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Pregnant women are at high risk of infection with the novel H1N1 influenza A virus. A 30-year-old pregnant woman at 35 weeks of gestation was admitted with acute onset fever, cough and shortness of breath with hypoxaemic respiratory failure. Laboratory investigations confirmed influenza A infection. This case report illustrates how High Flow Nasal Oxygen device gave good results in hypoxemic respiratory failure especially in the setting of possible unexpected infections and ventilator associated pneumonia.

High flow nasal oxygen therapy in a young pregnant patient with hypoxemic respiratory failure due to H1N1 influenza viral infection