Patients needing assessment

Although there is no trial evidence for the benefit of in-flight supplemental oxygen, consider in-flight supplemental oxygen for patients:

  • with a history of respiratory problems during air travel (eg breathlessness, chest pain, confusion, syncope)
  • with severe asthma or severe chronic obstructive pulmonary disease (COPD) (forced expiratory volume in 1 second [FEV1] less than 30% predicted)
  • with severe restrictive lung disease (forced vital capacity [FVC] less than 1 Litre)
  • with oxygen saturation measured by pulse oximetry (SpO2) less than 95%
  • within 6 weeks of hospital discharge for acute severe or acute-on-chronic respiratory illness
  • with a comorbidity that is worsened by hypoxaemia (eg cerebrovascular disease, coronary artery disease, heart failure)
  • with a pre-existing requirement for supplemental oxygen or ventilator support, including noninvasive ventilation.