Can Babies with Internal Drainage Tubes Fly Safely? - Neurosurgery

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Is it safe to fly with an internal drainage tube?


The baby is currently almost 5 months old and underwent a craniotomy for subdural hematoma drainage on February 19, followed by a ventriculoperitoneal shunt placement on March 7.
Due to family circumstances, there will be frequent international travel.
Can the baby, who has an internal shunt, travel on short-haul flights (to Japan and Singapore) and long-haul flights (to Europe and the United States)? Thank you.

Qiu, 20~29 year old female. Ask Date: 2017/04/01

Dr. Zhang Junwei reply Neurosurgery


Basically, it does not have an impact.

Reply Date: 2017/04/01

More Info


When considering whether a baby with internal drainage tubes can fly safely, several factors must be taken into account. The baby in question has undergone two significant surgeries: a craniotomy for the drainage of subdural hematoma and a ventriculoperitoneal (VP) shunt placement. These procedures are critical and can affect the baby's health and safety during air travel.

First and foremost, it is essential to consult with the baby's pediatrician or the neurosurgeon who performed the surgeries. They can provide personalized advice based on the baby's specific medical condition, recovery progress, and any potential risks associated with flying. Generally, the following considerations should be taken into account:
1. Healing and Recovery: After surgery, the baby's body needs time to heal. The duration of recovery can vary based on individual circumstances, including the baby's overall health and the complexity of the surgeries. If the baby is still in the early stages of recovery, flying may not be advisable.

2. Pressure Changes: Air travel involves changes in cabin pressure, which can affect individuals with medical devices, including internal drainage tubes. The pressure changes during takeoff and landing could potentially cause discomfort or complications. The medical team can assess whether the baby's drainage system is stable enough to withstand these changes.

3. Infection Risk: Babies with internal drainage tubes are at a higher risk for infections. Airplanes can be crowded environments, which may increase exposure to germs. It is crucial to ensure that the baby is in good health before flying and to take precautions to minimize exposure to illnesses during travel.

4. Duration of Flight: Short flights, such as those to nearby countries like Japan or Singapore, may be less risky than long-haul flights to Europe or the United States. However, the specific duration and the baby's comfort level should be considered. Long flights may require more frequent monitoring and care.

5. Emergency Preparedness: In the event of a medical emergency during the flight, it is essential to have a plan in place. This includes knowing the location of medical facilities at the destination and having access to any necessary medications or medical supplies.

6. Travel Insurance: Consider obtaining travel insurance that covers medical emergencies, especially when traveling with a baby who has a complex medical history. This can provide peace of mind and financial protection in case of unexpected health issues.

7. Consultation with Airlines: Some airlines have specific policies regarding traveling with infants who have medical conditions. It may be beneficial to contact the airline in advance to discuss any special accommodations or requirements.

In summary, while it may be possible for a baby with internal drainage tubes to fly, it is crucial to prioritize the baby's health and safety. Consulting with healthcare professionals, considering the baby's recovery status, and being aware of the risks associated with air travel are essential steps to ensure a safe journey. Always err on the side of caution and prioritize the baby's well-being when making travel decisions.

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