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Fitness to fly

Fitness to fly

The Civil Aviation Authority (CAA) has issued guidelines on air travel for people with medical conditions; please see the link provided.

Cardiovascular disease
  • unstable angina, uncontrolled hypertension, uncontrolled cardiac arrhythmia, decompensated heart failure, severe symptomatic valvular disease: should not fly
  • uncomplicated myocardial infarction: may fly after 7-10 days
  • complicated myocardial infarction: after 4-6 weeks
  • coronary artery bypass graft: after 10-14 days
  • percutaneous coronary intervention: after 3 days
  • stroke: patients are advised to wait 10 days following an event, although if stable may be carried within 3 days of the event

Respiratory disease
  • pneumonia: should be 'clinically improved with no residual infection'
  • pneumothorax: absolute contraindication, the CAA suggest patients may travel 2 weeks after successful drainage if there is no residual air. The British Thoracic Society used to recommend not travelling by air for a period of 6 weeks but this has now been changed to 1 week post check x-ray

Pregnancy
  • most airlines do not allow travel after 36 weeks for a single pregnancy and after 32 weeks for a multiple pregnancy
  • most airlines require a certificate after 28 weeks confirming that the pregnancy is progressing normally

Surgery
  • travel should be avoided for 10 days following abdominal surgery
  • laparoscopic surgery: after 24 hours
  • colonoscopy: after 24 hours
  • following the application of a plaster cast, the majority of airlines restrict flying for 24 hours on flights of less than 2 hours or 48 hours for longer flights

Haematological disorders
  • patients with a haemoglobin of greater than 8 g/dl may travel without problems (assuming there is no coexisting condition such as cardiovascular or respiratory disease)
+PassMedicine Notes

The Civil Aviation Authority (CAA) has issued guidelines on air travel for people with medical conditions; please see the link provided.

Cardiovascular disease
  • unstable angina, uncontrolled hypertension, uncontrolled cardiac arrhythmia, decompensated heart failure, severe symptomatic valvular disease: should not fly
  • uncomplicated myocardial infarction: may fly after 7-10 days
  • complicated myocardial infarction: after 4-6 weeks
  • coronary artery bypass graft: after 10-14 days
  • percutaneous coronary intervention: after 3 days
  • stroke: patients are advised to wait 10 days following an event, although if stable may be carried within 3 days of the event
Respiratory disease
  • pneumonia: should be 'clinically improved with no residual infection'
  • pneumothorax: absolute contraindication, the CAA suggest patients may travel 2 weeks after successful drainage if there is no residual air. The British Thoracic Society used to recommend not travelling by air for a period of 6 weeks but this has now been changed to 1 week post check x-ray
Pregnancy
  • most airlines do not allow travel after 36 weeks for a single pregnancy and after 32 weeks for a multiple pregnancy
  • most airlines require a certificate after 28 weeks confirming that the pregnancy is progressing normally
Surgery
  • travel should be avoided for 10 days following abdominal surgery
  • laparoscopic surgery: after 24 hours
  • colonoscopy: after 24 hours
  • following the application of a plaster cast, the majority of airlines restrict flying for 24 hours on flights of less than 2 hours or 48 hours for longer flights
Haematological disorders
  • patients with a haemoglobin of greater than 8 g/dl may travel without problems (assuming there is no coexisting condition such as cardiovascular or respiratory disease)


Links
Civil Aviation Authority
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Fitness to fly guidelines
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