Overview

No further investigation is needed for patients whose respiratory disease is stable when assessed, who have not had a previous in-flight problem, and whose resting oxygen saturation measured by pulse oximetry (SpO₂) is 95% or greater.

For patients with unstable respiratory disease, spirometry and pulse oximetry do not reliably predict in-flight complications. Aim to optimise control of respiratory disease before flying. Some patients with respiratory conditions require assessment for supplemental oxygen; see Patients needing assessment.

Infants and young children who have had chronic neonatal lung disease (even if they no longer require supplemental oxygen), and children who are oxygen dependent require specialist assessment before air travel. For adults currently using supplemental oxygen, refer to or discuss with a respiratory specialist to determine changes to oxygen therapy.