Division of Pulmonary, Critical Care, Sleep Medicine and Physiology, University of California San Diego, San Diego, CA.
Division of Pulmonary, Critical Care, Sleep Medicine and Physiology, University of California San Diego, San Diego, CA.
Chest. 2021 May;159(5):1961-1967. doi: 10.1016/j.chest.2020.11.002. Epub 2020 Nov 16.
Advising patients before air travel is a frequently overlooked, but important, role of the physician, particularly primary care providers and pulmonary specialists. Although physiologic changes occur in all individuals during air travel, those with underlying pulmonary disease are at increased risk of serious complications and require a specific approach to risk stratification. We discuss the available tools for assessment of preflight risk and strategies to minimize potential harm. We also present a case discussion to illustrate our approach to assessing patients for air travel and discuss the specific conditions that should prompt a more thorough preflight workup.
在航空旅行前为患者提供建议是医生(尤其是初级保健医生和肺部专家)经常被忽视但却很重要的职责。尽管所有个体在航空旅行期间都会发生生理变化,但那些患有基础肺部疾病的人发生严重并发症的风险增加,需要对其进行特定的风险分层。我们讨论了评估飞行前风险的可用工具和最大限度减少潜在危害的策略。我们还提出了一个病例讨论,以说明我们评估患者航空旅行的方法,并讨论了应促使更彻底的飞行前检查的具体情况。