can you travel on plane with oxygen

• Type 2 Diabetes
• Heart Disease
• Digestive Health
• Multiple Sclerosis
• Diet & Nutrition
• Health Insurance
• Public Health
• Patient Rights
• Caregivers & Loved Ones
• End of Life Concerns
• Health News
• Thyroid Test Analyzer
• Doctor Discussion Guides
• Hemoglobin A1c Test Analyzer
• Lipid Test Analyzer
• Complete Blood Count (CBC) Analyzer
• What to Buy
• Editorial Process
• Meet Our Medical Expert Board

Traveling with Supplemental Oxygen

Planning ahead when you need to take oxygen on a trip

Before Your Trip

Altitude and oxygen needs.

• Regulations on Airplanes

If you have a condition such as chronic obstructive pulmonary disease (COPD) and are planning to travel, you may need to take supplemental oxygen with you. When you are traveling on an airplane, by train, or on a bus, or staying in a hotel, you need to be aware of considerations and possible restrictions.

As you prepare for a trip with supplemental oxygen, check that your equipment and devices are permitted for use during your travel and at your destination. Be sure to ask whether you will have space and be afforded accommodations to use your device.

Prepare for your travels by bringing batteries or chargers to power your equipment. Keep in mind that international destinations and cruise ships may have power outlet configurations that do not match the ones you are used to.

When you are traveling with oxygen , it is important to plan ahead. It is a good idea to schedule a pre-trip medical examination, especially if you will be traveling on an airplane, hiking, staying at a high elevation (such as on a mountain), leaving the country, or going away for a long period of time.

Obtain a letter of medical necessity from your healthcare provider during your pre-trip medical exam. Most airlines require that this letter include your healthcare provider's contact information, a statement about your specific condition, healthcare provider approval for air travel, and confirmation that you require supplemental oxygen, as well as the flow rate and duration of use. You may need to present it when you go through airport security, board your plane, go through customs, and/or at your hotel if you need to stay in a specially accommodated room.

Don't forget to pack all of your regular medications in your carry-on luggage and, if needed, to bring an adequate supply of COPD rescue inhalers with you throughout your trip.

It's always a good idea to keep any medications in their original containers so that you will get the right treatment in case of an emergency.

A high altitude may change the oxygen pressure around you—essentially increasing your oxygen requirement. This doesn't have a significant effect on most people, but if you have a pulmonary disease, a slight change in oxygen pressure can make you feel short of breath.

Your healthcare provider may change your prescription for oxygen supplementation if you are staying at a high elevation or flying during your travels. In fact, some people who do not regularly need to use supplemental oxygen might need to use it only in these circumstances.

Supplemental Oxygen on Airplanes: Regulations

When making an airline reservation, be sure to ask about specific regulations and restrictions that may apply when carrying oxygen onboard your flight. 

According to the U.S. Department of Transportation Nondiscrimination on the Basis of Disability in Air Travel Act, oxygen-dependent passengers may now carry their own Federal Aviation Administration (FAA)-approved, battery-powered portable oxygen concentrators (POCs) onboard U.S. domestic and international flights with 19 or more passenger seats, beginning or ending in the United States.

The policy states that:

• Airlines must permit a passenger to use his/her POC during the flight if it is labeled as FAA-approved.
• Airlines may not charge for providing accommodations required by the rule, such as hazardous materials packaging for batteries.
• Airlines may charge for optional services such as providing oxygen.

Assistive devices do not count against any limit on the number of pieces of carry-on baggage, and they have priority over other items for storage in the baggage compartment.

In addition to POCs, respiratory assistive devices also include nebulizers, respirators, and continuous positive airway pressure (CPAP) machines. Liquids associated with a nebulizer are exempt from the 3-1-1 liquids rule.

Compressed oxygen tanks and liquid oxygen are not allowed on airplanes.

FAA-Approved POCs

POCs are permitted on flights only if they are approved by the FAA. Consider renting your POC from an oxygen supply company if you don't typically need oxygen, or if the device you regularly use is not FAA-approved.

According to the FAA, the following devices are approved to carry on board your flight:

• AirSep FreeStyle  
• AirSep LifeStyle 
• AirSep Focus  
• AirSep Freestyle 5 
• (Caire) SeQual eQuinox Oxygen System (model 4000)  
• Delphi RS-00400 / Oxus RS-00400  
• DeVilbiss Healthcare iGo  
• Inogen One G2  
• lnogen One G3 
• lnova Labs LifeChoice Activox 
• International Biophysics LifeChoice / lnova Labs LifeChoice  
• Invacare XPO2 / XPO 100
• Invacare Solo2  
• Oxylife Independence Oxygen Concentrator 
• Precision Medical EasyPulse 
• Respironics EverGo  
• Respironics SimplyGo  
• SeQual Eclipse  
• SeQual SAROS  
• VBox (3B Medical) Trooper (Aer X) Oxygen Concentrator

For more information about FAA requirements for traveling with oxygen by airplane, visit the FAA website . 

World Standards. Plug and socket types .

European Federation of Allergy and Airways Diseases Patients Associations. Enabling air travel with oxygen in Europe: an EFA booklet for patients with chronic respiratory disease .

Federal Aviation Administration. Acceptance criteria for portable oxygen concentrators .

Stoller JK.  Patient education: supplemental oxygen on commercial airlines (Beyond the Basics) .

Transporation Security Administration. Disabilities and medical conditions: respiratory equipment . 

US Department of Transportation. Passengers with disabilities: about the Air Carrier Access Act .

By Deborah Leader, RN  Deborah Leader RN, PHN, is a registered nurse and medical writer who focuses on COPD.

• Help & Support
• Lung Health & Diseases
• Lung Procedures, Tests & Treatments
• Oxygen Therapy
• Traveling with Oxygen

Oxygen Therapy: Traveling with Oxygen

It may take more planning, but many people successfully travel while using oxygen therapy. Learn some key points to consider before you travel with oxygen.

• A compressed oxygen tank is oxygen gas stored in a tank under pressure. Small tanks can be carried.
• A liquid oxygen unit contains oxygen gas cooled to a very low temperature. Most tanks come with a portable unit that you can carry or pull on a cart.
• A portable oxygen concentrator (POC) takes in the air around you to concentrate oxygen and give you more of it. It uses electricity from a battery or by plugging into an outlet.
• You can use an FAA-approved portable oxygen concentrator (POC). Some airlines offer in-flight oxygen for a fee.
• You can’t use compressed gas or liquid oxygen on the plane.
• When you make your reservation, tell the airline that you’ll be using oxygen during the flight. You may need to send paperwork from your doctor or fill out the airline’s medical form.
• Bring extra POC batteries and your own nasal prongs.
• If you will be using the airline’s oxygen system, keep in mind that it’s only on the plane, not throughout the airport.
• Arrange for oxygen supplies during layovers and at your destination.
• Call the local bus or train office at least three days before you depart. Tell them that you’re traveling with oxygen. Ask about their policies. Most bus or train companies allow personal oxygen devices onboard.
• Bring extra oxygen units as baggage, if allowed.
• Carry your oxygen prescription with you.
• Place the oxygen unit upright. Put it on the floor or on the seat beside you. Secure the unit with a seat belt.
• Don’t smoke or let anyone else smoke in the car.
• Keep the windows open at least a crack so air can circulate.
• Don’t leave oxygen units in a hot car.
• When you book your cruise, tell the cruise company that you’ll be traveling with oxygen. Most cruise lines require a four- to six-week notice to travel with oxygen.
• Ask your healthcare provider to give the cruise company a letter that includes a brief health history and your oxygen prescription.
• Work with your oxygen supplier to have oxygen units sent to the cruise ship before you depart. Ask the supplier to tell you how many tanks you’ll need at ports of call. The supplier may be able to arrange those for you.
• Search online for special cruises for people on oxygen.
• Being around crowds can increase your risk of getting sick. Consider wearing a mask when you’re not using your oxygen. Wash your hands often. Don’t use alcohol-based hand sanitizers because they are flammable.
• If you are traveling out of the country, take extra precautions to understand airline policies. If you use a POC, make sure you have the right electrical adapter so you can plug it in.
• Work with a travel agent to help make plans for any travel abroad.
• If you have trouble breathing, appear pale or blue or have chest pain, seek medical attention right away.

