Assessment of Fitness for Air travel in Patients with Pulmonary Diseases

IF 0.3 4区 医学 Q4 ENGINEERING, BIOMEDICAL IEEE Pulse Pub Date : 2023-06-14 DOI:10.3329/pulse.v14i1-3.66892
S. Mamun, Ziaul Haque, R. Jahan, Sharif Md, Qazi Tariqul Islam
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引用次数: 0

Abstract

During air travel, increasing hypoxia with altitude ascent is a potentially serious problem for patients with hypoxemic chronic airway obstruction (CAO). Travel by air is the most popular way of transport nowadays & estimated that each year worldwide, more than 3 billion passengers travel by air & 736 million in the United States alone. For most passengers, even those with respiratory disease, air travel is safe and comfortable. Some patients with COPD &other Chronic Lung diseases may be at risk but, with screening, these patients can be identified and most of them can travel safely with supplemental oxygen. Some patients with chronic lung disease may have mild hypoxemia at sea level but during air travel in a hypobaric hypoxic environment, compensatory pulmonary mechanisms may be inadequate despite normal sea-level oxygen requirements. In addition, compensatory cardiovascular mechanisms may be less effective in some patients who are unable to increase cardiac output. Air travel also presents an increased risk of venous thromboembolism. It's estimated that, almost 1 medical emergency for every 600 flights. Respiratory symptoms accounted for 12% of all these in-air emergencies. Pulse Volume 12-14 2020-2022 p.16-21
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肺部疾病患者适合乘飞机旅行的评估
在航空旅行中,低氧性慢性气道阻塞(CAO)患者随着海拔上升而增加的缺氧是一个潜在的严重问题。乘飞机旅行是当今最流行的交通方式&估计每年全球有超过30亿乘客乘飞机旅行&仅在美国就有7.36亿。对大多数乘客来说,即使是患有呼吸道疾病的乘客,空中旅行也是安全舒适的。一些患有慢性阻塞性肺病和其他慢性肺部疾病的患者可能存在风险,但通过筛查,这些患者可以被识别出来,并且大多数患者可以在补充氧气的情况下安全旅行。一些慢性肺病患者在海平面时可能出现轻度低氧血症,但在低气压低氧环境中进行航空旅行时,尽管正常的海平面需氧量,代偿性肺机制可能不足。此外,代偿性心血管机制在一些不能增加心输出量的患者中可能效果较差。航空旅行也会增加静脉血栓栓塞的风险。据估计,每600次飞行中几乎有一次医疗紧急情况。呼吸道症状占所有这些空中紧急情况的12%。脉冲体积12-14 2020-2022 p.16-21
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来源期刊
IEEE Pulse
IEEE Pulse ENGINEERING, BIOMEDICAL-
CiteScore
1.10
自引率
0.00%
发文量
88
审稿时长
6-12 weeks
期刊介绍: IEEE Pulse covers both general and technical articles on current technologies and methods used in biomedical and clinical engineering; societal implications of medical technologies; current news items; book reviews; patent descriptions; and correspondence. Special interest departments, students, law, clinical engineering, ethics, new products, society news, historical features and government.
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