Related Experiment Video
Updated: Jul 9, 2026

Topical Airway Anesthesia for Awake-endoscopic Intubation Using the Spray-as-you-go Technique with High Oxygen Flow
Published on: January 13, 2017
Airhead: intraparenchymal pneumocephalus after commercial air travel
Rachel D Beda1, Sandeep P Khot2, Thomas Manning3
1Department of Internal Medicine, University of Washington, Seattle, WA 98104, USA.
Background:
Commercial air travel either in the postoperative setting or after open skull fracture has the potential to place patients at unnecessary risk. Although the timing is not clearly known, it should be established that there is no persistent fistulous tract that could introduce additional intraparenchymal air.
Case Description:
We present a case of a gentleman with dramatic pneumocephalus after commercial air travel.
Conclusion:
Because of the potential for serious and permanent injury that can result from a dramatic and sustained increase in intracranial pressure, air travel should be delayed until there is no evidence of a fistulous tract. We discuss some basic in-flight options and precautions should change in timing of travel not be possible.
Related Concept Videos
Increased Intracranial Pressure l: Introduction
Pneumothorax-I
Pneumothorax can be even further classified as spontaneous, traumatic, and tension pneumothorax.
Increased Intracranial Pressure ll: Pathophysiology
Pneumothorax II: Pathophysiology
Pneumothorax-II
Clinical Manifestations:
Pneumonia I: Introduction
Risk Factors
Various factors influence the likelihood of developing pneumonia. Age plays a crucial role, with infants, children under two, and individuals over 65 at increased risk due to their...

