{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,4,29]],"date-time":"2025-04-29T04:08:13Z","timestamp":1745899693090,"version":"3.40.4"},"reference-count":13,"publisher":"Aerospace Medical Association","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,5]]},"abstract":"<jats:p><jats:bold>BACKGROUND:<\/jats:bold> Patients with lung disease can experience hypoxemia on commercial aircraft, which can usually be corrected with supplementary oxygen. In some cases, combinations of medical conditions and inability to deliver oxygen via simple methods can complicate assessment and delivery of flight oxygen.<\/jats:p>\n<jats:p><jats:bold>CASE REPORT:<\/jats:bold> A 53-yr-old woman with multiple comorbidities planned a 4-h commercial flight. She has end-stage obstructive lung disease, hypercapnic respiratory failure requiring home oxygen, and previous laryngeal cancer treated by total laryngectomy, resulting in a neck stoma. She is prescribed 28% oxygen therapy via a stoma Venturi mask requiring 4 L \u00b7 min<jats:sup>\u22121<\/jats:sup>. An airline-approved oxygen concentrator was necessary for flight, providing a maximum 3 L \u00b7 min<jats:sup>\u22121<\/jats:sup>, so we could not assess flight oxygen without changing the delivery method, although a direct stoma oxygen connection or the use of heat and moisture exchangers (HME) had been contraindicated for normal use. Hypoxic challenge testing with various delivery methods showed that 3 L \u00b7 min<jats:sup>\u22121 <\/jats:sup>was sufficient to maintain oxygenation safely with little risk of hypercapnia. Fitting a stoma HME with integral oxygen attachment caused accumulation of secretions and minor desaturation, although the patient could clear them spontaneously. Ultimately HME use was approved for flight only, although other methods were successfully evaluated.<\/jats:p>\n<jats:p><jats:bold>DISCUSSION:<\/jats:bold> Patients with respiratory conditions are often dissuaded from flying by healthcare professionals, especially in complex cases where guidelines do not address all combinations of medical conditions. With tailored assessment and advice, surgically altered airway anatomy should not preclude commercial air travel, even if supplementary oxygen is required.<\/jats:p>\n<jats:p><jats:bold>Spurling KJ, Loft J, Ottun S, Moonsie I. <jats:italic>Preparing an oxygen-dependent passenger with a surgically altered airway for commercial air travel<\/jats:italic>. Aerosp Med Hum Perform. 2025; 96(5):443\u2013446.<\/jats:bold><\/jats:p>","DOI":"10.3357\/amhp.6628.2025","type":"journal-article","created":{"date-parts":[[2025,4,29]],"date-time":"2025-04-29T00:01:01Z","timestamp":1745884861000},"page":"443-446","source":"Crossref","is-referenced-by-count":0,"title":["Preparing an Oxygen-Dependent Passenger with a Surgically Altered Airway for Commercial Air Travel"],"prefix":"10.3357","volume":"96","author":[{"given":"Kristofer J.","family":"Spurling","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Janine","family":"Loft","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sofiyyah","family":"Ottun","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ian","family":"Moonsie","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1911","reference":[{"issue":"6","key":"B1","series-title":"Am Rev Respir Dis.","first-page":"980","article-title":"Hypoxia-altitude simulation test. Evaluation of patients with chronic airway obstruction","volume":"130","author":"Gong H Jr","year":"1984","unstructured":"Gong H Jr, Tashkin DP, Lee EY, Simmons MS. Hypoxia-altitude simulation test. Evaluation of patients with chronic airway obstruction. Am Rev Respir Dis. 1984; 130(6):980\u2013986."},{"issue":"4","key":"B2","series-title":"Thorax.","first-page":"329","article-title":"BTS clinical statement on air travel for passengers with respiratory disease","volume":"77","author":"Coker RK","year":"2022","unstructured":"Coker RK, Armstrong A, Church AC, Holmes S, Naylor J,  BTS clinical statement on air travel for passengers with respiratory disease. Thorax. 2022; 77(4):329\u2013350."},{"key":"B3","series-title":"Aviat Space Environ Med.","article-title":"Medical guidelines for air travel. 