Most aircraft cabins are pressurized to an altitude of 8,000 feet, called cabin altitude. Aircraft pilots have access to the mode controls of a cabin pressure control system and – if needed – can command the cabin to depressurize.
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Airplanes pressurize their cabins by pumping air into them. As their jet engines suck in air, some of the excess air is diverted into the airplane's cabin. The air is both cooled and humidified — meaning moisture is added to it — after which it's circulated into and throughout the cabin.
If airplanes didn't pressurize their cabins, it could lead to insufficient oxygen as well as related medical problems like hypoxia. Airplanes need pressurized cabins because it ensures passengers, as well as crew members, receive an adequate amount of oxygen in the air they breathe.
Use the Valsalva maneuver during ascent and descent.Gently blow, as if blowing your nose, while pinching your nostrils and keeping your mouth closed. Repeat several times, especially during descent, to equalize the pressure between your ears and the airplane cabin.
On the ground, the airplane is unpressurized and the outflow valve is wide open. During preflight, the pilot sets the cruise altitude on a cabin pressure controller. As soon as the weight is off the main wheels at takeoff, the outflow valve begins to close and the cabin starts to pressurize.
Sure, everyone knows that you have to use supplemental oxygen if you fly more than 30 minutes at cabin pressure altitudes of 12,500 feet or higher. And that at cabin altitudes above 14,000 feet pilots must use oxygen at all times.