High-Flow Nasal Cannula Combined with Prone Positioning as an Intubation Alternative in COVID-19: A Case Report and Review of the Literature

Abstract

The use of high-flow nasal cannula (HFNC) in COVID-19 patients is a controversial topic due to the benefits and risks which may occur in patients and healthcare workers. The goal of this treatment modality is potential avoidance of invasive mechanical ventilation, but generation of aerosol and increased healthcare professional infection risk must be considered. We present a case of a SARS-CoV-2-positive 71-year-old male with acute hypoxemic respiratory failure, who was successfully treated with HFNC combined with prone positioning. Furthermore, we discuss recent literature concerning potential issues of HFNC treatment in COVID-19 patients.

Keywords

• Noninvasive ventilation
• COVID-19
• SARS-CoV-2
• Oxygen inhalation therapy
• Respiratory failure