Assessing Patients for Air Travel

Bellinghausen, Amy L.; Mandel, Jess

doi:10.1016/j.chest.2020.11.002

Cited by 7 publications

(8 citation statements)

References 35 publications

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“…Respiratory complaints are the second most common medical issue while flying after syncope or presyncope. 10 Without cabin pressure, passengers can be exposed to hypoxic conditions because the partial pressure of oxygen at an altitude of over 45,000 feet is about ⅙ the pressure at sea level. The aircraft cabin is pressurized at an altitude of 8,000 feet, corresponding to breath 15.1% oxygen at sea level.…”

Section: Management Of Respiratory Disease Patients Planning Air Travelmentioning

confidence: 99%

“…The aircraft cabin is pressurized at an altitude of 8,000 feet, corresponding to breath 15.1% oxygen at sea level. 10 Partial arterial pressure of oxygen (PaO2) at an altitude of 8,000 feet (2,438 m) in healthy passengers is affected by age and minute ventilation but decreases to 60-75 mmHg and oxygen saturation (SpO2) 88-94%, which is measured by pulse oximetry. This situation does not cause symptoms in healthy people.…”

Section: Management Of Respiratory Disease Patients Planning Air Travelmentioning

confidence: 99%

“…9 Patients with a resting saturation of <92% on room air should take supplementary oxygen in flight because of a significant risk of hypoxemia at high altitudes. Saturation between 92 and 95% should be investigated further, especially if there are established risk factors for hypoxemia during flying by airplane 9,10 Table 4 shows a comparison between pulse oximetry at rest and other assessment methods of hypoxemia while flying by airplane.…”

Section: Pre-flight Assessmentmentioning

confidence: 99%

“…These equations have the advantage of being simple and easy to employ during an office visit. 10 Predictive equations might be a less expensive and time-consuming alternative to an HCT, especially in primary care, but they substantially underestimate the requirement of in-flight O2 in the vast majority of patients. 17…”

Section: Predictive Equationsmentioning

confidence: 99%

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Respiratory Travel Medicine

Candrawati

2022

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International tourist arrivals continue to increase over time due to global economic growth, increasing middle class in developing countries, technological advances, innovative business concepts, cost-effective travel, and facilitation of visas. The increase in tourist visits has resulted in health problems due to the trips. Respiratory tract infections are the main reason tourists seek medical care. Respiratory infections occur in 20% of all tourists, almost the same as the incidence of diarrhea. The majority of international inbound tourism involved air travel. Though physiological changes happen in everyone while air travel, people with lung disease are at high risk for significant complications and necessitate a specific risk assessment strategy. A pre-flight evaluation is conducted if there is any uncertainty regarding the patient's fitness for flight and the effect of eligibility to fly. This literature review summarized the important aspect of travel medicine from the respiratory medicine point of view.

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Section: Management Of Respiratory Disease Patients Planning Air Travelmentioning

confidence: 99%

Section: Management Of Respiratory Disease Patients Planning Air Travelmentioning

confidence: 99%

Section: Pre-flight Assessmentmentioning

confidence: 99%

Section: Predictive Equationsmentioning

confidence: 99%

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Respiratory Travel Medicine

Candrawati

2022

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“…49 Although they are often overlooked, the advice from the physician to patients is essential before any air travel. 50 The pre-travel health consultation provides an opportunity to assess the health risks of travel for an individual and provide education and advice to promote healthy travel. A key component of the pre-travel consultation is an individualized health risk assessment based on traveler demographics and details of the planned trip (including itinerary, duration, and planned activities).…”

Section: Prevention Of Complications and Recommendations To Sickle Ce...mentioning

confidence: 99%

Sickle Cell Disease Complications Following Air Travel: A Review of the Current Literature

Wembonyama

Mukuku²,

Lukusa

et al. 2021

Int J Travel Med Glob Health

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Every year, the number of people using commercial aircraft is estimated at two billion, and more than 300 million people take long-haul flights. Sickle cell patients may be at risk during the air journey because significant hypobaric hypoxia may occur at cruising altitude. This literature review reports complications related to air travel such as painful crises, serious spleen complications (spleen infarcts) requiring a splenectomy, or even sudden death. Prevention of these complications includes environmental protection (maintaining pressure inside the aircraft cabin in a hypobaric condition) and individual prophylaxis (general recommendations for all travelers and specific measures for sickle-cell patients). In order to assess complications associated with air travel in sickle-cell patients, an assessment of their ability to fly is necessary. In addition, the flight fitness assessment identifies patients who will need additional oxygen during flight. When prescribed by the passenger’s physician, additional oxygen is provided by most airlines. Knowing these elements makes it possible to anticipate problems and provide appropriate responses to patients.

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Respiratory Emergencies

2023

In-Flight Medical Emergencies

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Assessing Patients for Air Travel

Cited by 7 publications

References 35 publications

Respiratory Travel Medicine

Respiratory Travel Medicine

Sickle Cell Disease Complications Following Air Travel: A Review of the Current Literature

Respiratory Emergencies

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