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Tue Jul 3 20:55:08 BST 2007

I have attached some published recommendations--which are to wait 2
weeks. Not sure what evidence this is based on. Most commercial airlines
are pressurized to 8000 feet--at least to my understanding.

Pat

-----Original Message-----
From: trauma-list-bounces at trauma.org
[mailto:trauma-list-bounces at trauma.org] On Behalf Of Sise, Mike MD
Sent: Tuesday, July 03, 2007 11:57 AM
To: trauma-list at trauma.org
Subject: Advice on air evacuation after pneumothorax?

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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Advice on air evacuation after pneumothorax?