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Medical guide for travelers

We present a simple table extracted from the Medical Guide for authorization to Transport Passengers, issued by the Civil Aeronautics on May 31, 2016.

For further details please check the Original Guide for medical use.

Most common daily situations

Special medical conditions to take into consideration when authorizing a flight


1. Orthopedics

Surgery or pathology

Maximum time allowed before flying (see note)

Medical certificate

1.1. 1.1. Arthroscopy

3 days after the procedure is performed.

No

1.2. Joint replacement

Between 7 and 14 days after the procedure is performed. Prior assessment by Airport Sanitation. When Airport Sanitation is not available, it must be after 10 days.

Yes*

1.3. Osteosynthesis

Between 7 and 14 days after the procedure is performed. Prior assessment by Airport Sanitation. When Airport Sanitation is not available, it must be after 10 days.

Yes*

1.4. Open casts or splints

1 day (24 hours) after the procedure is performed.

Yes*

1.5. 1.5. Closed casts

1 day (24 hours) when the flight is less than 2 hours. 2 days (48 hours) when the flight is longer than 2 hours.

Yes*

1.6. Pneumatic Splints

Persons unfit to fly for medical reasons.

Does not apply



2. Plastic Surgery

Surgery or pathology

Maximum time allowed before flying (see note)

Medical certificate

2.1. Facial rejuvenation: Chirurgical

Between 7 and 14 days after the procedure is performed. Prior assessment by Airport Sanitation. When Airport Sanitation is not available, it must be after 10 days.

Yes*

2.2. Facial rejuvenation; Laparoscopic, with gas or liquid substances

Between 24 hours and 3 days after the procedure is performed. Prior assessment by Airport Sanitation. When Airport Sanitation is not available, it must be after 3 days.

No

2.3. Facial rejuvenation: Laser procedure

24 hours after the procedure is performed.

No

2.4. Mammoplasty: Augmentation, reduction

Between 2 and 4 weeks after the procedure has been performed. Prior assessment by Airport Sanitation. When Airport Sanitation is not available, it must be after 4 days.

Yes*

2.5. Liposuction

Between 7 and 10 days after the procedure is performed. Prior assessment by Airport Sanitation. When Airport Sanitation is not available, it must be after 10 days.

Yes*

2.6. Abdominoplasty and lipo-abdominoplasty

Between 10 and 15 days after the procedure is performed. Prior assessment by Airport Sanitation. When Airport Sanitation is not available, it must be after 15 days.

Yes*

2.7. Gluteal Surgery

Implants
Liposuction
Fat injection

Between 7 and 15 days after the procedure is performed. Prior assessment by Airport Sanitation. When Airport Sanitation is not available, it must be after 15 days

Yes*

2.8. Fat injection in glutes

Between 24 hours and 3 days after the procedure is performed. Prior assessment by Airport Sanitation. When Airport Sanitation is not available, it must be after 3 days.

Yes*

2.9. Facial

Esthetic: Hair implants, brow lift, blepharoplasty, rhinoplasty, otoplasty, bichectomy, mentoplasty, cervical liposuction, malar implants.

Reconstructive: Local hangings, skin grafts, rhinoqueiloplasty, palatorraphy, pharyngeal sphincter, microtia correction, dermabrasion, extensor sinus.

Maxillofacial: Fracture of the frontal brow anterior wall, fracture of nose bones, orbitozygomatic fracture, dentoalveolar fracture, isolated mandibular fracture, lefort I, ATM fracture, unimaxilar ortogonatyc surgery.

Between 7 and 10 days after the procedure is performed. Prior assessment by Airport Sanitation. When Airport Sanitation is not available, it must be after 10 days.

Yes*

2.10. Facial

Esthetics: Hair implants, cervicoplasty, open, ritidoplasty, combination of 2 or more facial procedure.

Reconstructive: Local hangings, distance hangings, combination of 2 or more facial procedures.

Maxillofacial: fracture of the anterior and/or posterior wall of the frontal brow, orbitozygomatic fracture, combined mandibular fracture, Lefort II and/or III, orthogonatyc bimaxilar surgery, craneosynostosis correction.

Between 10 and 14 days after the procedure is performed. Prior assessment by Airport Sanitation. When Airport Sanitation is not available, it must be after 14 days.

Yes*

2.11. Facial

Esthetic: Ritidoplasty, combination of 2 or more facial procedures.

Reconstructive: free hangings, combination of 2 or more facial procedures.

Maxillofacial: Lefort III, complex mandibular fracture, panfacial fractures, orthogonatic bimaxilar surgery, craneosynostosis correction.

