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Advice on air evacuation after pneumothorax?

Jeffery Hammond hammond at umdnj.edu
Tue Jul 3 20:26:21 BST 2007


Recent experience from Operation Iraqi Freedom would discount this as a
legend as well. Casualties are routinely flown from Germany back to the US
within a week of having their chest tube removed.  

Jeffrey Hammond MD, MPH

-----Original Message-----
From: trauma-list-bounces at trauma.org [mailto:trauma-list-bounces at trauma.org]
On Behalf Of Ronald Gross
Sent: Tuesday, July 03, 2007 2:20 PM
To: trauma-list at trauma.org
Subject: Re: Advice on air evacuation after pneumothorax?

Mike,

I think this indeed qualifies as an urban legend.  I know of no literature,
including hyperbaric literature, that supports the assertion that on cannot
fly for several weeks after a pneumothorax requiring a chest tube.  

If I am wrong, would anyone care to educate me on this?

Ron

>>> "Sise, Mike MD" <Sise.Mike at scrippshealth.org> 07/03/07 1:56 PM >>>
We have a young male victim of a car crash one month ago in which he
suffered a C7 burst fractures with qudraplegia, multiple bilateral rib
fractures with bilateral hemo-pnuemothoraces and pulmonary contusions.
Last chest tube discontinued 10 days ago. Weaned to trach collar with
supplemental oxygen, saturating well with clear chest X-ray and no reidual
pneumothorax on CT scan chest abdomen pelvis yesterday. 
 
Family lives on East Coast US, we are in San Diego. Tentativley planning air
evacutation to an East Coast spinal injury rehab center next week, less than
3 weeks since last chest tube out . What impact, if any, does the chest
injury have on the safety of air evacuation? We routinely counsel patients
not to fly for 6 to 12 weeks after a pneumothorax. Is this supported by
evidence or is this another trauma urban legend? 
 
Your thoughts?
 
Mike Sise

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