If you use oxygen, make sure you know where you are getting oxygen during each leg of your trip.

You are not alone.

Many people with lung disease use oxygen. There are several ways you can connect with other people and lung disease experts to help you get started with oxygen:

• Call our free Lung HelpLine at 1-800-LUNGUSA (1-800-586-4872) or visit  Lung.org/helpline  to talk with a medical professional.
• Get started with a pulmonary rehabilitation program. Trained respiratory therapists can help answer your questions about oxygen and teach you how to stay active. 
• Better Breathers Club . In-person or virtual meetings led by trained facilitators that offer educational and supportive connections.
• Patient & Caregiver Network . Nationwide, online patient support program providing direct access to education, support and connection to others also living with lung disease.
• Connect with other patients facing lung disease in one of our free online support communities .

Page last updated: June 7, 2024

Make a Tribute Gift

Honor or remember a loved one who has faced the challenges of lung disease. Your gift not only honors their journey but also helps pave the way to a future free of lung disease.

Make a Donation

Your tax-deductible donation funds lung disease and lung cancer research, new treatments, lung health education, and more.

Become a Lung Health Insider

Join over 700,000 people who receive the latest news about lung health, including research, lung disease, air quality, quitting tobacco, inspiring stories and more!

Thank you! You will now receive email updates from the American Lung Association.

Select Your Location

Select your location to view local American Lung Association events and news near you.

Change Language

Lung helpline.

Talk to our lung health experts at the American Lung Association. Our service is free and we are here to help you.

1-800-LUNG-USA

(1-800-586-4872)

• Shop All Oxygen Concentrators
• Purchase Directly from Inogen
• Inogen Freedom Bundle
• Rove 6 ™ Systems
• Inogen At Home Oxygen Concentrator
• Rent* Directly from Inogen

• Parts & Accessories
• About Inogen
• Customer Stories
• What is Oxygen Therapy?
• Living With COPD
• Respiratory & Lung Disease
• Traveling with Oxygen
• Portable Oxygen Benefits
• Oxygen Concentrator Resources
• Respiratory Glossary

• Inogen Connect App
• Inogen ® Manuals
• Inogen Product Setup Videos
• Equipment Return Form
• View & Pay Bill

• HME Providers
• International Distributors
• Medical Professionals

• // FAA Guidelines & Portable Oxygen Concentrators: How Can I Fly With Oxygen?
• How Many Hours Do Portable Oxygen Concentrators Last?
• Traveling by Plane: Can You Fly with Portable Oxygen?
• Traveling by Plane: FAA Guidelines & Portable Oxygen Concentrators
• Traveling by Car with a Portable Oxygen Concentrator
• Traveling by Train with a Portable Oxygen Concentrator
• Traveling by Cruise Ship with a Portable Oxygen Concentrator
• Traveling with Oxygen Resources

FAA Guidelines & Portable Oxygen Concentrators: How Can I Fly With Oxygen?

With the Inogen, traveling with your airline approved portable oxygen concentrator ( POC ) is easy. The Inogen One meets FAA guidelines for use onboard all commercial aircrafts for flights starting or stopping within the United States. Many international airlines will also allow FAA-compliant portable oxygen concentrators onboard.

It is important to plan ahead and to check with your airline well in advance of your travel date to learn specific requirements. Without proper planning, airlines may not be equipped to provide backup oxygen, so coordinating a backup source for use at your final destination is crucial. In case of changes to an airline’s oxygen policy, we strongly recommend that you contact your airline directly prior to purchasing your ticket to confirm the requirements for the on-board use of your portable oxygen concentrator. Read on for a step-by-step guide on how to fly with Inogen’s portable oxygen concentrators that meet FAA guidelines.

Before Purchasing Tickets [1]

• Inform airline that you will be travelling with your Inogen One.
• Determine the requirements for batteries for your desired travel dates and locations.
• Confirm that your plane will have available electrical power onboard.
• Request seating with an available power port.
• Ensure that you have sufficient battery power for the duration of your flight, including a conservative estimate of unanticipated delays.

Planning Your Flight [1]

Before you travel with a portable oxygen concentrator meeting FAA guidelines, you must obtain a signed statement from your physician that includes details about:

• Your ability to see/hear alarms and respond appropriately
• When oxygen use is necessary (all or a portion of the trip)
• Maximum flow rate corresponding to the pressure in the cabin under normal operating conditions.

You can download a physician statement here:

Physician Statement Template  (32 KB)

This physician statement is only a template. Some airlines may require that the statement obtained from your physician be printed on his/her official letterhead. This statement needs to be kept with you at all times during your flight. A new statement will not be necessary each time you fly, but the statement should be available during every flight while you travel.

Before Your Flight

Here are some things to keep in mind the day your flight departs:

• Ensure your Inogen One is clean, in good condition and free from damage or other signs of excessive wear or abuse.
• Bring enough fully charged batteries with you to power your Inogen One for the duration of the flight plus a conservative estimate of unanticipated delays. Contact your equipment provider to obtain additional Inogen One batteries. Airline may require you disclose the number of batteries you will be bringing on board. [2]
• CAUTION: Airlines may not be equipped to provide backup oxygen.
• Check the airline’s website to see if the flight has power outlets. Some low cost and regional/commuter airlines do not offer on-board electrical power. If your travel plans call for flights on low cost or regional airlines, you will need sufficient battery power for the duration of the flight, plus a conservative estimate of unanticipated delays. Always check with airline to be sure your aircraft has the power source you need. [3]
• Check with your airline regarding the availability and use of on board electrical outlets for electronic devices intended for use during flights. [2]
• Arrive at the airport early. Airport security screening personnel may require extra time to inspect your Inogen One.
• While waiting to board your flight, you may be able to conserve battery power by powering your Inogen One from an electrical outlet in the airport terminal.

During Your Flight

• When you find your seat, locate the power port, if available. If your seat does not have a power port or if you have difficulty plugging in your power supply or AC power supply, ask a flight attendant for assistance.
• During taxi, takeoff and landing, stow your Inogen One under the seat in front of you. Your Inogen One will fit upright under most airline seats. However, if it doesn’t fit, you may turn it on its side.
• It is not necessary to turn off your Inogen One during taxi, takeoff and landing if your physician’s written statement requires you receive oxygen during these periods.
• When you are traveling with the Inogen One and are not planning to use it during the flight, remove the battery from the concentrator.
• You must inform the airline you will be using your Inogen One. Have your physician letter with you and ready for inspection if requested.

After Your Flight

• Remember to recharge additional batteries you may have used prior to your next flight.
• Arrange for the delivery or pick up of your backup oxygen supply.

Since 5/24/2016, the FAA issued a final rule on FAA acceptance criteria for POCs, replacing the existing FAA case-by-case approval process for each make and model of POC in Special Federal Aviation Regulation (SFAR) No. 106. This final rule replaces the current process and allows passengers to use a POC on board an aircraft if the POC satisfies certain acceptance criteria and bears a label indicating conformance with the acceptance criteria. The labeling requirement only affects POCs intended for use on board aircraft that were not previously approved for use on aircraft by the FAA. Additionally, this rulemaking will eliminate redundant operational requirements and paperwork requirements related to the physician’s statement. Any POC model that was not previously identified in SFAR No. 106 as approved for use on aircraft must also bear a label indicating conformance with the acceptance criteria before it may be used on board an aircraft. This label will facilitate passenger and crew recognition of POCs that may be used in the cabin during all phases of flight. [1]

• Stoller, James K. “Patient Education: Supplemental Oxygen on Commercial Airlines (Beyond the Basics).” UpToDate , UpToDate Inc., 23 Apr. 2020, www.uptodate.com/contents/supplemental-oxygen-on-commercial-airlines-beyond-the- basics.
• “Acceptance Criteria for Portable Oxygen Concentrators Used On Board Aircraft.” Federal Register,FederalRegister.gov, 24 May 2016, www.federalregister.gov/documents/2016/05/24/2016- 11918/acceptance-criteria-for-portable-oxygen-concentrators-used-on-board-aircraft
• https://www.uponarriving.com/airplanes-power-outlets-usb/

Connect with Inogen

Specifications apply to all new retail units sold after December 7th 2015.

