Condition | Risk |
Asthma and COPD | Acute bronchospasm, hypoxaemia or infective exacerbation* |
Bronchiectasis | Hypoxaemia, infective exacerbation* |
Lung cancer | Hypoxaemia, overall deterioration or sepsis |
Cardiac comorbidity | Myocardial ischaemia; hypoxaemia, arrhythmia, peripheral oedema, venous thromboembolism, worsening of heart failure |
Hyperventilation and dysfunctional breathing | Acute exacerbation |
Airborne infections | Hypoxia, transmission to other passengers |
HIV infection | Exacerbation of pre-existing opportunistic infection |
Interstitial lung disease | Hypoxaemia, infective exacerbation* |
Neuromuscular disease and kyphoscoliosis | Hypoxaemia |
OSAS | Worsening hypoxaemia when asleep, exacerbation of jet lag with potential adverse effect on driving |
Obesity | Difficulty fitting into standard airline seats, worsening hypoxaemia in obesity hypoventilation syndrome, VTE |
Pneumothorax | 38% expansion of residual air at 8000 ft (2438 m); possible recurrence within at least 1 year unless pleurodesis has beenperformed via thoracotomy |
PAVMs | Hypoxaemia, stroke, VTE and PAVM haemorrhage |
Sinus and middle ear disease | Sinus or middle ear barotraumas |
Thoracic surgery | 38% expansion of residual air at 8000 ft (2438 m) |
At risk of VTE | Increased risk of VTE on all flights especially those >8 h or following multiple shorter journeys over a short period |
* Infective exacerbation is possible because of proximity to others with contagious diseases (ie, resulting from direct person-to-person transmission).
COPD, chronic obstructive pulmonary disease; OSAS, obstructive sleep apnoea syndrome; PAVM, pulmonary arteriovenous malformation; VTE, venous thromboembolism.