Editorials1 April 1984Air Travel and Patients with Chronic Obstructive Pulmonary DiseaseHENRY GONG JR., M.D.HENRY GONG JR., M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-100-4-595 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptThe article by Schwartz and coworkers (1) in this issue serves as an effective reminder that some passengers with chronic obstructive pulmonary disease can markedly reduce their arterial oxygen tension (PO2) to 30 to 40 mm Hg at altitudes commonly flown by high-flying, pressurized jet aircraft (1500 to 2400 m). This information is particularly relevant because air transportation today is relatively expeditious, popular, safe, and often economical for both healthy and ill passengers. It has been estimated that 5% of commercial airline passengers are ambulatory patients with some disease or illness (2), including chronic obstructive pulmonary disease. Whereas some patients...References1. SCHWARTZBENCOWITZMOSER JHK. Air travel hypoxemia with chronic obstructive pulmonary disease. Ann Intern Med. 1984;100:473-7. LinkGoogle Scholar2. IGLESIASCORTESALMANZA RMC. Facing air passengers medical problems while on board. Aerosp Med. 1974;45:204-6. MedlineGoogle Scholar3. . Medical aspects of transportation aboard commercial aircraft. JAMA. 1982;247:1007-11. CrossrefMedlineGoogle Scholar4. BEIGHTON P. Medical hazards of air travel. Practitioner. 1967;198:668-72. MedlineGoogle Scholar5. RICHARDS P The effects of air travel on passengers with cardiovascular and respiratory diseases. Practitioner. 1973;210:232-41. MedlineGoogle Scholar6. DAVIESDEGOTARDI GP. Inflight medical facilities. Aviat Space Environ Med. 1982;53:694-700. MedlineGoogle Scholar7. LUFT U. Aviation physiology—the effects of altitude. In: FENN WO, RAHN H. eds. Handbook of Physiology. Washington DC: Am Physiological Society; 1965; 1099-145. Google Scholar8. . Medical criteria for passenger flying: scheduled commercial flights. Arch Environ Health 1961;2:124-38. CrossrefGoogle Scholar9. . Medical Manual. Montreal, Canada: International Air Transport Association; January, 1979: 111-8, 127-41. Google Scholar10. PARSONSBOBECHKO CW. Aeromedical transport: its hidden problems. Can Med Ass J. 1982;126:237-43. MedlineGoogle Scholar11. MILLSHARDING FR. Fitness to travel by air: I. Physiological considerations. Br Med J 1983;286:1269-71. CrossrefMedlineGoogle Scholar12. MILLSHARDING FR. Fitness to travel by air: II. Specific medical considerations. Br Med J. 1983;286:1340-1. CrossrefMedlineGoogle Scholar13. SHILLITOTOMASHEFSKIASHE FJW. The exposure of ambulatory patients to moderate altitudes. Aerosp Med. 1963;34:850-7. MedlineGoogle Scholar14. TOM ASHEFSKISHILLITOBILLINGSASHE JFCW. Effects of moderate altitude on patients with pulmonary and cardiac impairment. Calif Med. 1964;101:358-62. MedlineGoogle Scholar15. MATTHYSVOLZERNSTKONIETZKOKLEEBERG JHHNH. Kardiopulmonale Belanstung von Flugpassagieren mit obstruktiven Ventilationsstörungen. Schweiz Med Wochenschr. 1975;104:1786-9. Google Scholar16. GRAHAMHOUSTON WC. Short-term adaptation to moderate altitude: patients with chronic obstructive pulmonary disease. JAMA. 1978;240:1491-4. CrossrefMedlineGoogle Scholar17. GONGTASHKINLEE HDY. Hypoxia-altitude simulation test (HAST): evaluation of patients with chronic airway obstruction [Abstract]. Am Rev Respir Dis. 1983;127:86. Google Scholar18. HENRYKRENISCUTTING JLR. Hypoxemia during aeromedical evacuation. Surg Gynecol Obstet. 1973;136:49-53. MedlineGoogle Scholar19. POUNDSTONE W. Air travel and supplemental oxygen: friendly skies for respiratory patients? Respir Ther. 1983;13:79-82. Google Scholar20. STONEHILLPEOPLES RA. The accuracy of venturi masks at altitude. Aviat Space Environ Med. 1982;53:818-21. MedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: UCLA Center for the Health Sciences Los Angeles, California PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited ByThe Hypoxia Altitude Simulation TestTravelers with Pre-existing DiseaseHypoxia During Air Travel in Adults With Pulmonary DiseaseAnálisis de los aspectos logísticos y organizativos de un crucero para pacientes con insuficiencia respiratoria crónica. La Expedición RESpIRA y el Crucero de la EPOCFio2 and positive end-expiratory pressure as compensation for altitude-induced hypoxemia in an acute respiratory distress syndrome model: Implications for air transportation of critically ill patientsKeeping Travelers HealthyEl pulmón y los viajes en aviónPulmonary rehabilitation in chronic respiratory insufficiency. 6. Travel for technology-dependent patients with respiratory disease.Preflight Medical Screening of PatientsHigh-Altitude IllnessAir Travel and Oxygen Therapy in Cardiopulmonary PatientsLong-term Oxygen TherapyAir travel and patients with pulmonary and allergic conditionsProposal for a European COPD networkEffects of Acute Increases in Altitude on Mental StatusAdvising Patients with Pulmonary Diseases on Air TravelHenry Gong Jr., MDHypoxemia during Air Travel in Patients with Chronic Obstructive Pulmonary DiseaseThomas A. Dillard, MD, Benjamin W. Berg, MD, Krishnan R. Rajagopal, MD, James W. Dooley, PhD, William J. Mehm, PhDMedical aspects of commercial air travelAltitude Exposures during Aircraft Flight 1 April 1984Volume 100, Issue 4Page: 595-597KeywordsChronic obstructive pulmonary diseaseHealth economicsHealth information technologyLungsOxygenPartial pressure of oxygen Issue Published: 1 April 1984 PDF DownloadLoading ...
No takes yet. Share an insight, caveat, or question.
Henry Gong (1984) studied this question.
Synapse has enriched one closely related paper. Consider it for comparative context: