In-Flight Hypoxemia in a Tracheostomy-Dependent Infant

Author:

Quevreaux Jason1ORCID,Cropsey Christopher1

Affiliation:

1. Department of Anesthesiology, Educational Affairs, Vanderbilt University Medical Center, 2301 VUH, Nashville, TN 37232-7237, USA

Abstract

Millions of passengers board commercial flights every year. Healthcare providers are often called upon to treat other passengers during in-flight emergencies. The case presented involves an anesthesia resident treating a tracheostomy-dependent infant who developed hypoxemia on a domestic flight. The patient had an underlying congenital muscular disorder and was mechanically ventilated while at altitude. Although pressurized, cabin barometric pressure while at altitude is less than at sea level. Due to this environment patients with underlying pulmonary or cardiac pathology might not be able to tolerate commercial flight. The Federal Aviation Administration (FAA) has mandated a specific set of medical supplies be present on all domestic flights in addition to legislature protecting “Good Samaritan” providers.

Publisher

Hindawi Limited

Subject

Anesthesiology and Pain Medicine

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