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To summarize the experiences of sequential application with noninvasive (NIV) and high-flow nasal cannula oxygen (HFNCO) therapy in the treatment for critically ill patient with severe COVID-19. Case Report: In a mixed Intensive Care Unit, a medical university affiliated hospital in Guizhou Province, China, sequential application with NIV and HFNCO was used in the treatment for a COVID-19 patient with severe acute respiratory distress syndrome (ARDS), and the vital signs and laboratory results were dynamically monitored. A female patient with severe COVID-19 and severe acute respiratory failure was completely recovered from the disease by sequential application with NIV mechanical ventilation and HFNCO therapy. Conclusion: From our limited experience of the case report, NIV and HFNCO could cautiously be used in severe patient with ARDS in condition of close and dynamic monitoring.

international journal of case reports and images

Sequential application with NIV and high-flow nasal cannula oxygen therapy in the treatment of critically ill patient with severe COVID-19: A case report