Is an oxygen level of 92 good to fly?

While the results tend to over-estimate the number of patients requiring in-flight oxygen, they are considered a safe “estimate” as to who can safely fly. Here is how the algorithm works: If the patient has resting saturations of less than 92% they require supplemental oxygen in-flight.



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The current international guidelines state that if your oxygen saturation is expected to fall below 85% in- flight, a “High Altitude Simulation Test” should be performed to see whether oxygen is required on the flight and if so, how much oxygen is needed1.

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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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Lower levels of oxygen in your blood may make you feel unwell or could even be harmful to you during or after your flight. This means that, even if you do not usually need oxygen, you may need it while flying. Additional oxygen keeps the oxygen levels in your blood at a comfortable level and keeps you safe.

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

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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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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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For most passengers, even those with respiratory disease, air travel is safe and comfortable. Some patients with COPD may be at risk but, with screening, these patients can be identified and most can travel safely with supplemental oxygen.

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