Revisión bibliográfica y propuesta de guía de manejo para la prevención y rehabilitación de pilotos con predisposición a la aparición de cinetosis / Bibliographic review and guide proposal for the prevention and rehabilitation of pilots predisposed to the appearance of motion sickness

Introducción: La aerocinetosis se caracteriza por la aparición de una sintomatología variada que incluye náuseas y vómitos, mareos, palidez, sudoración, malestar gástrico y en casos más graves alteraciones de la conciencia. Dichos síntomas pueden mantenerse a lo largo de los días aun habiendo acabado la exposición, si la misma fue mantenida en el tiempo. Cuando se presenta en tripulantes puede resultar inhabilitante para la actividad. Objetivos: Se trata de una revisión bibliográfica que cuenta con información obtenida de múltiples fuentes siendo la más importante la que se obtuvo a través de la experiencia personal no solo del autor sino de los especialistas consultados. Material y Método: Describir los aspectos generales del equilibrio en los seres humanos. Describir las principales características de la aerocinetosis. Proponer una guía de manejo para la prevención y rehabilitación de pilotos con predisposición a la aparición de cinetosis. Conclusión: Se realizó en este trabajo una revisión exhaustiva del tema y se aborda la actitud preventiva y terapéutica a seguir, la cual está orientada a brindar información, identificar los síntomas y/o signos y llevar a cabo estrategias de entrenamiento y adaptación al movimiento que le permitirá al piloto que se ve afectado continuar con su actividad de forma adecuada

Introduction: Kinetosis is characterized by the appearance of a varied symptomatology including nausea and vomiting, dizziness, paleness, sweating, gastric discomfort and in more severe cases alterations of consciousness. These symptoms can be maintained throughout the days even if the exposure is finished, if the same was maintained in the time. When it occurs in crew members it can be disabling for the activity. Objectives: To describe the general aspects of balance in humans. Describe the main characteristics of aerocinetosis. To propose a management guide for the prevention and rehabilitation of pilots with predisposition to the onset of motion sickness. Material and method: This is a bibliographical review that has information obtained from multiple sources, the most important of which was obtained through the personal experience of the specialists consulted. Conclusions: A comprehensive review of the topic was carried out and the preventive and therapeutic attitude to be followed, which is aimed at providing information, identifying symptoms and signs and carrying out strategies of training and adaptation to the movement will allow the pilot who is affected to continue his activity properly.

Air sickness in pilot trainees

Motion sickness is a common and debilitating response to provocative motion environment, to which a person is unfamiliar and hence unadapted. It poses a particular problem to aircrew in training, degrades performance in the air, and wastes training time. This paper discusses the incidence, attrition rate and to evaluate the therapeutic role of transderm scopolamine system in motion sickness during flight training in the Royal Jordanian Air Force. Three hundred and forty one flight trainees were included. Designed form elaborating symptoms, correlating factors and response to therapeutic transderm scopolamine system was prepared, a case definition of motion sickness was developed. Data collected from the medical and squadron records were analyzed to evaluate the incidence of motion sickness and the efficacy of therapeutic transderm scopolamine system in reducing the attrition rate. One hundred and six trineesout of 341 [31%] developed motion sickness. A total of 11 [3%] trainees were eliminated from flight training due to that reason, therapeutic transderm scopolamine system was effective in 87% of cases. Familial mediterranean fever and self medication with Retin A [Tretinoin] cream were discovered in two unresolving cases. Motion sickness continues to present difficulties to flight trainees. Clinical assessment is mandatory to exclude secondary causes of motion sickness. Therapeutic transderm scopolamine system can be an effective drug in reducing the susceptibility to conditioned motion sickness with few and tolerable side effects. Further studies to elaborate on other means like desensitization particularly in qualified pilots is encouraged