Please note that the health related information contained on this website is provided for general information purposes and is not intended to be a substitute for professional medical advice or for the care that patients receive from their healthcare professionals. For information about Inogen products you should consult the Instructions For Use (IFU). References to products, services, or health care providers on this website are not a recommendation or endorsement of products, services or providers. PLEASE CONSULT WITH YOUR DOCTOR, OR OTHER QUALIFIED HEALTHCARE PROFESSIONAL, BEFORE USING ANY PRODUCT REFERRED TO ON THIS WEBSITE.

The testimonials and opinions presented on our website are applicable to the individuals depicted. Results will vary and may not be representative of the experience of others.

* Rental availability is based on insurance reimbursement from private medical insurance or Medicare. Individual benefits and eligibility will vary.

† Return within 30 days of purchase for a full refund of purchase price. Terms and conditions apply.

Inogen ® Portable Oxygen Concentrators USES: Inogen ® Portable Oxygen Concentrators provide a high concentration of supplemental oxygen to patients requiring respiratory therapy on a prescriptive basis. It may be used in home, institution, vehicle and various mobile environments.

DO NOT USE IF: This device is not intended to be used in any way other than described in the indications for use. Do not use in parallel or series with other oxygen concentrators or oxygen therapy devices. This device is to be used as an oxygen supplement and is not intended to be life sustaining or life supporting. ONLY use this product if the patient is capable of spontaneous breath, able to inhale and exhale without the use of a machine. The conserving, or pulse dose, oxygen delivery technique used by this device is contraindicated in persons whose breathing during normal resting would be unable to trigger the device. Proper device triggering, set up and operation must be confirmed by an experienced clinician or other respiratory professional. Not for use by tracheotomized patients. Use of this device has not been studied in pediatric populations. Consult your physician before using the product for pediatric patients.

WARNINGS: The device produces enriched oxygen gas, which accelerates combustion. Do not allow smoking or open flames within 2m (6.56ft) of this device while in use. If you feel ill or uncomfortable, or if the concentrator does not signal an oxygen pulse and you are unable to hear and/or feel the oxygen pulse, consult your equipment provider and/or your physician immediately. If you are unable to communicate discomfort, you may require additional monitoring and or a distributed alarm system to convey the information about the discomfort and or the medical urgency to your responsible caregiver to avoid harm. Use only spare parts recommended by the manufacturer to ensure proper function and to avoid the risk of fire and burns. To avoid danger of choking or strangulation hazard, keep cords away from children and pets.

TALK TO YOUR HEALTH CARE PROVIDER: The oxygen flow setting must be determined and recorded for each patient individually by the prescriber, including the configuration of the device, its parts and the accessories. It is the responsibility of the patient to periodically reassess the setting(s) of the therapy for effectiveness. The proper placement and positioning of the prongs of the nasal cannula in the nose is critical for oxygen to be delivered.

Inogen At Home ® Stationary Oxygen Concentrator USES: The Inogen At Home ® Oxygen Concentrator is used on a prescriptive basis by patients requiring supplemental oxygen. It supplies a high concentration of oxygen and is used with a nasal cannula to channel oxygen from the concentrator to the patient. The Inogen At Home ® Oxygen Concentrator may be used in a home or institution.

DO NOT USE IF: This device is not intended to be used in any way other than described in the indications for use. This device is to be used as an oxygen supplement and is not intended to be life sustaining or life supporting. ONLY use this product if the patient is capable of spontaneous breath, able to inhale and exhale without the use of a machine. Not for pediatric use. Not for use by tracheotomized patients.

WARNINGS: The device produces enriched oxygen gas, which accelerates combustion. Do not use the device when smoking or near open flame, matches, petroleum, oil, grease, solvents, radiant heaters, aerosols, etc. If you feel ill or uncomfortable, consult your equipment provider and/or your physician immediately. If you are unable to communicate discomfort, you may require additional monitoring and or a distributed alarm system to convey the information about the discomfort and or the medical urgency to your responsible caregiver to avoid harm. Use only spare parts recommended by the manufacturer to ensure proper function and to avoid the risk of fire and burns. To avoid danger of choking or strangulation hazard, keep cords away from children and pets.

Rove 6, G3, G4, G5, Inogen, Inogen At Home, and Inogen One are trademarks of Inogen, Inc. The usage of any Inogen, Inc. trademarks is strictly forbidden without the prior consent of Inogen, Inc. All other trademarks are trademarks of their respective owners or holders.

The Inogen ® portable oxygen concentrators are available by prescription only. For safe and proper use of the Inogen ® devices, please refer to https://www.inogen.com/support/inogen-manuals/

Inogen, Inc. 859 Ward Drive, Suite 200, Goleta, CA 93111

Copyright © 2024 Inogen | EX_EN_US

Can You Take Boost Oxygen on a Plane?Proper Guidelines

Galen Frost

Are you planning to travel by air with Boost Oxygen? Whether you’re traveling for leisure or medical reasons, it’s essential to understand the importance of supplemental oxygen during air travel. In this blog Can You Take Boost Oxygen on a Plane? we’ll cover everything you need to know about carrying Boost Oxygen while flying. From understanding who requires supplemental oxygen to TSA guidelines and compliance regulations, we’ve got you covered.

We’ll also provide a checklist of preparation steps before boarding your flight with Boost Oxygen and answer the question on everyone’s mind- can you travel internationally with Boost Oxygen? Keep reading to learn all about flying with Boost Oxygen and make your air travel experience smoother and safer.

Table of Contents

Understanding the need for boost oxygen while flying.

Boost oxygen is a valuable companion for air travel, particularly for individuals with lung diseases and those affected by changes in cabin pressure.

With its portable canisters, boost oxygen provides a convenient solution to maintain oxygen levels during flights. It effectively alleviates altitude-related symptoms and promotes overall health, especially during high-altitude journeys.

By combatting the effects of air pressure on the body, boost oxygen ensures a comfortable and safe flight experience. Its range of sizes and aromatic essences, like pink grapefruit, cater to different needs and enhance the journey’s various facets.

Importance of Supplemental Oxygen in Air Travel

Supplemental oxygen plays a crucial role in air travel, particularly at high altitudes. By preventing the adverse effects of altitude on the body, it ensures a safer and more comfortable journey. Boost oxygen canisters are specifically designed to boost oxygen flow , promoting better oxygenation throughout the body. This helps improve oxygen levels and reduces the risk of health complications during flights.

For individuals with medical conditions, such as lung disease, the use of boost oxygen canisters can be a life-saving tool, allowing them to travel by air safely. By enhancing overall oxygen levels, supplemental oxygen enhances the travel experience, enabling individuals to enjoy different facets of their life while preserving the health of their body.

Who Requires Boost Oxygen?

Boost Oxygen is beneficial for various individuals during air travel. Those with lung disease, including chronic obstructive pulmonary disease (COPD), can find relief by using boost oxygen canisters on flights. Boost oxygen is also suitable for people who require supplemental oxygen due to medical conditions. Additionally, it helps alleviate symptoms of altitude sickness and can be used by anyone looking to enhance their oxygen levels while flying.

Can You Take Boost Oxygen on a Plane?More specific

TSA Guidelines for Carrying Boost Oxygen

When traveling with boost oxygen on commercial airlines, it is essential to familiarize yourself with the TSA guidelines to ensure a smooth journey. First, make sure your boost oxygen canisters comply with the TSA requirements for air travel, including the weight restrictions. Calculate the number of canisters you need based on the duration of your flight and consult your healthcare provider for the appropriate flow rate.

By following these guidelines, you can safely carry boost oxygen on your flight and enjoy the benefits of enhanced oxygen levels without any hassle.

Rules and Restrictions for Carrying Oxygen on Flights

Boost oxygen canisters, when carried on a plane, must adhere to the acceptance criteria set by the FAA and air carriers. The good news is that domestic flights within the United States allow passengers to bring boost oxygen canisters onboard. These canisters are not considered hazardous materials, making them permissible for air travel.

However, it’s essential to ensure you have enough batteries to power your portable oxygen concentrator throughout the duration of your flight. Remember, boost oxygen canisters can be brought on board aircraft as a medical necessity, but they are subject to TSA regulations.

Ensuring Compliance with TSA Regulations

To ensure compliance with TSA regulations when flying with boost oxygen canisters, there are a few important steps to follow. First, pack your boost oxygen canisters in your carry-on baggage according to TSA guidelines. It’s crucial to make sure they are easily accessible for inspection at the security checkpoint.

