Flying above 5,000′ cabin altitude
In our FAA ground school I had to show students a slide reminding them that FAR 91.211 requires oxygen for a pilot exposed to cabin altitudes above 14,000′ (and when flying between 12,500′ and 14,000′ after 30 minutes). They’ll be tested on that. From experience, however, I know that I feel more alert if I keep the (typically shorter) Cirrus flights to 7,500′ and the (sometimes long) Pilatus PC-12 flights to cabin altitude of no more than 5,000′.
“A Medical Look at Hypoxia” by Kevin Ware, a physician and ATP/CFI is an interesting article from a recent Twin&Turbine. The doc/pilot notes that the narrowing of arteries that comes with aging (and an American diet!) makes it tougher for the brain to get sufficient oxygen when starved due to altitude:
In summary, when a pressurized piston or turboprop aircraft is in the high 20 flight levels and operating just as it was designed (cabin altitude of 10,000–12,000 feet), the pilot’s body is only being supplied with half the oxygen available at sea level. This, in turn, triggers the Bohr effect, further decreasing the amount of oxygen available to the brain and heart, which if the pilot is of mature age, are already compromised due to the narrowing of blood vessels. … Given this physiologic reality, is it really safe for pilots with grey hair and some common health issues such as elevated cholesterol, high blood pressure, and possible arterial narrowing, to operate pressurized aircraft at their highest legal altitudes with cabin altitudes? The answer is probably not. But, if the pilot is willing, some steps can be taken to lower the physiologic risk to a more acceptable level, and it involves the use of supplemental oxygen.
Supplemental oxygen is something that needs to be used before hypoxia is present because its effect on the brain is very insidious and makes such recognition of what is occurring, and the logical solutions that would follow, nearly impossible. The best solution to recognizing the gradual onset of hypoxia is to wear a pulse oximeter anytime the cabin altitude is above 5,000 feet and watch the numbers on the dial.
Worth a read if you’re trying to decide if it makes sense to climb up another
4,000′ in a turboprop to save 15 gallons of fuel. Also if you’re trying to decide on whether to pay up for a pressurized plane or rely on supplemental oxygen. The author of this article implies that the typical buyer of a high-performance turbocharged, but not pressurized, piston airplane should be breathing supplemental oxygen for 95 percent of the flights.



