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Table 10 Late / subsequent – if respiratory or cardiological symptoms persist over weeks or months

From: Health consequences of exposure to aircraft contaminated air and fume events: a narrative review and medical protocol for the investigation of exposed aircrew and passengers

If significant respiratory / cardiac symptoms are present or continue, consider referral to a respiratory specialist / pulmonologist and / or a cardiologist for an opinion and consideration of the following:

 • Repeat routine lung function tests (spirometry, diffusing capacity).

 • Static lung volumes.

 • Percutaneous oxygen saturation or arterial blood gas analysis, as indicated.

 • Appropriate radiology, for example, chest X-ray, high resolution lung scan (HRCT chest).

 • Respiratory orientated exercise test or screen with six-minute walk test.

 • Respiratory muscle strength testing.

 • Bronchial provocation (methacholine, mannitol or other agent) testing.

 • Blood tests as clinically indicated.

 • Specific cardiac function tests as appropriate.

 • Exercise testing with oxygen saturation or blood gas analysis.

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Environmental Health

ISSN: 1476-069X