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What is hypoxia flying?

Hypoxia is just one of the physiological problems that can impair pilots if they are not aware of the effects of decreased oxygen pressure at altitude. Hypoxia, by definition, is the lack of sufficient oxygen in the blood, tissues, and/or cells to maintain normal physiological function.



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The order of symptoms varies among individuals: increased breathing rate, headache, lightheadedness, dizziness, tingling or warm sensations, sweating, poor coordination, impaired judgment, tunnel vision, and euphoria.

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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 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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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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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 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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With loss of cabin pressurization at altitude, pressure breathing of 100% oxygen at high airway pres- sures enables the pilot's alveolar PO2 to be maintained at a safe level during emergency descent.

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How come? ?The pressure, temperature and oxygen levels in the cabin fluctuate, and the humidity level is lower than it is at sea level,? says family medicine physician Matthew Goldman, MD.

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