What happens if you go on a plane with pneumonia?

Sea-level flights allow patients with pneumonia to fly Although some fluctuations in air pressure will still occur in an ambulance plane with a special pressurized cabin, especially during the ascent and descent, these can be compensated for by giving the patient additional in-flight oxygen.



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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.

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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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Low air pressure during air travel also decreases the amount of oxygen in the air. This effect is modest and generally not noticeable for healthy travelers. For patients with significant lung disease, a small decrease in available oxygen can cause significant symptoms, especially with exercise.

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The main risk of flying commercially while suffering from a chest infection is acute respiratory distress. The oxygen level and atmospheric pressure are respectively lower and higher than we are used to in a pressurized cabin. Passengers with a chest infection are especially vulnerable to these changes.

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Resting Pulse Oximetry
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.

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The most important preventive measure is to avoid flying when symptoms of upper respiratory tract infection are present. When this is not possible, passengers should yawn, swallow, or chew to relieve pressure in the middle ear. Use of the Valsalva maneuver and decongestants or antihistamines may be helpful.

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Now, if you need to delay your trip for illness, you can usually do so without penalty. Most airlines now allow changes with Economy tickets. When you are well enough to travel, you'll just have to pay the difference in cost for an airline ticket (if there is one for your new dates).

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Takeoff and landing are widely considered the most dangerous parts of a flight.

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The current international guidelines state that if your oxygen saturation is expected to fall below 85% in- flight, a “High Altitude Simulation Test” should be performed to see whether oxygen is required on the flight and if so, how much oxygen is needed1.

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