What altitude is hypoxia flying?

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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It can be simply referred to as oxygen deficiency. Hypoxia can be seen in high-altitude flights and dives at shallow levels, and hypoxia may also occur as a result of major disorders. Although it is rarely seen during flight, it is a serious disorder that requires professional help.

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For Part 91 General Aviation operations the required flight crew must use supplemental oxygen for any portion of the flight that exceeds 30 minutes above a cabin pressure altitude of 12,500 feet mean sea level (MSL) up to and including 14,000 feet (MSL).

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For best protection, you are encouraged to use supplemental oxygen above 10,000 feet MSL. At night, because vision is particularly sensitive to diminished oxygen, a prudent rule is to use supplemental oxygen when flying above 6,000 feet MSL. So, when you fly at high altitudes, supplemental oxygen is the only solution.

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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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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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For optimum protection, pilots are encouraged to use supplemental oxygen above 10,000 feet during the day, and above 5,000 feet at night.

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There are four main stages of hypoxia:
  • The Indifferent Stage occurs between sea level and 10,000 feet of altitude. ...
  • The Compensatory Stage occurs between 10,000-15,000 feet of altitude. ...
  • The Disturbance Stage occurs between 15,000-20,000 feet. ...
  • The Critical Stage happens between 20,000 feet and beyond. ...
  • ATM = Atmospheres.


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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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Contact your airline for instructions on arranging oxygen service. 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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Has hypoxia been suspected in other crashes? Yes. In 1999, professional golfer Payne Stewart and five other people died when the Learjet they were aboard crashed. Federal investigators cited cabin depressurization and ultimately hypoxia as the cause of death.

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