Accidents thromboemboliques et voyages aériens : évaluation du risque et stratégie prophylactique (podcast)

The risk of thromboembolic events is increased during air flights, although it remains low limited to a few cases per million. The distance (and duration) of the flight increases the risk, but risk factors related to patient are not documented as well as the role of hypoxia, hypobaric atmosphere, economy class. Different thromboprophylactic strategies have been suggested but not validated. Thromboprophylaxis has been recommended for long distance flights and patients at risk. No one argues against elastic stocking and deambulation. The use of anticoagulants must remain extremely rare based on an individual balance between benefit and side effects.