During the screening process, be sure to notify the TSA officers that you have boost oxygen canisters. It’s also recommended to carry a medical certificate or a letter from your health care provider stating the medical necessity of the canisters.

Lastly, familiarize yourself with the various rules and requirements set by the TSA regarding boost oxygen canisters.

Preparation Steps for Flying with Boost Oxygen

Before boarding a flight with Boost Oxygen, it’s important to take a few preparation steps. First, create a checklist of essential items, including your Boost Oxygen canisters. Make sure you have enough canisters to last the duration of your trip, considering both the flight time and any layovers. Additionally, check the weight of a full Boost Oxygen canister to determine if carrying multiple canisters is advantageous.

Familiarize yourself with the FAA requirements regarding the phases of flight where Boost Oxygen can be used. Lastly, consider the length of your trip, the altitude at your destination, and your health conditions when packing your Boost Oxygen canisters.

Checklist Before Boarding

Before boarding your flight, make sure to check the boost oxygen canisters you’re carrying. Confirm that they have a discernible mass, indicating they are full and ready for travel. Pack the boost oxygen canisters securely to protect them from any damage during the flight.

Additionally, ensure you have extra batteries for your portable oxygen concentrator, enough to last the entire duration of your flight. Double-check the acceptance criteria of boost oxygen canisters on your specific air carrier, as requirements may vary.

Lastly, consult your health care provider for any specific instructions or health-related concerns regarding the use of boost oxygen canisters on flights.

Can You Travel Internationally with Boost Oxygen?

When traveling internationally with boost oxygen, it is essential to check the rules and regulations of your destination regarding canister acceptance. Ensure compliance with international aviation standards and familiarize yourself with customs, security, and health regulations. Consider the weight restrictions imposed by international airlines. Also, check the availability of boost oxygen at your international destination for refills.

Frequently Asked Questions

Can you fly with supplemental oxygen.

Yes, it is possible to fly with supplemental oxygen. However, you need to inform the airline in advance and provide documentation from your doctor. The oxygen must be supplied by the airline or an approved oxygen supplier, and there may be additional fees involved for its use during the flight.

Is Boost Oxygen aviation grade?

Boost Oxygen is indeed aviation grade, meeting the guidelines set by the Federal Aviation Administration (FAA) for medical oxygen. It is safe to use during air travel to combat altitude sickness and fatigue. However, it’s important to check with your airline as they may have their own restrictions.

Is Air Travel with Oxygen Safe?

Air travel with oxygen can be safe for individuals with specific medical conditions. Boost Oxygen offers a convenient and portable solution for those needing supplemental oxygen during flights. Consult your doctor and obtain necessary documentation before flying with oxygen. TSA guidelines include notifying the airline and properly labeling oxygen equipment.

What Airlines Allow Oxygen Tanks?

Many airlines permit passengers to bring portable oxygen concentrators on board, while some require advance notice and documentation for those traveling with oxygen tanks. Airlines like Delta, United, and American allow small compressed oxygen cylinders. Always check your airline’s guidelines before traveling with oxygen tanks.

Why does flying tire you out so much?

Flying can leave you feeling exhausted due to a combination of factors. The different pressurization in the cabin, dry air, and dehydration can contribute to discomfort and fatigue. Additionally, long flights, jet lag, and lack of sleep can further contribute to feeling tired after flying.

Conclusion and final thoughts

When it comes to flying with Boost Oxygen, it is important to understand the need for supplemental oxygen during air travel. Boost Oxygen provides a convenient and effective solution for individuals who require oxygen support while flying.

However, it is essential to comply with TSA guidelines and regulations when carrying Boost Oxygen on flights. Familiarize yourself with the rules and restrictions for carrying oxygen and ensure that you are well-prepared before boarding.

While Boost Oxygen is permitted on domestic flights, it is essential to check the regulations for international travel. By following these guidelines and taking the necessary steps, you can have a safe and hassle-free experience while flying with Boost Oxygen.

About the author

Leave a Reply Cancel reply

Your email address will not be published. Required fields are marked *

Save my name, email, and website in this browser for the next time I comment.

Latest posts

Can I Take Nail Polish on a Plane? A Comprehensive Guide for Travelers

Yes, you can take nail polish on a plane, but it must be in a container of 3.4 ounces (100 milliliters) or less and placed in a quart-sized bag if you’re carrying it in your hand luggage. Traveling can often require us to leave behind some of our favorite items due to airport security regulations.…

Can I Take a Tripod on a Plane? A Comprehensive Guide

Yes, you can generally take a tripod on a plane as both carry-on and checked baggage, but it’s subject to airline policies and TSA discretion. Traveling with photography gear can be a thrilling yet challenging experience, particularly when it comes to bulky items like tripods. Whether you’re a professional photographer or an enthusiastic hobbyist, knowing…

Can I Take Robot Vacuum on a Plane? Expert Travel Guide

Yes, you can take a robot vacuum on a plane. Ensure it meets the airline’s size and battery restrictions. Traveling with electronics requires careful planning. Robot vacuums, popular for their convenience, can be part of your luggage. Before you pack, check the airline’s guidelines for electronic devices. Airlines have specific rules for battery-operated gadgets. Some…

An official website of the United States government

Here’s how you know

Official websites use .gov A .gov website belongs to an official government organization in the United States.

Secure .gov websites use HTTPS A lock ( Lock A locked padlock ) or https:// means you’ve safely connected to the .gov website. Share sensitive information only on official, secure websites.

Portable Oxygen Concentrators

Per the Federal Aviation Administration, certain portable oxygen concentrators are permitted onboard the aircraft, including Inogen One, Sequal Eclipse, Airsep Lifestyle. See a list of Portable Oxygen Concentrators that meet FAA specifications for inflight use.

• Book a Flight
• Manage Reservations
• Explore Destinations
• Flight Schedules
• Track Checked Bags
• International Travel
• Flight Offers
• Low Fare Calendar
• Upgrade My Flight
• Add EarlyBird Check-In
• Check Travel Funds
• Buy Carbon Offsets
• Flying with Southwest
• Book a Hotel
• Redeem Points for Hotels
• More Than Hotels
• Hotel Offers
• Best Rate Guarantee
• Rapid Rewards Partners
• Book a Vacation Package
• Manage My Vacation
• Vacation Package Offers
• Vacation Destinations
• Why Book With Us?
• FLIGHT STATUS
• CHANGE FLIGHT

• Living with LAM
• Destinations
• Accessible travel

Everything you need to know about flying with oxygen

Last Updated on 9th May 2021 by Sarah and Justin

Flying with oxygen or any medical device can be a hassle. Keeping track of all the different airlines’ policies, following them, and remembering to bring everything you need can be confusing and add unneeded stress. That’s why we put together this post. It includes our top tips for flying with a portable oxygen concentrator and information about over 30 airline oxygen policies.

Important note: the information on this website is for informational purposes only. It is not intended or implied to a substitute for professional medical advice. Always seek the advice of a healthcare professional before undertaking in new activities such as air travel.

Our experience flying with oxygen

Sarah has a chronic lung disease and must use a portable oxygen concentrator (POC) on flights. She has been flying with a POC for since 2010. In the beginning, flying with a lung disease was scary. And all the extra things we had to do and think about didn’t help. But now, over nine years later, Sarah has flown with a portable oxygen concentrator many times on many airlines around the world. She’s used a few different devices, and now travels with the Inogen One G3. From the big behemoths to budget carriers, from the United States to Europe to Southeast Asia, we’ve got a lot of experience doing this.

We’ve seen things change for the better over the years. These days most airlines allow passengers to fly with their own portable oxygen concentrators. Some airlines provide oxygen canisters to passengers (for a fee), but this is becoming less common. Most importantly, so much more information about flying with oxygen specifically and about accessible travel in general is easily available on airlines’ websites. And more airline staff have experience dealing with people who fly with oxygen.

Tips for flying with a portable oxygen concentrator

There are a lot of moving parts when it comes to flying with oxygen. And full disclosure, we’ve definitely messed some stuff up over the years. We’ve forgotten to contact an airline until the day before our flight. We’ve realized at the airport we forgot Sarah’s cannulas (and had to send Justin on a mad rush to get them). We’ve left the apartment without the actual POC (although that time we realized we were missing something halfway down the hall). So our main advice to you: be more organized than us!

