Fitness to fly in the paediatric population, how to assess and advice

European Journal of Pediatrics
Joël IsraëlsMarc van Heerde

Abstract

The number of children on commercial aircrafts is rising steeply and poses a need for their treating physicians to be aware of the physiologic effects and risks of air travel. The most important risk factors while flying are a decrease in partial oxygen pressure, expansion of trapped air volume, low cabin humidity, immobility, recirculation of air and limited options for medical emergencies. Because on-board medical emergencies mostly concern exacerbations of chronic disease, the medical history, stability of current disease and previous flight experience should be assessed before flight. If necessary, hypoxia altitude simulation testing can be performed to simulate the effects of in-flight hypoxia. Although the literature on paediatric safety of air travel is sparse, recommendations for many different situations can be given. We present an overview of the most up to date recommendations to ensure the safety of children during flight. What is Known: • Around 65% of on-board medical emergencies are complications of underlying disease. • In children, the three most common emergencies during flight concern respiratory, neurological and infectious disease. What is New: • Although studies are scarce, some advices to ensure safe air ...Continue Reading

References

Jan 15, 1996·Circulation·E HarinckE J Meijboom
Nov 25, 2000·BMJ : British Medical Journal·N Dowdall
Apr 26, 2002·Pediatric Emergency Care·Andy P LeeNatalie L Relles
Apr 23, 2004·Archives of Disease in Childhood·M P Samuels
Mar 16, 2005·Lancet·David Ozonoff, Lewis Pepper
Mar 16, 2005·Lancet·Alexandra Mangili, Mark A Gendreau
Aug 23, 2005·Emergency Medicine Journal : EMJ·A Qureshi, K M Porter
Nov 11, 2005·Pediatric Emergency Care·Brian R MooreDavid W Claypool
Feb 9, 2011·European Journal of Pediatrics·Jing ZhaoDezhi Mu
Jul 26, 2011·Archives of Disease in Childhood. Fetal and Neonatal Edition·C J BossleyI M Balfour-Lynn
Oct 4, 2011·Thorax·S AhmedzaiUNKNOWN British Thoracic Society Standards of Care Committee
Oct 25, 2011·Paediatric Respiratory Reviews·Adelaide WithersGraham L Hall
Jan 10, 2012·Respiration; International Review of Thoracic Diseases·Karan MadanNavneet Singh
Oct 23, 2012·Respiratory Medicine·Rainald FischerUta Ferrari
Jun 12, 2013·Emergency Radiology·Shah SweniPonniah Thirumalaikolundusubramanian
Jul 3, 2013·Archives of Disease in Childhood·Helene Elgaard KobbernagelBirgitte Hanel
Jun 21, 2014·Journal of Travel Medicine·Shaina M WillenPaul M Lantos
Jan 7, 2016·Aerospace Medicine and Human Performance·Mandy E SpoorenbergTim Takken
Feb 26, 2016·Pediatrics·Susanne Vetter-LaracyJoan Figuerola
May 6, 2016·Journal of Paediatrics and Child Health·Sherif M BadawyMichael Sand
Sep 15, 2016·The Cochrane Database of Systematic Reviews·Mike J ClarkeAnne Eisinga
Oct 11, 2016·Blood Research·Hye Lim Jung
Dec 13, 2016·Pediatric Emergency Care·Paulo M AlvesAlexandre T Rotta
May 14, 2017·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Helge BrändströmMichael Haney

❮ Previous
Next ❯

Citations

Nov 25, 2020·Pediatric Clinics of North America·Nelson VillcaAlexandra Heath-Freudenthal
Apr 3, 2021·Pediatrics in Review·Hiba ChehabJohn C Christenson
Apr 28, 2021·Zeitschrift für Rheumatologie·M Freudenhammer, M Hufnagel

❮ Previous
Next ❯

Methods Mentioned

BETA
imaging techniques

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

The New England Journal of Medicine
Jose V NableWilliam J Brady
Respiration; International Review of Thoracic Diseases
Panagiota TzaniAlfredo Chetta
© 2022 Meta ULC. All rights reserved