2nd edition","volume":"74","year":"2003","unstructured":"Aerospace Medical Association. Medical guidelines for air travel. 2nd edition. Aviat Space Environ Med. 2003; 74(5, Section II)."},{"issue":"3","key":"B4","series-title":"Chest.","first-page":"580","article-title":"Evaluation of clinical methods for rating dyspnea","volume":"93","author":"Mahler DA","year":"1988","unstructured":"Mahler DA, Wells CK. Evaluation of clinical methods for rating dyspnea. Chest. 1988; 93(3):580\u2013586."},{"issue":"2","key":"B5","series-title":"Laryngoscope.","first-page":"417","article-title":"Impact of chronic obstructive pulmonary disease on patients undergoing laryngectomy for laryngeal cancer","volume":"127","author":"Sylvester MJ","year":"2016","unstructured":"Sylvester MJ, Marchiano E, Park RCW, Baredes S, Eloy JA. Impact of chronic obstructive pulmonary disease on patients undergoing laryngectomy for laryngeal cancer. Laryngoscope. 2016; 127(2):417\u2013423."},{"key":"B6","series-title":"Thorax.","first-page":"i1","article-title":"British Thoracic Society guidelines for home oxygen use in adults","volume":"70","author":"Hardinge M","year":"2015","unstructured":"Hardinge M, Annandale J, Bourne S, Cooper B, Evans A,  ; British Thoracic Society Home Oxygen Guideline Development Group; British Thoracic Society Standards of Care Committee. British Thoracic Society guidelines for home oxygen use in adults. Thorax. 2015; 70(Suppl. 1):i1\u2013i43."},{"issue":"2","key":"B7","series-title":"Arch Otolaryngol Rhinol.","first-page":"029","article-title":"Respiratory system pathologies in patients who underwent total laryngectomy due to larynx cancer","volume":"6","author":"Hakan C.","year":"2020","unstructured":"Hakan C. Respiratory system pathologies in patients who underwent total laryngectomy due to larynx cancer. Arch Otolaryngol Rhinol. 2020; 6(2):029\u2013032."},{"issue":"3","key":"B8","series-title":"Eur Arch Otorhinolaryngol.","first-page":"429","article-title":"The effect of a Heat and Moisture Exchanger (Provox\u00ae HME) on pulmonary protection after total laryngectomy: a randomized controlled study","volume":"267","author":"Bie\u0144 S","year":"2010","unstructured":"Bie\u0144 S, Ok\u0142a S, van As-Brooks CJ, Ackerstaff AH. The effect of a Heat and Moisture Exchanger (Provox\u00ae HME) on pulmonary protection after total laryngectomy: a randomized controlled study. Eur Arch Otorhinolaryngol. 2010; 267(3):429\u2013435."},{"issue":"4","key":"B9","series-title":"Head Neck.","first-page":"1073","article-title":"Adjustable breathing resistance for laryngectomized patients: proof of principle in a novel heat and moisture exchanger cassette","volume":"43","author":"Leemans M","year":"2021","unstructured":"Leemans M, Muller SH, van Alphen MJA, Vallenduuk W, Dirven R, van den Brekel MWM. Adjustable breathing resistance for laryngectomized patients: proof of principle in a novel heat and moisture exchanger cassette. Head Neck. 2021; 43(4):1073\u20131087."},{"key":"B10","article-title":"Care of adult patients in acute care facilities with a tracheostomy: clinical practice guide. Sydney: ACI","year":"2021","unstructured":"New South Wales Agency for Clinical Innovation. Care of adult patients in acute care facilities with a tracheostomy: clinical practice guide. Sydney: ACI; 2021."},{"key":"B11","article-title":"Acceptance criteria for portable oxygen concentrators","unstructured":"Federal Aviation Administration. Acceptance criteria for portable oxygen concentrators. [Accessed March 2, 2025]. Available from https:\/\/www.faa.gov\/about\/initiatives\/cabin_safety\/portable_oxygen."},{"key":"B12","unstructured":"Oxygen administration. n.d. [Accessed April 12, 2024]. Available from https:\/\/www.tracheostoma.nl\/en\/Emergency-assistance-call-112if-needed-perform-mouth-to-stoma-artificial-respiration\/spoedeisende-hulp-belzonodig-112-beademen-via-halsstoma-2\/Oxygen-administration."},{"issue":"6","key":"B13","series-title":"Cancers.","first-page":"1405","article-title":"Total laryngectomy\u2014still cutting-edge?","volume":"13","author":"Hoffmann TK.","year":"2021","unstructured":"Hoffmann TK. Total laryngectomy\u2014still cutting-edge? 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