Having a lung condition should not stop you from travelling by air. Whether you are going on holiday, a business trip or a visit to family and friends, it should be possible to make the necessary arrangements - as long as you plan ahead.
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Most people with a lung condition can travel safely on planes, but you should talk to your doctor before you make any plans. You may need a fitness-to-fly (hypoxic challenge) test to confirm whether you need in-flight oxygen.
angina or chest pain at rest. an infectious disease (e.g. chickenpox, flu), including COVID-19. decompression sickness after diving (sometimes called 'the bends') increased pressure in the brain (due to bleeding, injury or infection)
The air is 'thinner' because the pressure is less and, as a result, there is less oxygen. In fact, the concentration of oxygen falls from 21% at sea level, to about 15%. Most people will tolerate this, but, if you already have problems breathing, this will become worse.
Lower levels of oxygen in your blood may make you feel unwell or could even be harmful to you during or after your flight. This means that, even if you do not usually need oxygen, you may need it while flying. Additional oxygen keeps the oxygen levels in your blood at a comfortable level and keeps you safe.
For people who suffer from COPD, flying can be a risk. The air pressure in a commercial airplane is different from the pressure on the ground, implying a decreased level of oxygen.
Values >95% on room air suggest that inflight hypoxemia is unlikely and that further evaluation is likely not necessary. Patients with saturations <92% on room air at rest should receive supplemental oxygen inflight, because they are at high risk of hypoxemia at altitude.
Choose a seat in the middle of the plane. As the air circulates across the rows and not up and down the plane, some experts believe the worst air is in the front or the back of the plane. Stay well hydrated by drinking lots of fluids (water or fruit juice) and avoiding caffeine and alcohol, which will dehydrate you.
However, if the breathing rate is already accelerated due to pneumonia and the traveller is unable to take in enough oxygen, this situation, and thus the patient's condition, can deteriorate further.
A simple pulse oximeter reading while you are at high altitude, at rest and during activity, can determine if oxygen is needed at altitude. Alternatively, some pulmonary function labs can perform an altitude simulation test to determine your oxygen saturation at altitude.