Clea's story, high-flow

Clea's story - upper respiratory infection


Case summary

  • 36 year old female who is generally healthy
  • Has had intermittent experiences of shortness of breath throughout recent years but never required hospitalisation
  • Wheezing and increasing shortness of breath over the last 3 days
  • Presented with moderate - severe respiratory distress in the emergency department and diagnosed with an upper respiratory infection


  • Heated high-flow oxygen therapy
  • Rescue beta-agonist and anticholinergic treatment administered in-line via Aerogen Solo

Patient outcomes

  • High-flow therapy ceased
  • Continued treatments via Aerogen Ultra
  • Suspected asthma patient, referred for testing and discharged home

Not based on a specific patient but are representative of common clinical situations. Patient journey developed based on: Li J, Fink JB. Narrative review of practical aspects of aerosol delivery via high-flow nasal cannula. Ann Transl Med. 2021;9(7):590.
Global Initiative for Asthma (GINA). Global Strategy for Asthma Management and Prevention. (Accessed on February 13, 2022).
Christopher H Fanta, MD, Katherine N Cahill, MD, FAAAAI. Acute exacerbations of asthma in adults. In: Post TW, ed. Acute exacerbations of asthma in adults: Emergency department and inpatient management. UpToDate; 2022. Accessed July 11, 2022.

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