Jurnal Komplikasi Anestesi
Vol 13 No 1 (2025)

Can High Flow Nasal Cannula Prevent Intubation in Status Asthmaticus?”: A Case Report

Hamdani, Ihsan (Unknown)
Wardana, Artha Wahyu (Unknown)



Article Info

Publish Date
19 Feb 2026

Abstract

Overview of the case: A 29-year-old male with status asthmaticus, the GCS score was 14, the respiratory rate was 30 x/min, SpO2 88% on room air, bilateral lung wheezing, and the blood gas analysis revealed severe respiratory acidosis. Management: Treatment involved High Flow Nasal Cannula (HFNC) oxygenation, salbutamol and ipratropium bromide nebulization, aminophylline drip infusion, and intravenous corticosteroids. Within hours, there was a significant improvement in respiratory parameters and acidosis. Subsequent monitoring in the intensive care unit showed improvement, the patient successfully being weaned off HFNC and transferred to the general ward after six days. This case highlights the efficacy of HFNC in managing severe asthma exacerbation and preventing intubation. Results: The use of HFNC, when combined with standard asthma management, has proven to be a promising option in the non-invasive management of status asthmaticus and can prevent intubation, but should be monitored carefully due to the risk of delayed escalation to respiratory support

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Journal Info

Abbrev

jka

Publisher

Subject

Medicine & Pharmacology

Description

JURNAL KOMPLIKASI ANESTESI (e-ISSN 2354-6514) is a scientific and original journal which published as a forum for various scientific articles including research, literature reviews, case reports and recent book reviews. The presence of this journal, it is hoped that it can provide input of knowledge ...