Air travel for patients with chronic obstructive pulmonary disease: a case report.

Abstract

This case report aims to assist primary care physicians in managing borderline hypoxemic patients with chronic obstructive pulmonary disease (COPD), enabling them to fly safely. A 63-year-old female smoker (80 pack years) travelled from Athens, Greece to Amsterdam in The Netherlands. She had been diagnosed with hypertension, moderate COPD, mild cardiac failure, and severe osteoarthritis in the left knee. Thirty minutes after take-off she started to experience severe dyspnea, without tachycardia or chest pain, that required immediate medical attention. After administering oxygen at 2L/min, the symptoms slowly improved and she arrived safely in Amsterdam. The patient had experienced similar symptoms during other flights in the past. Her GP thought that she should be examined by cardiologists and pulmonologists to assess the possible need for in-flight oxygen supplementation. The cardiologist conducted a full clinical examination, as well as an electrocardiogram and heart ultrasound, and decided that, as the cause of the oxygen desaturation during flight was not from her heart, she should be referred to pulmonologists for further assessment. The pulmonologists conducted spirometry and an arterial saturated oxygen (SaO2) test. The results were: a forced expiratory volume in 1second (FEV1) of 60% predicted; an FEV1/forced vital capacity (FVC) of 0.65; and a SaO2 of …