More than 14 days depending on evolution, absence of complications and pain control.

Yes*

2.12. Corporal

Esthetic: Augmentation mammoplasty, Mastopexy with / without implants, reduction mammoplasty, liposuction, abdominoplasty, mini-abdominoplasty, gynecomastia treatment, gluteoplasty, brachio and thighplasty, pectoral or calf implants.

Reconstructive: Local hangings, skin grafts, dermabrasion, scar revision, titular expansion.

Hand: Reconstruction of tip of the finger, isolated extensor tenorrhaphy, isolated flexor tenorrhaphy, isolated neurorrhaphy, nervous decompressions, phalangeal fractures, isolated metacarpal fractures, isolated carpal fracture, polysyndactyly correction.

Between 7 and 10 days after the procedure is performed. Prior assessment by Airport Sanitation. When Airport Sanitation is not available, it must be after 10 days.

Yes*

2.13. Corporal

Esthetic: Mastopexy without implants, reduction mammoplasty, liposuction, abdominoplasty, gluteoplasty, brachio and thighplasty, combination of 2 or more corporal procedures.

Reconstructive: Local hangings, distance hangings, mammary reconstruction, combination of two or more corporal procedures.

Hand: Combined extensor tenorrhaphy, combined flexor tenorrhaphy, multiple phalangeal fractures, multiple metacarpal fractures, combined carpal fracture.

Between 10 and 14 days after the procedure is performed. Prior assessment by Airport Sanitation. When Airport Sanitation is not available, it must be after 14 days.

Yes*

2.14. Corporal

Esthetic: Liposuction, post-bariatric surgery, combination of 2 or more corporal procedures.

Reconstructive: Free hangings, combination of 2 or more corporal procedures.

Hand: Complex extensor tenorrhaphy, complex flexor tenorrhaphy, complex multiple phalangeal fractures, complex carpal fracture, combination of several procedures.

More than 14 days depending on evolution, absence of complications and pain control.

Yes*

2.15. Combined: Combined above facial and corporal procedures with a duration of less than 3 hours.

Between 7 and 10 days after the procedure is performed. Prior assessment by Airport Sanitation. When Airport Sanitation is not available, it must be after 10 days.

Yes*

2.16. Combined: Combined above facial and corporal procedures with a duration of between 3 and 5 hours.

Between 10 and 14 days after the procedure is performed. Prior assessment by Airport Sanitation. When Airport Sanitation is not available, it must be after 14 days.

Yes*

2.17. Combined: Combined above facial and corporal procedures with a duration of more than 5 hours.

More than 14 days depending on evolution, absence of complications and pain control.

Yes*



3. Ophthalmology

Surgery or pathology

Maximum time allowed before flying (see note)

Medical certificate

3.1. Retinal surgery with gas

14 days. Prior assessment by Airport Sanitation.

Yes*

3.2. Retinal surgery without gas

7 days.

Yes*

3.3. 3.3. Intraocular injection

24 hours.

Yes*

3.4. Intraocular injection with sulfur hexafluoride gas

2 weeks. Prior assessment by Airport Sanitation.

Yes*

3.5. Intraocular injection with perfluoropropane gas

21 days. Prior assessment by Airport Sanitation.

Yes*

3.6. Glaucoma treatment

Immediate.

Yes*

3.7. Acute glaucoma

Persons unfit to fly for medical reasons.

Does not apply

3.8. Penetrating glaucoma surgery

7 days.

Yes*

3.9. Laser glaucoma surgery

24 hours.

Yes*

3.10. Corneal transplant (penetrating keratoplasty, lamellar keratoplasty, dsaek, dmek, dlek and others)

15 days.

Yes*

3.11. Lasik or intracorneal rings

24 hours.

Yes*

3.12. PRK or crosslinking

7 days.

Yes*

3.13. Pterygium surgery

5 days.

Yes*

3.14. Strabismus surgery

5 days.

Yes*

3.15. Cataract surgery

7 days.

Yes*

3.16. Ocular trauma

7 days.

Yes*

3.17. Ocular trauma treated with cx with gas

21 days. Prior assessment by Airport Sanitation.

Yes*

3.18. External ocular infection

24 hours of treatment and/or upon reaching non-infectious phase (3 days).

Yes*

3.19. Palpebral surgeries

24 hours.

Yes*

3.20. Conjunctive and extra-ocular muscle surgeries

5 days.

Yes*



4. Otorhinolaryngology

Surgery or pathology

Maximum time allowed before flying (see note)

Medical certificate

4.1. Tonsillectomy

2 weeks after the surgery

Yes*

4.2. Tympanoplasty

14 days.