To help you do that, we’ve put together a checklist of the ten things you’ll likely need to do when you’re flying with a portable oxygen concentrator (POC).

1. Research and plan early

Unfortunately, it’s not so easy to fly by the seat your pants when you’re flying with oxygen. It adds extra steps and often extra time to your travel planning. Contacting and hearing back from airlines can take time. And many airlines require a pre-approval period for passengers with medical conditions. So we recommend starting your research and making your travel plans sooner rather than later.

2. Make sure you have a POC (that works)

If you have your own device, great! If you don’t, arrange renting or borrowing one as early in the process as possible. If you’re renting a POC, test it right when you get it in case there’s a problem. If you have your own but don’t use it often, it’s probably a good idea to test it a couple weeks before you leave.

3. Figure out how many batteries you’ll need for your flight

The FAA requires that people who fly with a portable oxygen concentrator have enough batteries for 150% of the flight time. For example, for a flight that’s listed at four hours, your batteries should last at least six hours. We have never had anyone check this at the airport, but we always try to comply since you never know when a flight will take a little longer than planned. You might need to buy or rent an extra battery for your trip, so it’s best to figure that out sooner rather than too late.

4. Work with your doctor to obtain medical approvals

The majority of the airlines we fly require written doctor’s approval to use a portable oxygen concentrator. And many of them have time frames within which you need to get the forms or letters signed, dated, and submitted. Since we’d rather our doctors spend time helping patients than filling out airline forms, we try to make the process as easy and quick for them as possible.

First, we created a template for a fit-to-fly letter that can easily be adjusted to each flight and put on our doctor’s letterhead. Note, official letterhead can serve in place of a stamp, which is sometimes requested.

Second, we fill out all the non-medical information that’s required for MEDIFs (passenger name, make and model of POC, etc.) before sending them to Sarah’s doctor.

5. Learn a little bit of the local language

If you’re flying internationally, learn the words to talk about your medical device and your disease in the local language. We always learn the words for “oxygen,” “oxygen machine,” and “lung disease.” We usually also write them down in (the likely) case our pronunciation is off. This is especially helpful at security.

6. Charge your batteries and double check your supplies the day before you leave

Make sure all your batteries are charged – it can take a while. Double check you’ve packed all your supplies including extra batteries, AC adapter, and cannulas.

7. Organize your airline approvals and medical forms

Save all the approvals you get from the airlines and print them out or have them easily accessible for when you go to the airport. If you’re bringing digital copies, make sure they’re available offline (or take screenshots) because the flight attendants may ask to see them on the plane (this has happened to us more than a few times).

8. Get to the airport early

Long lines at check-in, explaining to the check-in attendant what a portable oxygen concentrator is, going through extra security screening, not being able to walk so fast – these are all reasons why you might need more time at the airport than your average traveler. We know, airports aren’t the greatest places to hang out for hours, but given the various delays we’ve faced flying with oxygen, it gives us peace of mind to get to the airport extra early.

9. Take advantage of airlines’ other special assistance offerings

If you need to use oxygen all the time, it might be helpful to request a wheelchair at the airport. That way you don’t have to worry about all your luggage and getting where you need to go in the airport. And pre-boarding is helpful if you want to get yourself, your luggage, and your POC situated on the plane before everyone else gets on. Just don’t feel embarrassed or like a burden asking for assistance. Do what’s right for you to make your trip easier and more manageable.

10. Try not to freak out when things go awry

Over the years flying with oxygen, more than a few things have gone awry. From customer service representatives telling us contradictory information, to check-in staff telling us forms were filled out incorrectly, to flight attendants needing to check with the captain (in-flight!) that use of the POC was ok – we’ve had a ton of potential freak-out moments. But everything has always worked out. We’ve always figured out if there was going to be a major hurdle flying a particular airline well before it disrupted our travel plans, and we’ve never not been allowed to board a plane. So if (and most likely when) something goes a bit awry, just keep calm and keep smiling and trust that if you followed the process, things will work out for you too.

Airline oxygen policies

Here’s a list of all the airlines that we’ve flown with a portable oxygen concentrator, including information about their oxygen policies. We only felt comfortable including airlines we’ve actually flown, but there are certainly more that accept passengers flying with oxygen.

If a policy is what we’d consider clear and straightforward, we’ve simply provided the link to the policy on the airline’s website. If a link to a policy does not exist, or if the policy is unclear, or if we just have a good story about figuring it all out, we’ve provided more information.

We update and check the information on this page every time we fly a new airline. But airlines can (and do) update their policies at any time. If you notice a broken link or policy change, please us know.

Aer Lingus’ oxygen policy and special assistance information.

Air Asia does not have a formal page with their POC policy, but you can use POCs on board their flights. We found this information here, as the answer to a question on the Air Asia support website . We then followed up with questions by direct messaging them on Twitter. One representative asked to see pictures of the device, which we provided. Then they just followed up with exactly the same information as what was on the webpage above. We advised the representative at check-in, and she had to check her policy book and speak with a manager, but everything was approved and fine.

Air Baltic does not have specific information on their website about flying with oxygen. We contacted them through this form on their special assistance page . Someone got back to us promptly and asked Sarah to provide additional information about the POC Sarah flies with including a photograph of the battery. They approved that Sarah could bring the POC on board in her hand luggage, but Sarah then had to reply and specify that she wanted to use it in-flight. Sarah then had to complete a MEDIF with her doctor and email it back to them. Upon receipt of the completed MEDIF, they approved Sarah’s use of the POC in-flight within 48 hours.

Air China allows passengers to use POCs on board their airline, but as indicated on the page with their POC policy , they require passengers to submit an application. This can be found on their website at the link above. However, Sarah submitted the application form and got an auto-reply that it didn’t go through. So she emailed the European desk and it did. But she never heard back. So she called the Air China US desk to ask what to do. The US desk advised that she actually didn’t need to do anything further and to just bring the application form and a physician’s statement to the airport. Wonderful!

Flash forward a month and we are in Shanghai two days before our flight and the European desk finally writes back. They tell Sarah she must go to an Air China office in person to obtain approval. After calling (or asking our Chinese-speaking hotel staff to call) to confirm, we trekked back out to the airport POC and forms in hand. The staff there looked a little befuddled, but after ten minutes of reviewing all the paperwork advised everything was in order and there was no reason for us to have come. We would still need to show the representative at the check-in desk all the forms and machine the day of our flight. So, lesson learned: we should have asked for written confirmation from that US desk. Had we been in a country where we spoke the language and could have called the Air China office ourselves, we may have sorted it out without having to go to the airport. But alls well that ends well. And everything at check in and at the gate went smoothly. On the flight, Sarah had to switch seats because passengers flying with POCs must sit in the window seat.

Air France’s policies and information for passengers with respiratory difficulties.

Air New Zealand

Air New Zealand’s policy regarding portable oxygen concentrators and other medical equipment.

American Airlines

American Airline’s oxygen policy and information about other medical and mobility devices.

Atlantic Airways

Atlantic Airways has information about using oxygen on the reduced mobility section of their booking page.  However, they do not mention portable oxygen concentrators, so we contacted them. We were instructed to email them here with the necessary information about her flight reservation, the type of POC, and requirements. They responded in ~24 hours with an approval letter to be printed and brought to the airport/check-in agent. Everything went smoothly.

Austrian Airways

Austrian Airways’ portable oxygen concentrator policy and information about flying with medical conditions.

Our most recent experience flying Austrian Airlines (via a United booking) was July 2019. We discovered they use Lufthansa’s MEDIF and medical desk and ran into a small issue regarding a test they wanted Sarah to take. See below entry on Lufthansa for more information. Since this flight was going to the United States, we were able to complete a simpler form and Sarah did not have to take the test. The Special Assistance representatives were very friendly and helpful and a pleasure to deal with.

Bangkok Airways

The information on the Bangkok Airways website was a bit confusing, and at first we thought Sarah couldn’t fly them. But it was going to cause major problems with our itinerary plan so we  emailed them here  to inquire. They responded quickly and Sarah had to provide them with the make and model of the POC to obtain approval. They sent MEDIFs to be completed by Sarah and her doctor. We emailed them back for approval once we made the flight reservation and received approval within a couple days.

