Flights

Question 1

Pregnancy

Answer 1

Singleton- if uncomplicated till 28/40
- fit to fly letter may be needed most airlines ok to 36
- multiple 32/40

Remember advise about stay active, stocking, hydration, notes,
- ensure insurance cover

Question 2

Previous VTE/dvt

Answer 2

• offer Single dose DOAC- rivaroxiban or LMWH for flights >4 hours for every 24 hours of travel
• one there and one on return
• stocking, hydration, calf movement, no alcohol

DOAC often better as no sharps

Insurance

Question 3

Active VTE

Answer 3

10-14 days

Question 5

Fit to fly

Answer 5

Look at UK civil aviation authority

Ensure airline aware of situation

Final decision to take patient is up to airline

Question 6

Cardiovascular disease

Answer 6

MI- 7-10 days if uncomplicated
- if PCI successful 3days

Angina - stable no restriction

Heart surgery- major 10 days
CABG- 10-14 days

Heart failure- need to be stable and no SOB may require oxygen

Symptomatic valvular disease- contraindication to fly

CVA- 10 days , maybe 3 days

Question 7

Respiratory

Answer 7

Asthma- if controlled
COPD- need to be able to walk 50m no SOB. May require oxygen
Pneumothorax- 7 days after resolution

Question 8

Laparoscopy

Answer 8

1-2 days