Dialysepatienten als Flugpassagiere

ZUSAMMENFASSUNG

Nierenersatztherapie beeinflusst den Alltag der betroffenen Patienten deutlich. Trotzdem können verschiedene Reiseangebote wahrgenommen werden. Bei Flugreisen sollten Dialysepatienten bereits bei der Reisevorbereitung einige organisatorische Aspekte berücksichtigen, Anpassungen der Medikation können erforderlich werden, während des Fluges können Notfälle im Zusammenhang mit der Dialysebehandlung auftreten. Diese Besonderheiten bei Dialysepatienten als Flugpassagiere werden genauer dargestellt.

ABSTRACT

Patients on regular dialysis treatment have many restrictions in everyday life. Also traveling is affected. Especially when planning a journey with a long haul flight some specific aspects should be considered like timing of dialysis treatments or adjustment of medication. But also medical incidents associated with dialysis treatment may develop during the journey. These peculiarities in dialysis patients as air travelers are outlined in more detail.

Key words

dialysis - air travel - medical incident

Publikationsverlauf

Artikel online veröffentlicht:
02. Februar 2021

• Literatur

• 1 Verband Deutscher Nierenzentren. Im Internet www.die-nephrologen.de
• 2 Bagshaw M, Illig P. The Aircraft Cabin Environment. In: Keystone JS, Kozarsky PE, Connar BA, Nothdurft HD, Medelson M, Leder K. Travel Medicine. 4^th ed. Elsevier. 2019: 429-436
• 3 International Air Transport Association. Medial Manual. 11th Ed; June 2018
• 4 KDIGO Clinical Practice Guideline for Anemia in Chronic Kidney Disease. Kidney International Supplements. 2012; 2: 288-335
• 5 Kammerl MC, Nüsing RM, Richthammer W. et al Inhibition of COX-2 counteracts the effects of diuretics in rats. Kidney Int 2001; 60: 1684-1691
• 6 Zhang X, Donnan PT, Bell S. et al Non-steroidal anti-inflammatory drug induced acute kidney injury in the community dwelling general population and people with chronic kidney disease: systematic review and meta-analysis. BMC Nephrol 2017; 18: 256
• 7 Siedenburg J, Küpper T. Hrsg Moderne Flugmedizin. Stuttgart: Gentner; 2012
• 8 Hashiguchi N, Takeda A, Yasuyama Y. et al Effects of 6-h exposure to low relative humidity and low air pressure on body fluid loss and blood viscosity. Indoor Air 2013; 23: 430-436
• 9 Hecking E. Diät des Dialysepatienten. In: Ludwig Borger (Hrsg.). Dialyse. München Wien Baltimore: Urban & Schwarzenberg 1997: 257-275
• 10 Bergeron MF. Muscle Cramps during Exercise – Is It Fatigue or Electrolyte Deficit?. Current Sports Medicine Reports 2008; 7: S50-S55
• 11 Flythe JE, Hilliard T, Lumby E. et al Fostering Innovation in Symptom Management among Hemodialysis Patients: Paths Forward for Insomnia, Muscle Cramps, and Fatigue. Clin J Am Soc Nephrol 2019; 7 (14) 150-160
• 12 Wolter A. Saure Muskeln?. Saure Gurken! Physiopraxis 2017; 15: 46-49
• 13 KidneyBuzz. Is Pickle Juice Becoming A New Craze In The Chronic Kidney Diseases Community For Dialysis Patients? 2015. Im Internet. www.kidneybuzz.com/is-pickle-juice-becoming-a-new-craze-in-the-chronic-kidney-disease-community-for-dialysis-patients/2015/6/30/is-pickle-juice-becoming-a-new-craze-in-the-chronic-kidney-disease-community-for-dialysis-patients
• 14 British Broadcasting Corporation. Pickle juice: Why athletes are turning to an unsusual drink to boost performance. 22 January 2019. Im Internet. www.bbc.com/sport/tennis/46961611
• 15 Miller KC, Mack GW, Knight KL. et al Reflex inhibition of electrically induced muscle cramps in hypohydrated humans. Med Sci Sports Exerc 2010; 42: 953-961
• 16 The PickleJuice® Company. Nutrition facts. Im Internet. www.picklepower.com/the-product/ingredients/
• 17 Kalantar-Zadeh K, Fouque D. Nutritional Management of Chronic Kidney Disease. Med Sci Sports Exerc 2010; 42: 953-961
• 18 Fresenius Medical Care. Peritonealdialyse unterwegs. 2018
• 19 Stevens PE, Bloodworth LL, Rainford DJ. High altitude haemofiltration. Br Med J (Clin Res Ed) 1986; 292: 1354