Yes*

4.3. Rhinoplasty and septoplasty

24 hours after removing blockage. 10 days if the procedure did not require blockage.

Yes*

4.4. Septorhinoplasty

10 days.

Yes*

4.5. Endoscopic paranasal sinuses surgery

24 hours.

Yes*

4.6. Cerclage patients

Persons unfit to fly for medical reasons.

Does not apply

4.7. Neck incisions and thyroidectomies

2 weeks.

Yes*

4.8. Turbinoplasty (turbinates)

10 days.

Yes*

4.9. Mastoidectomy and tympanoplasty

14 days.

Yes*

4.10. Amygdalectomy

14 days.

Yes*

4.11. Adenoamygdalectomy

14 days.

Yes*

4.12. Ventilation tubes

2 days.

Yes*

4.13. Maxillofacial surgeries

15 days.

Yes*

4.14. Neck surgery patients are usually patients hospitalized with tumors or other comorbidities that take time to recover

21 days.

Yes*

4.15. Fracture of the anterior and posterior sinus walls

14 days.

Yes*

4.16. Orbytozygomatic fractures

14 days.

Yes*

4.17. Combined mandibular fractures

21 days.

Yes*

4.18. Lefort I

14 days.

Yes*

4.19. Lefort II

21 days.

Yes*

4.20. Lefort III

21 days.

Yes*

4.21. Mandibular incisions or any other mandibular procedure

14 days.

Yes*

4.22. Facial nerve surgery (facial and hypoglossal nerve)

21 days.

Yes*

4.23. Cerclage

Persons unfit to fly for medical reasons

Does not apply

4.24. Facial plastic surgical procedures such as facial lift, blepharoplasty, otoplasty, rhinoplasty, peeling, implants, or drainages, dermabrasion.

No contraindication to fly.

Yes*



5. General Surgery

Surgery or pathology

Maximum time allowed before flying (see note)

Medical certificate

5.1. Major cardiac surgery

Valve replacement

Coronary bypass

Sept defect correction auricular or ventricular

Cardiac transplant

Between 10 and 14 days after the procedure is performed. Prior assessment by Airport Sanitation. When Airport Sanitation is not available, it must be after 14 days.

Yes*

5.2. Angioplasty with or without stent

Between 3 and 5 days after the procedure is performed. Prior assessment by Airport Sanitation. When Airport Sanitation is not available, it must be after 5 days.

Yes*

5.3. Angiography

24 hours.

Yes*

5.4. Pacemaker or defibrillator implant

24 hours.

Yes*

5.5. Ablation therapy

1 week.

Yes*

5.6. Major pulmonary surgery

Lobectomy
Pleurectomy
Open pulmonary biopsy

2 weeks.

Yes*

5.7. Cardiac surgery with not intervention of the pleura

2 weeks.

Yes*

5.8. Major abdominal surgery

Intestinal resection
Open hysterectomy
Renal surgery

Between 1 and 2 weeks after the procedure is performed. Prior assessment by Airport Sanitation. When Airport Sanitation is not available, it must be after 2 weeks.

Yes*

5.9. Appendectomy

5 days.

Yes*

5.10. Laparoscopic surgery

5 days.

Yes*

5.11. Colostomy

10 days.

Yes*

5.12. Colonoscopy

24 hours.

Yes*



6. Contraindications for pregnancy in flight

Surgery or pathology

Maximum time allowed before flying (see note)

Medical certificate

6.1. Non-complicated pregnancies over 36 weeks

Persons unfit to fly for medical reasons

Does not apply

6.2. Non-complicated pregnancies between 32 weeks and 367 weeks

Fit for international flights and for national flights with medical certificate from treating specialist.

Yes*, for all pregnant women with more than 30 weeks.

6.3. Complicated pregnancies between 32 weeks and longer gestational period.

Persons unfit to fly for medical reasons.

Does not apply

6.4. High-risk pregnancies of less than 28 weeks

Fit for national and international flights, must contact sanitation with pregnancy follow-up supporting documents if they present high risk. In the absence of Airport Sanitation, require medical certification indicating that she may fly without complications.

Yes*

6.5. Abnormal uterine bleeding of any ethology

Persons unfit to fly for medical reasons.

Does not apply

6.6. Retained abortion

Fit for flights not exceeding 6 hours requires assessment by Airport Sanitation. In the absence of Airport Sanitation, require medical certification indicating that she may fly without complications.

