Cabin pressurization is the active pumping of air into the cabin of an aircraft to increase the air pressure within the cabin. It is required when an aircraft reaches high altitudes, because the natural atmospheric pressure is too low to allow people to absorb sufficient oxygen, leading to altitude sickness and ultimately hypoxia.
Passengers may also develop fatigue or headache as the plane flies higher. As the operational altitude increases, reactions become sluggish and unconsciousness will eventually result. Sustained flight operations above 10,000 feet generally require supplemental oxygen (through a canula or oxygen mask) or pressurisation.
As the airplane pressurizes and decompresses, some passengers will experience discomfort as trapped gasses within their bodies respond to the changing cabin pressure. The most common problems occur with gas trapped in the gastrointestinal tract, the middle ear and the paranasal sinuses. (ie, the common "popping" of the ear.) Note that in a pressurized aircraft, these effects are not due directly to climb and descent, but to changes in the pressure maintained inside the aircraft.
It is always an emergency if a pressurized aircraft suffers a pressurisation failure above 10,000 feet. If this occurs the pilot must immediately place the plane in an emergency descent and activate emergency oxygen for all.
While the piston fighters of World War II often flew at very high altitudes, they were not pressurised; instead pilots used oxygen. However, in a larger bomber where crew moved about the cabin, this was considerably less practical. Therefore, the first aircraft with cabin pressurization (though restricted to crew areas), was the B-29 Superfortress. Post-war piston airliners such as the Lockheed Constellation brought the technology to civilian service, and as jet airliners were always designed for high-altitude operation every jetliner features the technology.
Most turboprop aircraft also feature cabin pressurization due to their medium to high altitude operation. A very few piston-engined small private planes also do so; most do not routinely fly high enough to justify such a system.
Rapid decompression of commercial aircraft is extremely rare, but dangerous. People directly next to a very large hole may be blown out or injured by flying debris. Floors and internal panels may deform. Hypoxia will result in loss of conciousness in about 14 seconds without emergency oxygen, and the air temperature will plummet due to expansion, potentially resulting in frostbite.
As well as the more acute health effects experienced by some people, the cabin pressure altitude of 8,000 feet typical in most airliners contributes to the fatigue experienced in long flights. The in-development Boeing 787 airliner will feature pressuration to the equivalent of 6,000 feet, which Boeing claims will substantially increase passenger comfort.
Some people may still experience symptoms of altitude sickness despite the cabin pressure.
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