Case Report

A rare complication of high flow nasal cannula therapy in COVID-19: Caudal septal cartilage necrosis

Volume: 2 Number: 2 May 29, 2024
EN

A rare complication of high flow nasal cannula therapy in COVID-19: Caudal septal cartilage necrosis

Abstract

A high-flow nasal cannula (HFNC) therapy has been frequently performed in adult patients with acute respiratory failure during the COVID-19 pandemic. With the increasing long-term use of HFNC, different complications have been observed. We aimed to share the nasal necrosis complication that occurred in our patient who had used HFNC for a long time.

Keywords

high flow nasal cannula, caudal septal cartilage necrosis, intensive care unit, complication

References

  1. Perkins GD, Ji C, Connolly BA, et al. Effect of Noninvasive Respiratory Strategies on Intubation or Mortality Among Patients with Acute Hypoxemic Respiratory Failure and COVID-19: The RECOVERY-RS Randomized Clinical Trial. JAMA. 2022;327(6):546-558.
  2. Rochwerg B, Einav S, Chaudhuri D, et al. The role for high flow nasal cannula as a respiratory support strategy in adults: a clinical practice guideline. Intensive Care Med. 2020;46(12):2226-2237.
  3. Baudin F, Gagnon S, Crulli B, Proulx F, Jouvet P, Emeriaud G. Modalities and Complications Associated With the Use of High-Flow Nasal Cannula: Experience in a Pediatric ICU. Respir Care. 2016;61(10):1305-1310.
  4. Hegde S, Prodhan P. Serious air leak syndrome complicating high-flow nasal cannula therapy: a report of 3 cases. Pediatrics. 2013;131(3):e939-e944.
  5. Veiga VC, Silva LMCJ, Sady ÉRR, Maia IS, Cavalcanti AB. Epistaxis as a complication of high-flow nasal cannula therapy in adults. Epistaxe como complicação de tratamento com cânula nasal de alto fluxo em adultos. Rev Bras Ter Intensiva. 2022;33(4):640-643. Published 2022 Jan 24.
  6. Velasco Sanz TR, Sánchez de la Ventana AB. La oxigenoterapia de alto flujo con cánula nasal en pacientes críticos. Estudio prospectivo [High-flow nasal cannula oxygen therapy in critical patients. Prospective study]. Enferm Intensiva. 2014;25(4):131-136.
  7. Williams R, Rankin N, Smith T, Galler D, Seakins P. Relationship between the humidity and temperature of inspired gas and the function of the airway mucosa. Crit Care Med. 1996;24(11):1920-1929.
  8. Mauri T, Galazzi A, Binda F, et al. Impact of flow and temperature on patient comfort during respiratory support by high-flow nasal cannula. Crit Care. 2018;22(1):120.
  9. Kopelman AE, Holbert D. Use of oxygen cannulas in extremely low birthweight infants is associated with mucosal trauma and bleeding, and possibly with coagulase-negative staphylococcal sepsis. J Perinatol. 2003;23(2):94-97.
  10. Sivieri EM, Gerdes JS, Abbasi S. Effect of HFNC flow rate, cannula size, and nares diameter on generated airway pressures: an in vitro study. Pediatr Pulmonol. 2013;48(5):506-514.
APA
Topal, S., Sayan, A., Çalışkan, G., & Tüzemen, G. (2024). A rare complication of high flow nasal cannula therapy in COVID-19: Caudal septal cartilage necrosis. Journal of Bursa Faculty of Medicine, 2(2), 74-77. https://doi.org/10.61678/bursamed.1455857
AMA
1.Topal S, Sayan A, Çalışkan G, Tüzemen G. A rare complication of high flow nasal cannula therapy in COVID-19: Caudal septal cartilage necrosis. J Bursa Med. 2024;2(2):74-77. doi:10.61678/bursamed.1455857
Chicago
Topal, Serra, Ayça Sayan, Gülbahar Çalışkan, and Gökhan Tüzemen. 2024. “A Rare Complication of High Flow Nasal Cannula Therapy in COVID-19: Caudal Septal Cartilage Necrosis”. Journal of Bursa Faculty of Medicine 2 (2): 74-77. https://doi.org/10.61678/bursamed.1455857.
EndNote
Topal S, Sayan A, Çalışkan G, Tüzemen G (May 1, 2024) A rare complication of high flow nasal cannula therapy in COVID-19: Caudal septal cartilage necrosis. Journal of Bursa Faculty of Medicine 2 2 74–77.
IEEE
[1]S. Topal, A. Sayan, G. Çalışkan, and G. Tüzemen, “A rare complication of high flow nasal cannula therapy in COVID-19: Caudal septal cartilage necrosis”, J Bursa Med, vol. 2, no. 2, pp. 74–77, May 2024, doi: 10.61678/bursamed.1455857.
ISNAD
Topal, Serra - Sayan, Ayça - Çalışkan, Gülbahar - Tüzemen, Gökhan. “A Rare Complication of High Flow Nasal Cannula Therapy in COVID-19: Caudal Septal Cartilage Necrosis”. Journal of Bursa Faculty of Medicine 2/2 (May 1, 2024): 74-77. https://doi.org/10.61678/bursamed.1455857.
JAMA
1.Topal S, Sayan A, Çalışkan G, Tüzemen G. A rare complication of high flow nasal cannula therapy in COVID-19: Caudal septal cartilage necrosis. J Bursa Med. 2024;2:74–77.
MLA
Topal, Serra, et al. “A Rare Complication of High Flow Nasal Cannula Therapy in COVID-19: Caudal Septal Cartilage Necrosis”. Journal of Bursa Faculty of Medicine, vol. 2, no. 2, May 2024, pp. 74-77, doi:10.61678/bursamed.1455857.
Vancouver
1.Serra Topal, Ayça Sayan, Gülbahar Çalışkan, Gökhan Tüzemen. A rare complication of high flow nasal cannula therapy in COVID-19: Caudal septal cartilage necrosis. J Bursa Med. 2024 May 1;2(2):74-7. doi:10.61678/bursamed.1455857