Yes*

6.7.
Fetal dystocia

Restriction of fetal growth

History of ectopic pregnancy or involuntary abortion

Mother’s age less than or equal to 15 years of age or equal to 35 years

Multiple gestation

Prior placenta or other placental abnormality

Fit for national and international flights, must contact sanitation with pregnancy follow-up supporting documents if they present high risk. In the absence of Airport Sanitation, require medical certification indicating that she may fly without complications.

Yes*, for all pregnant women with more than 30 weeks.



7. Neonates

Surgery or pathology

Maximum time allowed before flying (see note)

Medical certificate

7.1. Healthy newborns after 7 days

Without contraindications for flying, do not require authorization.

No

7.2. Newborns younger than 48 hours

Persons unfit to fly for medical reasons.

Does not apply

7.3. Newborns between 48 hours and 6 days of being born

Flying authorized if they carry portable neonatal oxygen concentrator.

Yes*

7.4. Newborns with comorbidities

Travel with medical certification from treating neonatologist, must request medical history and verify special requirements by the treating neonatologist.

Yes*

7.5. Premature newborns older than 32 weeks

Flying authorized if they have left kangaroo plan, must provide certification from treating neonatologist. Must be assessed in terms of oxygen saturation at FI02 appropriate environments. Assessment by Airport Sanitation.

Yes*

7.6. Premature newborns with comorbidities

Travel with medical certification from treating neonatologist, must request medical history and verify special requirements by the treating neonatologist.

Yes*

7.7. Premature newborns requiring oxygen

Flying authorized if travelling with neonatal oxygen concentrator that ensures appropriate flows for the age.

Yes*

7.8. Premature newborns weighing less than 1500g and/or younger than 32 weeks

Persons unfit to fly for medical reasons.

Does not apply

7.9. Premature newborns weighing more than 1500g and older than 32 week of gestational age when born

They may travel with neonatal supplementary oxygen concentrator with oxygen saturation over 90%. The caretaker must prove expertise in using the concentrator and the oximeter. Assessment by Airport Sanitation.

Yes*

7.10. Premature newborns weighing more than 2500g

No restriction to fly unless they present comorbidities, in which case they must travel with a certificate from the treating neonatologist in compliance with the recommendations given by him or her. Assessment by Airport Sanitation.

Yes*



8. Cardiovascular medical conditions

Surgery or pathology

Maximum time allowed before flying (see note)

Medical certificate

8.1. Unstable angina

Persons unfit to fly for medical reasons.

Does not apply

8.2. Stable angina

1 week.

Yes*

8.3. Non-complicated acute myocardial infarction

Coronary stent and elective angioplasty

Low risk: after 72 hours with ejection fraction greater than 40% medical certificate.

Medium Risk: must wait 7 days and fraction of an ejection fraction greater than 40%. With certification from the Cardiologist.

High Risk: Persons unfit to fly for medical reasons.

Yes*

 

Yes*

 

Does not apply

8.4. Complicated acute myocardial infarction

Absolute contraindication until stable, after stabilization may travel after 21 days.

Yes*

8.5. Compensated chronic cardiac failure

No restriction as long as they present medical certificate specifying oxygen requirements.

Yes*

8.6. Acute cardiac failure

Persons unfit to fly for medical reasons.

Does not apply

8.7.
Revascularization
Bypass and valve replacement

10 days.

Yes*

8.8. Symptomatic valve disease

Persons unfit to fly for medical reasons.

Does not apply

8.9. Controlled arterial hypertension

No restriction for flying.

No

8.10. Pacemaker or cardiac defibrillator

No restriction in number of days, must provide certificate from treating physician that certifies operation of the device or card that identifies him or her as a pacemaker holder.

Yes*

8.11. Supra or ventricular tachycardia

Stable: without contraindication for flying.

Non-stable: Persons unfit to fly for medical reasons

Yes*

Does not apply

8.12. Supraventricular paroxysmal arrhythmia

Stable: without contraindication for flying.

Non-stable: Persons unfit to fly for medical reasons.

Yes*

Does not apply

8.13. Persistent auricular fibrillation

Stable: without contraindication for flying.

Non-stable: Persons unfit to fly for medical reasons.

Yes*

Does not apply

8.14. Ventricular arrhythmia

Stable: without contraindication for flying.

Non-stable: Persons unfit to fly for medical reasons

Yes*

Does not apply

8.15. Eisenmeyer Syndrome and congenital cyanotic heart disease

Stable: without contraindication for flying

Non-stable: Persons unfit to fly for medical reasons.

Requires supplementary oxygen.

Yes*

Does not apply

8.16. Cardiac catheterism

5 days.

