Pilot physiology, cognition and flight performance during flight simulation exposed to a 3810-m hypoxic condition

Background. Hypoxia is a physiological state defined as a reduction in the distribution of oxygen to the tissues of the body. It has been considered a major factor in aviation safety worldwide because of its potential for pilot disorientation. Pilots are able to operate aircrafts up to 3810 m without the use of supplemental oxygen and may exhibit symptoms associated with hypoxia. Objective. To determine the effects of 3810 m on physiology, cognition and performance in pilots during a flight simulation. Methods. Ten healthy male pilots engaged in a counterbalanced experimental protocol comparing a 0-m normoxic condition (NORM) with a 3810-m hypoxic condition (HYP) on pilot physiology, cognition and flight performance. Results. Repeated-measures analysis of variance demonstrated a significant (p ≤ 0.05) time by condition interaction for physiological and cognitive alterations during HYP. A paired-samples t test demonstrated no differences in pilot performance (p ≥ 0.05) between conditions. Conclusion. Pilots exhibited physiological and cognitive impairments; however, pilot performance was not affected by HYP.