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Is it safe to fly with hypoxia?

For a person who has been exposed to hypoxia for a long time, the situation can be very serious. Therefore, patients with heart, lung and respiratory diseases should consult their doctor before flying.



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The most common causes of hypoxia in aviation are: flying, non-pressurized aircraft above 10,000 ft without supplemental oxygen, rapid decompression during flight, pressurization system malfunction, or oxygen system malfunction.

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angina or chest pain at rest. an infectious disease (e.g. chickenpox, flu), including COVID-19. decompression sickness after diving (sometimes called 'the bends') increased pressure in the brain (due to bleeding, injury or infection)

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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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Most people with a lung condition can travel safely on planes, but you should talk to your doctor before you make any plans. You may need a fitness-to-fly (hypoxic challenge) test to confirm whether you need in-flight oxygen.

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Some patients, however, are in need of more advanced pre-flight testing using a hypoxia-altitude simulation test (HAST), breathing a gas mixture with 15.1% oxygen, corresponding to an aircraft cabin altitude of 8000 feet (2438 m) [5–7].

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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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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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