Delta’s policy regarding portable oxygen concentrators, other medical devices, and medication.

Easy Jet’s policy regarding portable oxygen concentrators isn’t the most straightforward, but it is in fact pretty easy. You can find some basic information on their medical conditions page . But we also contacted them before our flight to confirm the requirements. Passengers must bring a medical certificate or letter from their doctor stating their illness and confirming their need to use the device. This does not need to be submitted to the airline in advance. One important note is that the POC must fit in your allowed cabin baggage, so pack accordingly or purchase extra baggage allowance.

Emirates’ oxygen policy and special assistance information.

Finnair’s oxygen policy and information about flying with medical conditions.

HK Express’ portable oxygen concentrator policy and special assistance information.

Iberia Express

There is no information about flying with oxygen on the Iberia Express website. So we called before we booked our flight. We were advised Sarah could bring and use her POC on board and to call back after booking. We did so and were advised to email our booking information, the POC specifications, and a letter from my doctor verifying my needs to a specific address. We did and were advised that the use of a POC does not require authorization by the airline and can be carried as hand luggage. No one at the airport or on the plane asked about the device. We still recommend contacting the airline if you want to fly with them because you never know if their policy might change. If you have other needs, Iberia Express does have other special assistance information here.

Icelandair notes the portable oxygen concentrators they allow on their aircrafts on their special assistance page . It doesn’t explicitly state that you need to contact them to obtain approval to bring one, but we would recommend doing so just to be safe.

Jet2’s portable oxygen concentrator policy and special assistance information.

Jet2’s policy states they only accept a small number of POCs on board. So we called Jet2 special assistance before booking our flight to ensure they accepted the Inogen One G3. They do (as do all the other airlines we’ve flown). The representative was extremely helpful and also emailed us the forms we would need to ask Sarah’s doctor to complete. As per his instruction, we called back after making our booking so that it could be noted in our reservation. We emailed the necessary forms when they were ready and got written approval within 24 hours.

Jet Blue’s oxygen policy and special assistance information.

Jetstar’s oxygen policy.

POCs are only allowed on certain Jetstar flights, which is well laid out in their oxygen policy. We were sad that we could not fly Jetstar in Southeast Asia because their flights are super cheap! But we were able to fly them in New Zealand. At the airport, we were required to board the plane first and the flight attendant strapped the POC to the seat. It was something we’d never experienced before!

KLM’s oxygen policy .

It’s not 100% clear in the policy, but all we had to do is call KLM in advance of the flight and tell them the make/model of the POC. There were no other requirements and everything went smoothly at the airport and on the plane.

Lufthansa’s portable oxygen concentrator policy can be found on their dangerous goods page . More general information about Lufthansa’s accessible travel policies can be found here .

Lufthansa recently changed their policy and on certain routes now requires people needing to use supplemental oxygen on flights to submit results of an arterial blood gas test. This is not the case for routes including flights originating in or departing from the United States, but is for other routes. After numerous emails, Sarah received an exception from the airline as this test has never been medically required from her physicians.

Norwegian’s portable oxygen concentrator policy and information about flying with medical conditions.

Ryanair’s policy about oxygen and carrying other medical items onboard.

SAS’ oxygen policy and special assistance information.

Scoot’s portable oxygen concentrator policy and special assistance information.

Note they have different requirements for flights originating from different countries.

Singapore Airlines

Singapore Airlines’ portable oxygen concentrator policy and information about flying with medical conditions.

Singapore Airlines allows POCs on-board, but guidance around necessary approvals and forms is a little confusing. On a recent flight, we had to ask Sarah’s physician to complete a MEDIF anytime prior to the flight and then bring a fit-to-fly letter dated within 10 days of the flight to the airport. We also had to specify the make/model of the POC via email. Everything has always gone smoothly flying them, but most recently the approval process took several weeks via many emails, so we recommend contacting them once you’ve booked your flight to confirm everything.

Swiss International Air Lines

Swiss International Air Lines’ oxygen policy and information about flying with medical conditions.

TAP Air Portugal

TAP Air Portugal’s oxygen policy and special assistance information.

Thai Airways

The information on the Thai Airways website is confusing, so Sarah emailed every address she could find. The Thai Airways US desk got back to her. They sent MEDIFs for Sarah and her doctor to complete and send back to them to handle with the airline. One needs to do this 7 business days prior to one’s flight. Everything was approved and there were no issues on the flight.

Transavia’s oxygen policy.

Ukrainian International Airlines

Ukrainian International Airlines’ portable oxygen concentrator policy and special assistance information.

Note, it is necessary to bring a completed MEDIF to the airport, but the link on the website is broken. Here is  the link to the MEDIF .

United Airlines

United Airline’s onboard medical oxygen policy.

United Airline’s portable oxygen concentrator  policy.

Vietnam Airlines

The Vietnam Airlines website only has information about arranging oxygen through the airline, which costs a fee. As such, Sarah  emailed them here  to ask if she could fly with a POC before making a reservation. They asked for a photograph of the POC as well as its dimensions. After that, they quickly responded advising it was okay and asked her to bring a physician’s statement. We recommend contacting them before booking.

Wizz Air’s oxygen policy and special assistance information.

Note, Wizz Air has recently updated their baggage policy, but we’ve been informed that the POC does not count towards one’s baggage allowance.

We know all of this can be overwhelming. So if you have any questions about a specific airline or flying with oxygen in general, please feel free to ask in the comments or contact us .

Like this post pin it.

Sarah and Justin

45 thoughts on “ everything you need to know about flying with oxygen ”.

Easy to read and understand. Perfectly worded and so thorough. On my trips, since I have to call ahead so that my machine is waiting at a hotel, I’ve experienced the following: 1. I’ve called a few days before, just to verify all information, and end up receiving TWO machines! So now, I only call once. This happened 3 times! 2. Many, many times, they will forget a part…small parts. So, I keep a list to review with them, when I call to order. Additionally, I always keep and carry extra parts small parts with me. (those inch long “connectors” and the tubing that go from water tank to machine)…

Very useful because of variety of individual airline requirements often in flux. I like to recharge my POC while waiting for my flight in the gate area to maximize my battery life. Having a power strip is helpful. If electrical outlets are all taken by cell phone rechargers, airport and airlines staff can help with access to outlet because medical needs have priority over phone. Another practice I have is to always take my POC to the toilet. Ventilation is often very poor, air fresheners and movement in the very small space can lead to shortness of breath.

Thanks for sharing your great tips! That’s especially interesting and good to know about airports prioritizing outlet use for medical situations.

Thank you so much for this post! My husband and I are planning on flying with our son in October for the first time. He’s on continuous oxygen for his heart/lung condition. Can you share your template for a fit-to-fly letter?

So glad you found this helpful! We’ll email the template to the address you used to comment.

Thank you for this wonderful blog . Can you please mail me you fit to fly template ?

Hi this is just the information I am looking got. Could you please also send the fit to fly template to me? Thanks

We’re glad to hear it!

Thank you for the helpful information. Could you please share your template for a fit-to-fly letter with me also? Thank you!

We have sent the template. Please let us know if you have any other questions!

Very useful information. 🙂 Could you also send the fit to fly template to me? Thanks

I am 70 have asthma and Bronchiectasis as well as only one lung. Very nervous of flying not sure I should but booked for SPAIN with jet 2 in July. Would appreciate the template please., on oxygen for exercise at moment. Thank you for your info.

Hi Susan, we will gladly send you the template. Did you speak to your doctor about flying? We recommend getting input/approval from a physician before undertaking any air travel.

Thanks for sharing the innumerable benefits of oxygen cylinders in our day to day life. It was really interesting to read.

Really informative and helpful site! Would you share yr fit to fly template? Thanks Regards Anders

Thank you for this fantastic blog and for the detailed information about each airline too.

We are just starting down our own journey of needing oxygen soon (my husband), but are keen travellers like yourselves and he likely needs to travel regularly for medical check ups (we live in Hanoi, Vietnam and he will need to travel to Bangkok), so finding this page was such a relief, compared to reading the individual airline pages. The Vietnam Airlines guidance also says he would have to travel with a medical professional assistant to use their oxygen, so it was so useful to hear about your own experiences.

Thanks again for sharing this so clearly!

Please do share your fit to fly template with me too.

