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How high can you go in a plane before you need oxygen?

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.



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In aeronautics, hypoxia typically results from a decompression or lack of pressurisation of the aircraft cabin. Hypoxia occurs within a few minutes if the cabin pressure altitude rises to between 5,000-6,000 m (about 16,000 - 20,000 ft).

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At the normal cruising altitude of an airplane (35,000 ft., or 10.650 m) atmospheric pressure drops to 3.8 psi -or 26% of the sea level pressure, therefore the quantity of oxygen in the air is also 26% of that found at sea level. This reduced oxygen content will lead to death due to hypoxia (lack of oxygen).

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The air on a plane contains less oxygen than the air we normally breathe in. This leads to lower levels of oxygen in the blood. If you do not have a lung condition, the drop in oxygen is not enough that you would feel the difference.

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Resting Pulse Oximetry
Values >95% on room air suggest that inflight hypoxemia is unlikely and that further evaluation is likely not necessary. Patients with saturations <92% on room air at rest should receive supplemental oxygen inflight, because they are at high risk of hypoxemia at altitude.

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Answer: No. The cabin is pressurized between 6,000 and 8,000 feet on long flights. Adding supplemental oxygen is not necessary, because the percentage of oxygen is the same as being on the ground at those altitudes.

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Airlines are not required to provide oxygen service and many do not. Passengers may carry portable oxygen concentrators (POCs).

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A simple pulse oximeter reading while you are at high altitude, at rest and during activity, can determine if oxygen is needed at altitude. Alternatively, some pulmonary function labs can perform an altitude simulation test to determine your oxygen saturation at altitude.

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Low air pressure during air travel also decreases the amount of oxygen in the air. This effect is modest and generally not noticeable for healthy travelers. For patients with significant lung disease, a small decrease in available oxygen can cause significant symptoms, especially with exercise.

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The only oxygen equipment allowed on an airplane is the portable oxygen concentrator (POC). If you need oxygen in flight, you must take a portable oxygen concentrator with you, and , you must let your airline know ahead of time. They may require a doctor's letter to verify the need for the POC on the plane.

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