of 13
7/25/2019 2. HYPOXIA
1/13
Hypobaric Chamber
INTRODUCING
THE EFFECT OF DECREASED OF P BAR
TRAPPEDGAS
EVOLVED
GAS
HYPOIA
PERSONALOYGEN
E!UIP"ENT
DISBARIS"E
YA#ING ORVALSAVA
DENITROGENI$ATION
7/25/2019 2. HYPOXIA
2/13
HYPOIA
HYPOIA IN AVIATION IS A SYNDRO"E
THAT IS USUALY ACUT AND RESULTFRO" INADE!UATE OYGENATION OFTISSUE SECONDARY TO DECREASEDPARTIAL PRESURE OF OYGEN IN THE
INSPIRED AIR
7/25/2019 2. HYPOXIA
3/13
PHYSIOLOGICAL ZONE IN AVIATION
a. PHYSIOLOGICAL ZONE SEA LEVEL TO 10.000FT
b. PHYSIOLOGICAL DEFICIENT ZONE 10.000 TO50.000 FT
c. SPACE EQUIVALENT ZONE ABOVE 50.000 FT
7/25/2019 2. HYPOXIA
4/13
ALTITUDE STAGE OF HYPOIA INAVIATION
a% INDIFFERENT STAGE & TO '&%&&& FT
b%CO"PENSATORY STAGE '&%&&& TO'(%&&& FT
c% DISTURBANCE STAGE'(%&&& TO )&%&&& FT
*% CRITICALSTAGE )&%&&& TO )+%&&& FT
7/25/2019 2. HYPOXIA
5/13
RESPIRATORY SYSTE" , NOSE- TRACTUSRESPIRATORY- PUL"ONU"- BLOODCIRCULATION- HEART- TARGET ORGAN.BRAIN- /IDNEY- ETC0
7/25/2019 2. HYPOXIA
6/13
X KA DIOVASKULE PD KONDISI
HIPOKSIA
IPOKSIA
: ABSENCE OF AN ADEQUATE SUPPLY OF
OXYGEN TO THE TISSUE WHETHER IN QUANTITY OR
MOLECULAR CONCENTRATION
DECREASED OXYGEN SATURATION
DECREASED P a O2
Pa O2 = ( PBAR ! " F# O2$ Pa CO2 % F#O2 & (' F#O2" R)
Pa O2
S
U
O
N
DECREASEDP BAR
DECREASED DELIVERY OXYGEN TO ORGAN
HYPOXIA
7/25/2019 2. HYPOXIA
7/13
1 gr Hb 1,! cc O"
IF A#P $ITH 1 5 gr% Hb "0,1 cc O" #100cc BLOOD
&ONS O" ' SV ( H) ( 15% ( * +% - 50% ( "0,1 / # 100
FL "50 A&S 5 INT SAT A O" % 2 SAT I3 V O" 50%
A#P N FL "50 SV 100 cc 2 H) 110
&ONS O" ' ,5 cc#IN
Pa O" ' + PBA) 4 ! F6 O"- Pa CO" * F6O" 7 +1 4F6O"# )/
FL "50 P BA) "8"99Hg P aO" "5 99Hg SAT O" ' !0%
B)AIN - 1,:% CA)DIAC OUT PUT- !: cc O"#IN
7/25/2019 2. HYPOXIA
8/13
ALTITUDE STAGE OF HYPOIA INAVIATION
a% INDIFFERENT STAGE & TO '&%&&& FTb%
CO"PENSATORY STAGE '&%&&& TO'(%&&& FT
c% DISTURBANCE STAGE'(%&&& TO )&%&&& FT*% CRITICAL
STAGE )&%&&& TO )+%&&& FT
7/25/2019 2. HYPOXIA
9/13
SUB;ECTIVE SYPTO INDIVIDUALAND UST BE )ECOGNIZED
a. AI) HUNGE)#O3YGEN $ANT
b. FEELING APP)EHANSION
c. HEADACHE 2 DIZZINESS
7/25/2019 2. HYPOXIA
10/13
SUB;ECTIVE SYPTO INDIVIDUALAND UST BE )ECOGNIZED c>?@
. HOT 2 COLD FLASHES
g. BLU))ED VISION 2 TUNNEL VISION
. TINGLING 2 NUBNESS
6. EUPHO)IA 2 BELLIGE)ANCE
;. HIPE)VENTILATION ! ! !
7/25/2019 2. HYPOXIA
11/13
OB1ECTIVE SIGN
a. INC)EASED DEPTH OF)ESPI)ATION
b. CYANOSIS
c. ENTALCONFUSION
7/25/2019 2. HYPOXIA
12/13
TIME OF USE FULL CONSCIOUSNESS TUC: THE PERIOD OF TIMEFROM THE INTERRUPTION OF THE OXYGEN SUPPLY OR
EXPOSSURE TO AN OXYGEN POOR ENVIRONMENT TO THE TIME
WHEN USEFUL FUNCTION IS LOST+
TUCFL ',- 2- TO
.- MIN FL 2/- . TO /
MIN FL .-- ' TO .
MIN FL ./- -+/ TO '
MIN FL 2- 0 TO '2SEC
7/25/2019 2. HYPOXIA
13/13
P)OPHYLA3IS AND T)EATENT OFHYPO3IC HYPO3IA
T)EATENT GIVING 100% O3YGEN BYINHALATION O) A)TIFICIAL )ESPI)ATION
- O3YGEN EQUIPENT + P) I C E
- CABIN P)ESSU)E- POSITIVE
P)ESSU)E B)EATHING #
100% O"7 P)ESSU)E+ FL !00 4 FL 500
- ! ! ! !DELAYED
EA) BLOC& - ! ! ! ! O3Y