RESPIRATORY

Flying And Lung Disease

  • In a plane, PiO2 can fall to equivalent 15% oxygen at sea level. 
  • In healthy people, fall in SaO2 around 5% is well tolerated. 
  • Patients with severely decreased capacity (ex tolerance <50m, SaO2 <95%) can have trouble, and may need oxygen supplementation.
  • Consider a high altitude simulation test (HAST)
  • Contraindications to flying (BTS):
    • Infectious TB
    • Pneumothorax with persisting air leak
    • Major haemoptysis
    • Usual O2 requirement >4L/min

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