Air travel and the risks of hypoxia in children
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In infants and children with chronic respiratory disease, hypoxia is a potential risk of aircraft travel. Although guidelines have been published to assist clinicians in assessing an individual's fitness to fly, they are not wholly evidence based. In addition, most evidence relates to adults with chronic obstructive pulmonary disease and thus cannot be extrapolated to children and infants. This review summarises the current literature as it applies to infants and children potentially at risk during air travel. Current evidence suggests that the gold standard for assessing fitness to fly, the hypoxia flight simulation test, may not be accurate in predicting in flight hypoxia in infants and children with respiratory disease. Further research is needed to determine the best methods of assessing safety of flight in infants and children.
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Assessing the risk of in-flight hypoxia: Chronic lung disease of prematurity and children with neuromuscular disordersHall, Graham; Withers, A. (2015)Most children will experience a small, clinically insignificant drop in oxygen saturation during air travel due to the effects of altitude. Clinically significant hypoxia may occur in individuals with an underlying ...
Khanna, M.; Shackleton, C.; Verheggen, M.; Sharp, M.; Wilson, A.; Hall, Graham (2013)Up to a third of ex-preterm infants flying near term exhibit pulse oxygen saturation (SpO2) of less than 85% during air travel. A hypoxia challenge test (HCT) is recommended to evaluate the requirement for in-flight ...
Lingwood, B.; Healy, Genevieve; Kecskes, Z.; Dunster, K.; Gray, P.; Ward, L.; Colditz, P. (2009)Objective: Changes in cerebral impedance in the newborn piglet are able to discriminate, within 1-2 h of acute hypoxia, between animals which will have a good neurological outcome, and those who have suffered more severe ...