Yes*

8.17. Varicose vein surgery

14 days after surgery.

Yes*



9. Respiratory medical conditions

Surgery or pathology

Maximum time allowed before flying (see note)

Medical certificate

9.1. Tracheostomy

No contraindication for flying.

Yes*

9.2. Compensated EPOC

No contraindication for flying.

Yes*

9.3. Controlled Asthma

No contraindication for flying.

No

9.4. Pneumothorax

Between 7 and 14 days after resolving it prior assessment from Airport Sanitation. In the absence of Airport Sanitation must be after 14 days.

Yes*

9.5. Pleural effusion

14 days after being resolved.

Yes*

9.6. Pneumonia

Persons unfit to fly for medical reasons.

Does not apply

9.7. Terminal Cancer

Persons unfit to fly for medical reasons.

Does not apply

9.8. Pulmonary Hypertension

Persons unfit to fly for medical reasons.

Does not apply

9.9. Apnea Syndrome Obstructive Sleep Hypopnea

No contraindication for flying

Yes*



10. Psychiatric Conditions

Surgery or pathology

Maximum time allowed before flying (see note)

Medical certificate

10.1. Suicidal patient

Persons unfit to fly for medical reasons.

Does no apply

10.2. Patient with control depression

No contraindication for flying.

Yes*

10.3. Anxiety or Panic Attacks

24 hours after resolving the anxiety episode. Assessment by Airport Sanitation.

Yes*

10.4. Compensated aerophobia

No contraindication for flying.

Yes*

10.5. Violent patients

Persons unfit to fly for medical reasons.

Does not apply

10.6. Psychotic conducts

Persons unfit to fly for medical reasons.

Does not apply

10.7. Alzheimer

No contraindication for flying.

Yes*

10.8. Patients under the effect of substances

Persons unfit to fly for medical reasons.

Does not apply.



11. Neurological Conditions

Surgery or pathology

Maximum time allowed before flying (see note)

Medical certificate

11.1. Patients with convulsive episodes

Depends on neurological evaluation. Suggested 24 hours after convulsive episode without neurological side effects.

Yes*

11.2. Patients with cerebrovascular accidents

Depends on the neurological and neurosurgical opinion if applicable. 14 days if hospitalized.

Sí Yes*



12. Other Medical Conditions

Surgery or pathology

Maximum time allowed before flying (see note)

Medical certificate

12.1. Decompression Disease: Scuba divers

2 days after last immersion.

No

12.2. Diabetes

Medical condition must be controlled.

No



13. Contraindications for Burn Patients

Surgery or pathology

Maximum time allowed before flying (see note)

Medical certificate

13.1. Patients with extensive II and III degree burns that compromise their general state

Persons unfit to fly for medical reasons.

Does not apply



14. Absolute Contraindications to travel on a commercial aircraft

Surgery or pathology

Maximum time allowed before flying (see note)

Medical certificate

14.1. Infectious diseases ((Varicella-like eruptions, measles, roseola or rubella, mumps, meningitis, septicemia, gas gangrene, avian flu, hepatitis, tuberculosis, atypical pneumonia, tetanus, rabies, typhoid, yellow fever, diphtheria, SARS cholera).

Persons unfit to fly for medical reasons.

Does not apply

14.2. Acute otitis media and acute sinusitis

Persons unfit to fly for medical reasons.

Does not apply

14.3. Patients with mandible fracture that cannot open mouth (fixed cerclage) and lesions that prevent moving thorax trauma.

Persons unfit to fly for medical reasons.

Does not apply

14.4. Terminal disease or a health status that could become complicated as a result from the flight or even result in death such as a premature birth, arterial hypertension, cerebrovascular accident: cerebral hemorrhages, Auto-immune deficiency syndrome (AIDS), Advance stage cancer.

Persons unfit to fly for medical reasons.

Does not apply

14.5. Passengers under the effects of alcohol or hallucinogenic drugs.

Persons unfit to fly for medical reasons.

Does not apply

14.6. Cerclages

Persons unfit to fly for medical reasons.

Does not apply



Yes*: All medical certificates we require from passengers to perform their trip must be issued at most 10 days prior to the travel date and that medical certificate will be valid from the return trip for up to 1 month in the absence of changes to the health condition.


NOTE: In cases where there is a difference in the number of days to fly, the treating physician and Airport Sanitation, the opinion of Sanitation prevails. Remember that for any air travel after any of the abovementioned situations, you must comply with the rest period set forth therein, otherwise you may endanger your life and that of other occupants of the aircraft.

 

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