Wonderful to hear you found the information helpful!

Hi Thanks for this very nice and useful compilation. My wife also uses an Inogen One G3 and 1* 8 cell plus 1* 16 cell battery was always enough for our flights. We’ve flown a longer flight with Emirates from Lisbon to Maldives via Dubai and chosen to use their oxygen bottles instead of POC because batteries weren’t enough for the flight and because (with MEDIF) providng oxygen is complimentary. But we’re now planning to fly to America (both Brazil and USA) which the batteries we have are insufficient and find it difficult to find (in Europe) where to rent POC+batteries or simply Batteries. Any idea or advice ?

Thanks for the comment. We’re glad you found the post helpful. Unfortunately, no. We’ve had to buy more batteries ourselves for our longest flights. If you’re in Europe, the Inogen international website can connect you to purveyors.

If you fly BA business class they provide oxygen. See their website.

That’s good to know. We’ve never flown them before.

So blessed I can travel! Really enjoyed all the comments. I have traveled with POCs since 2014. Some problematic and some easy people on the phones and at the airports. I thought the FAA rules had the last word but I guess the airline can over rule! I’m hoping for the day when there is one universal form For all airlines that is good for years – Call FAA TSA and your airlines ! Nancy.

I feel the same! Thanks for reading and commenting 🙂 And yes, that would be a great day!

Would you please share your template with us? Fabulous website; very encouraging. We’re on a 31 day fly around the world trip, northern hemisphere, 5 airlines. Departure on 16 October, 2019. Judy has IPF and was prescribed oxygen 6 weeks ago. We are flying business class, thanks to Aeroplan points! Fred & Judy, Winnipeg

Yes will email you. Your trip sounds wonderful! Good luck.

Hi! Thank you for the post. Can you please email me the fit to fly template too. Helping my mom get her paperwork ready. She had one flight when the pilot almost did not allow her to board. This is with pre-approval. Then on board, the flight attendants did not allow her to turn on her machine until after seat belt signs were off. How would you handle this situation? We are thinking to have her bring the approval forms to show the staff. Thank you!

I will email you the template. That stinks about the pilot. I’ve had the experience that the flight attendants have to check if my machine is ok with the pilot. That usually happens when there’s been a miscommunication within the airline (ie, the person who authorized my travel with POC didn’t pass on the necessary information to the crew). I always have printouts or screenshots of approval emails so if something happens like that I have proof. Regarding your second point, I only use my device/turn it on after take-off/after the seatbelt sign goes off and they say larger electronic devices can be used. I personally don’t desaturate until we’re up at high elevation, so I don’t need it for take-off. Different airlines have different policies. Eg, some say you can never use it during take-off/landing and some say you can (and there’s a box to check on the form to advise as much). If your mom must use the POC during take-off and landing, you might have to ask the specific airline she’s going to fly what their policy is about that before booking travel. Hope that’s helpful.

So helpful Sarah! Thank you very much. The screenshot on phone and printouts are great tips. She generally needs the POC during movement so I expect her to need it for a short while after boarding. Great tips giving me great ideas how to prep. Appreciate your blog and generosity. Glad to have found you! My mom will be so encouraged!

Wonderful to hear. We’re so glad we could help.

Pingback: Travelling with a Health Issue or Disability | The Silver Nomad

Sarah & Justin, Thank you so much for this great information. My having to travel with a POC is brand new to my wife and I, however, we are blessed to be able to travel so no complaining from us!

I’d appreciate if you would e-mail your Fit-To-Fly template. Best wishes to you both and happy traveling.

Nothing booked yet but hoping for first flight with oxygen soon to Spain for two or three months stay. Will this mean getting necessary forms completed by Spanish doctor for flight back to uk.

Hi Lawrence- if the airline requires a doctor to complete/verify the forms, that should be your personal doctor/someone who can comment on your condition. Different airlines have different requirements for when the form must be completed. If the airline requires that it must be completed closer to when you’re due to leave, then you should communicate that to your doctor in advance and work out how you can get it completed while you’re away. All my forms are completed/signed electronically these days, so have always been able to do this by email. Let me know if you have any other questions.

Also, I removed your surname per your second message.

Many thanks

This is such a helpful blog. I am newly diagnosed and really want to continue to be able to travel. This reassures me massively . Would you be so kind as to email me your fit to fly template please

We’re so happy to hear that! We just sent you the template. Let us know if you have any other questions.

Hi Sarah and Justin. Have just read your blog and hope to fly shortly.Would you please E mail me your fit to fly template Regards Dawson Smith

We just sent this to you. Hope you have a great trip.

Could you please send me the form you give to the doctor for the fit to fly and also for what the Cunard ocean liner will require from the doctor? I think the ship is safer than the plane but will be flying Virgin Atlantic Airlines home from London to NYC….I do not know their POC requirements at all. Most act like they have never heard of it. Thank you so much. Will be on the ship one week and in France and England the rest of the time.

Apologies for the delayed reply. I will email you to see if you still need the form. I do not know what ships require.

I ran into a situation that I am not sure how to resolve. I have COPD and have to use oxygen 24/7 although my normal dose is only 2L/min. While using my POC when going to the restroom on the plane for some reason I would get totally out of breath. My husband was worried that it was going to be a major issue. It is scary enough that I want to avoid using the restroom if possible. I am even considering using a catheter so I do not need to actually use the restroom while flying. Has anyone had that problem?

Hi Marcy – If you’re using oxygen 24/7 is it liquid oxygen? If you get out of breath using the POC on the plane on 2L/min, have you tried increasing the LPM? I’ve heard some people who use liquid oxygen have to use higher LPM when they use POC/pulse machine so you may consider talking to your doctor about that. I personally do not bring my POC with me to bathrooms on planes and DO find myself getting out of breath then as well so I understand how that feels. Hope that was helpful!

Pingback: Life with LAM - The LAM Foundation

Very good information! Please send the template. Thanks Mike

Leave a Reply Cancel reply

Your email address will not be published. Required fields are marked *

This site uses Akismet to reduce spam. Learn how your comment data is processed .

• Continuous Flow
• Pulse Flow and Continuous Flow
• FAA-Approved
• All Portable Oxygen Concentrators
• Accessories
• Stationary Oxygen Concentrators
• Philips Respironics
• Precision Medical
• Rhythm Healthcare
• Customer Reviews
• ❓Quiz: What Portable Concentrator is Best For You?
• User Manuals
• Arya Biomed Corp Company Profile
• Caire Inc Company Profile
• GCE Healthcare Company Profile
• Philips Respironics Company Profile
• ResMed Company Profile
• How to Select a Portable Oxygen Concentrator?
• Best Portable Oxygen Concentrators - 2022
• CAIRE SeQual Eclipse 5 Review
• CAIRE Freestyle Comfort Review
• CAIRE Airsep Focus Review
• ResMed Mobi Review
• Philips Respironics SimplyGo Mini Review
• Philips Respironics SimplyGo Review
• Oxlife Independence Review
• GCE Zen-O Review
• GCE Zen-O Lite Review
• State Laws About Driving With Oxygen in the US
• How to Travel With Oxygen on a Plane
• 39 Airlines That Allow Portable Oxygen Concentrators
• Best Portable O2 Concentrators for High Altitude
• Best Portable Oxygen Concentrators for Travel
• Return & Exchange Agreement
• Financing Return & Exchange Policy
• Customer Service Ticket

How to Travel With Oxygen On A Plane (Tips to Fly With US Airlines) - Requirements, Guidelines for Flying With Oxygen on Planes

As air travel becomes progressively more common, travel opportunities and chances have increased for people with severe medical conditions. Among these are respiratory and lung disease passengers who need supplemental oxygen as they travel through the air. 

Commercial air carriers and airlines have policies regarding in-flight and onboard oxygen that vary significantly. The differences lead to a great deal of confusion for passengers.

This article dives deep into traveling with oxygen , including the preparation and requirements of various airlines regarding in-flight oxygen. 

How to Prepare for Air Travel With Supplemental Oxygen

A medical emergency while in the air is not a situation anyone wants to be in. For people with chronic respiratory or lung disease, flying can put them at serious risk since they may not be able to receive enough oxygen while high up. 

Even people who do not use supplemental oxygen regularly may need it while flying due to the lower oxygen levels inside the pressurized cabin. So, you can probably assume how essential inflight oxygen is by now. 

