| CASE REPORT |
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| Year : 2022 | Volume
: 16
| Issue : 3 | Page : 368-370 |
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Efficacy of HFNO during airway management of a COVID pneumonia patient with super morbid obesity undergoing emergency laparotomy
Mohamed Sayed Hajnour, Haneen Fawzi Amlih, Faisal Fahad Bin Shabr
Anesthesia Department, King Saud University Medical City (KSUMC) King Saud University (KSU), Riyadh, Saudi Arabia
Correspondence Address:
Mohamed Sayed Hajnour
Consultant Anesthesia, Anesthesia Department, King Saud University Medical City (KSUMC) King Saud University (KSU), Riyadh
Saudi Arabia
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/sja.sja_327_22
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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 SpO2 91%–92%, on FiO2 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.
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