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Know Your Oxygen Needs

By Pia Bergqvist / Published: Nov 01, 2011
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Oxygen use is one of many factors in aviation where it’s a good idea to set your own limits, which should also be much lower than those required by the FAA. Legal requirements for oxygen aren’t applicable until you fly above 12,500 feet, but in some cases you may want to start inhaling supplemental oxygen as low as 5,000 feet.

As you climb higher into the atmosphere, the partial pressure of oxygen decreases. This means that the number of oxygen molecules in each volume of breath decreases and many of the hemoglobin molecules that normally deliver oxygen to the cells travel empty. Gradually, you’ll experience increasing levels of hypoxia -- a word of Greek origin that means a lower-than-normal amount of oxygen.

There are no set guidelines when it comes to recognizing the symptoms of hypoxia. Everyone reacts differently. The altitude at which your body begins to experience hypoxia depends much on your past exposure to high altitude. If you live in Denver, your limits will be much higher than your friends in Washington, D.C. If you fly or hike regularly at high altitude, your body will adjust over time. The only way to know when your body starts exhibiting symptoms is by exposing yourself and paying attention to the changes.

The first symptoms of hypoxia are most likely very subtle. You could begin to experience a slight headache or pressure behind the eyes. But it’s important to recognize those first signs because advanced symptoms of hypoxia impair functions critical to safe flight. Examples of those symptoms include loss of judgment, inability to make calculations, euphoria and diminished vision.

The lack of adequate vision and other hypoxic symptoms are particularly prevalent at night when the eyes need more oxygen to produce a special night vision protein in the rods of the eyes called rhodopsin. Your personal altitude limit for oxygen use should therefore be lower at night, perhaps as low as 5,000 feet if you live at sea level.

Fortunately hypoxia is a condition that is easy to cure. You simply need to introduce more oxygen to the body by descending to a lower altitude, inhaling supplemental oxygen or pressurizing the cabin. If your airplane is neither pressurized nor equipped with oxygen, you can purchase a portable system that is easy to bring along.

Learn what your first signs of hypoxia are by getting some high altitude training. Whether you train in a high-altitude chamber or in an airplane with an instructor, you won’t regret learning how to recognize your symptoms. Once you know how your body reacts, set your own individual altitude limits for when you need to use supplemental oxygen.

Read more Flying Tips here.

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tmcdonough19's picture

I never fly without an oximeter in my flight bag.

harlanribnik's picture

Pia is dead on. Any pilot who plans to get above, say, 5,000 feet MSL or so ought to understand his/her response to hypoxia. Although there are common symptoms, each individual needs to learn just how it will feel and how to recognize it.

The best way to learn is in a controlled environment such as an altitude chamber or in a hypoxia simulator. The best place to learn is at the Civil Aerospace Medical Institute at FAA HQ in Oklahoma City, OK. They have an amazing array of equipment and courses available, including an altitude chamber, an hypoxia chamber, spatial disorientation devices, simulators, survival training, ditching training, and lots more. The best thing is, it's all free! All you have to do is sign up and get there! You must be at least 18 years of age and interested in aviation. You don't have to be a certificated pilot.

Formerly, civilian certificated pilots were able to take this training in military altitude chambers, but that option has been taken away. For now, the best value in aviation training today is found in Oklahoma City.

They book 90 days in advance and the available slots for training fill up fast!

http://www.faa.gov/pilots/training/airman_education/aerospace_physiology/

I have to take exception to the idea of flying with anybody to altitude in order to experience hypoxia first hand. There is just too much that can go wrong in such an uncontrolled environment. It's pretty difficult to simultaneously fly an airplane and to try to deal with an incapacitated passenger. Leave such training to the pros!

Harlan Ribnik, MD

dehyman's picture

I get a kick out of reading articles about altitude related problems. "Use supplemental oxygen above 10,000 feet or 5,000 feet at night". I live in southwestern Wyoming at what some might consider high elevation. The local airport is at 6760' and my living room is at 6300', but hey, it's home. People living here give no more thought to our altitude than those of you living near sea level. We work and play here the same as "flatlanders" do in their home habitat. One thing though, at the University of Wyoming, above the doors leading out of the visiting team's locker rooms is a sign reading, "You are at 7,200 feet above sea level. How is your oxygen?" Just to get them thinking.

The idea of donning oxygen equipment at 10,000' seems a little absurd. I don't know any local pilots that do that. In fact, most think the idea of using supplementary oxygen at 12,500 is nonsense. Even non pilots question that idea. Trying to explain oxygen use to my boss, who had donned a mask in one of the company planes, he replied that he had driven his car to the summit of Mt Evens at 14,240' and walked around and did not have any problems. Why would he need oxygen to just sit there at the same altitude? During flight training, I combined my long solo with a trip to a class D airport where I could take my written exam at the local flight school (that actually was the closest test site) and make a few landings at a towered airport. Flying in the odd thousands direction there were some mountains topping 9,500' so I flew the entire 150 mile leg at 11,500'. So what! Neither my instructor nor anybody else around here would consider that odd. Because of the elevation of the ground, the buttes, plateaus and mountains around and the strong, ever-present winds, I spend most of my flying time above 9,000'.

I did just recently purchase a portable oxygen set but for different reasons. Quite often out here the weather briefer will tell you that there is turbulence below 14,000'. So I plan to climb above that to see if we can make things a little more comfortable. We don't really need to test the safety harnesses on every flight. And there are quite a few mountains that exceed 14,000' not to far away. I would rather fly over them than between them. Besides, my certificate is good to 17,999' and my aircraft is good to above 18,000 so I plan to make use of both.

Skyhawk29's picture

I would have to disagree with dyhyman. Living close to 7000 feet for a period of time has allowed your body to adjust to make the most of what oxygen is available. But if you haven't had a lung function test or seen a pulmonologist you might be surprised at what might turn up.
I live and fly in Denver and hiked extensively in the alpine zone and above timberline. I can feel the fatigue and experience the headaches that come from spending too much time up there. I have also driven up Mount Evans many times and have noticed that my fingernails take on a shade of blue.
You might do just fine at 9,000 feet all day, but get to 10 or above for any amount of time is taking a unnecessary risk. Pick up and fingertip oximeter if it was not included with your set, and fly with it for awhile and see what it indicates. Oxygen saturation should be at 90% and above.

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