful options for intraoperative management of pneumonia in patients undergoing lower limb surgery under regional anaesthesia.

[1]  F. Chung,et al.  The Effectiveness of High-Flow Nasal Oxygen During the Intraoperative Period: A Systematic Review and Meta-analysis. , 2020, Anesthesia and analgesia.

[2]  Zhanqi Zhao,et al.  Effect of postextubation high-flow nasal cannula therapy on lung recruitment and overdistension in high-risk patient , 2020, Critical Care.

[3]  P. Doshi,et al.  HVNI vs NIPPV in the treatment of acute decompensated heart failure: Subgroup analysis of a multi-center trial in the ED. , 2019, The American journal of emergency medicine.

[4]  Young Seok Lee,et al.  Clinical Effectiveness of High-Flow Nasal Cannula in Hypoxaemic Patients during Bronchoscopic Procedures , 2018, Tuberculosis and respiratory diseases.

[5]  S. Keenan,et al.  Official ERS/ATS clinical practice guidelines: noninvasive ventilation for acute respiratory failure , 2017, European Respiratory Journal.

[6]  D. Stolady,et al.  Preoxygenation and apneic oxygenation using Transnasal Humidified Rapid-Insufflation Ventilatory Exchange for emergency intubation. , 2016, Journal of critical care.

[7]  R. Polomano,et al.  Does Regional Anesthesia Improve the Quality of Postoperative Pain Management and the Quality of Recovery in Patients Undergoing Operative Repair of Tibia and Ankle Fractures? , 2015, Journal of orthopaedic trauma.

[8]  L. Brochard,et al.  High-flow oxygen through nasal cannula in acute hypoxemic respiratory failure. , 2015, The New England journal of medicine.

[9]  M. Sebbane,et al.  Discomfort associated with underhumidified high-flow oxygen therapy in critically ill patients , 2009, Intensive Care Medicine.

[10]  R. Baba,et al.  Spinal anaesthesia and non-invasive positive pressure ventilation for hip surgery in an obese patient with advanced chronic obstructive pulmonary disease. , 2007, British journal of anaesthesia.

[11]  G. Hernández.  Effect of Postextubation High-Flow Nasal Oxygen vs Noninvasive Ventilation on Reintubation and Postextubation Respiratory Failure in High-Risk Patients , 2016 .

[12]  C. R. Jenkins,et al.  Life behind the mask: the patient experience of NIV. , 2015, The Lancet. Respiratory medicine.