Hyperventilation is breathing at a faster and/or deeper rate than the body requires for
good oxygenation at the existing work level. Normally the rate of breathing is
controlled by the amount of carbon dioxide in the lungs and in the blood. In
hyperventilation carbon dioxide is blown-off and this leads to changes in the acidity of
the blood which causes symptoms. The arteries to the brain constrict, reducing the
blood supply. Pilots may notice slight dizziness, a feeling of coldness, a
sensation like a tight band around the head, and pins and needles in the hands and feet.
Paradoxically they will often feel they cannot get enough air. Continued
hyperventilation may cause unconsciousness. Hyperventilation most commonly occurs in
association with anxiety, fear, or during intense concentration on a difficult task such
as performing a complicated instrument procedure.
The symptoms, particularly the
shortness of breath, are not unlike those of hypoxia, so rather than trying to make the
diagnosis, the following procedure should be taken:
a) Breathe oxygen, if
available, at 100% and, if on a pressure demand system, "press to test".
After 3 or 4 breaths of oxygen the symptoms will improve markedly if hypoxia is the
cause.
b) If the symptoms persist, consciously slow the rate of
breathing to 10-12 breaths per minute and do not breathe deeply. Keep the
respiratory rate slow until the symptoms disappear and then resume a normal breathing
pattern. [ If below 8000 feet ASL (2500 m) hypoxia is unlikely to be the cause of
the problem].