Flight physiology: science of air travel with neonatal transport considerations.

Air transportation, by rotor wing and fixed wing, is a frequent method of neonatal transportation. There are many risks involved in air transportation. It is well documented that the safety of rotor wing flights has been questioned. Fixed wing transport is viewed as a safer mode of transportation. Air transportation has risks other than vehicle accidents, and increasing altitude encountered in both fixed and rotor wing transportation can cause significant distress to both the transport crew and the patient. Knowledge and awareness of these risks by the flight team can help to alleviate unnecessary risks and complications encountered during air transportation and ensure a safe arrival of both the team and the patient.