If you are a passenger with a severe need for supplemental oxygen while flying, here are the steps you need to take!

Step 1: Consult Your Doctor

People with respiratory conditions or at risk of low oxygen levels should consult a clinician or doctor before the planned departure date. Here are some notable things that you need to talk to them about:

• Determine if you genuinely need supplemental oxygen during your flight several weeks to months before the departure schedule. In general, airlines do not offer medical oxygen. Instead, they allow passengers to bring portable oxygen concentrators with them. 
• Learn about the oxygen requirements you will need during air travel and layovers. Talk with your doctor and discuss the arrangements to supply oxygen for each vital part of your air trip. 
• Ask for the proper documentation from your physician. Some airlines require a doctor's letter with their name and contact information, your medical condition, air travel approval, verification for your need for in-flight oxygen, and information specifying the oxygen flow rate and volume, as well as the duration of use. 
• Ready your POC units. Ensure that they are battery-operated. Also, bring extra supplies like batteries, masks, and nasal cannulas. Ready copies of your medication prescriptions in case you need them. Some airlines have medical reviewers that need to see your doctor's letter or document. 

Step 2: Acquire Oxygen Appropriate For Air Travel

The Federal Aviation Administration, or the FAA, does not permit passengers to carry liquid oxygen, oxygen tanks, or oxygen cylinders aboard a commercial aircraft. Instead, most oxygen therapy patients can bring FAA approved battery-powered portable oxygen concentrators. Airlines in the US are now required to allow the use of these oxygen devices throughout the flight. 

If you do not own a POC unit, you can get one for short-term rental from an oxygen supplier or a company offering oxygen service. 

Step 3: Choose An Airline

If you are traveling with oxygen , you should pick an airline that will best accommodate your needs. In search of an airline for your trip, ask questions such as 'what airlines allow portable oxygen concentrators?' or 'which airlines provide portable oxygen concentrators for international travel?'.

Seeking out the answer to these questions can help you choose an airline. Oxygen policies, regulations, and charges are different for each air carrier. You must obtain the most updated information about their requirements to ensure that your needs are met. 

Step 4: Make Arrangements

After choosing an airline, make sure that you prepare the necessary reservations and arrangements in advance. If you have questions about inflight oxygen, call the airline to clarify and verify the information. For extra measure, confirm your inflight oxygen arrangements ahead of time and be sure to arrive at the airport early.

Step 5: Take The Needed Precautions

Before the plane leaves the ground, ensure that you take the following precautions:

• The portable oxygen concentrator unit is working correctly.
• The flow rate meter of the device is set to the proper liter flow per minute.
• You bring enough batteries to last you through the flight. 
• You have easy access to all your medications, including the inhalers. 

FAA Requirements When Traveling With Oxygen

Today, airlines allow passengers needing supplemental oxygen to bring POC devices onboard a plane if the model satisfies and meets the specific acceptance criteria set by the FAA. You must wonder, what does the FAA require for travel with an oxygen concentrator portable?

Rather than continuing the testing of portable O2 concentrators on a case-by-case basis like before, the FAA now has established an acceptance criteria for POCs to allow them for onboard use. 

Current FAA rules permit, but do not require, airlines to accept portable oxygen concentrator. Some airlines may charge for them. Also, note that airlines are not required to allow them.

The FAA criteria and requirements are:

• The POC model should be legally marketed in the US following the FDA (Food and Drug Administration) requirements, as stated in Title 21 of the Code of Federal Regulations or the 21 CFR.
• The POC model should not give off radio frequency emissions that can hinder or interfere with the plane's systems. 
• The POC model should not generate or create compressed gas.
• The POC model should not include any hazardous materials, except as provided for 49 CFR, part 175, §175.10 for batteries utilized to power PEDs. Also, it should not require the approval of the aircraft operator for carriage, as is the case for some larger batteries. 
• The POC model must have a required POC labeling. All models that meet the acceptance criteria and are not previously approved in SFAR 106 must have a label with the statement: "The manufacturer of this POC has determined this device conforms to all applicable FAA acceptance criteria for POC carriage and use on board aircraft" in red lettering.

How to Fly With Oxygen on American Airlines

Flying and traveling with a portable oxygen concentrator can be quite a scary experience — one that can leave you irritable and anxious before and while on board the plane. Several oxygen patients tend to travel on a bus or train instead. One such thing that causes much anxiety is the portable oxygen policy of each airline. 

American Airlines makes an effort to accommodate passengers with special medical needs on board. Like most airlines, they do not allow a liquid or compressed oxygen tank on the plane. If you're flying with American Airlines with your POC, you should take note of a few things.

You need a doctor to fill out the physician consent form. The doctor must also contact the airline no less than 48 hours before the scheduled flight to inform them that the form is filled out.  

An agent will assist you when you check in at the airline's gate. It would be better to request early boarding to ensure that you can bring your POC unit on board without needing to navigate around many passengers. 

American Airlines Approved the Following Portable Oxygen Concentrators

Below is the approved American airlines portable oxygen concentrator list. The following have met the criteria set by the FAA for onboard usage. The airline also accepts any POC model with a manufacturer label claiming that it meets and satisfies the FAA acceptance criteria to be used onboard. 

• AirSep Freestyle
• AirSep Freestyle 5
• AirSep Focus
• Delphi Medical Systems RS-00400
• Devilbiss Healthcare iGO
• Inogen One G2
• Inogen One G3
• Inogen One G4
• LifeChoice Activox
• Inova Labs Lifechoice
• Inova Labs Lifechoice Activox 
• International Biophysics Lifechoice 
• Invacare SOLO2
• Invacare XPO2
• Precision Medical Easy Pulse
• Oxlife Independence
• Oxus RS-0400 Evo
• Respironics EverGo
• Respironics SimplyGo 
• SeQual Eclipse, Models 1, 2, and 3
• SeQual Eclipse 3
• SeQual eQuinox – Model 4000
• SeQual Saros
• VBOX Trooper

American Airlines Requirements and Reminders When Flying With Portable Oxygen Concentrators

Here are the requirements set by American Airlines regarding portable oxygen concentrators. 

1. Check-in

Ensure that you check in at the airline's gate in advance. It is so that the agent there can confirm that the POC model is approved for air travel and to test that you can use the POC properly and respond to its alarms. The agent will also explain the phases of the flight when the POC unit is most operable. 

2. Battery Requirements 

You must ensure that the batteries are fully charged enough to supply power to your device for no less than 150% of the flight time. Bring enough batteries as well for extra measure. Take unexpected delays into close consideration.  

3. During The Flight

Your POC unit must fit underneath the plane seat in front of you. It would be best if you didn't sit next to the emergency exit, bulkhead, or any plane seat that blocks another person's aisle. You may also use your POC while moving about in the plane if the sign 'fasten seatbelt' is not illuminated.

How to Fly With Oxygen on United Airlines

You can bring and use FAA-approved POCs on your flight with United Airlines worldwide at no charge. When connecting to or from another airline, including codeshare flights not under United Airlines , you are responsible for making independent arrangements with them. 

If you need to use a POC during air travel, give the airlines a minimum of 48 hours advance notice. The accessibility desk at the customer center of the airline will help you determine whether the device you have is FAA approved. 

POCs are medical assistive devices that do not count toward carry-on bag limits whether you will use them or not on board. They must fit on the overhead compartment or underneath the seat. 

United Airlines Approved the Following Portable Oxygen Concentrators

Here is the United Airlines portable oxygen concentrator list. If they meet the weight and carry-on size requirements, you can carry other appropriately labeled POC units and brands in the cabin with their batteries removed. It may also be transported as checked luggage.   

• AirSep Lifestyle 
• Delphi Central Air
• Devilbiss iGO
• Inogen One 
• Inova Labs LifeChoice Activox
• Respironics SimplyGo Mini
• SeQual Eclipse 
• SeQual SAROS
• SeQual eQuinox

United Airlines Requirements and Reminders When Flying With Portable Oxygen Concentrators

If you wish to travel with oxygen on a United Airlines flight, you must adhere to the following requirements before boarding the plane:

1. Travel Requirements 

If you need to use your POC onboard, you must inform United Airlines ahead of time or as you are making your reservations. Reach out to the United Customer Contact Center at least 2 days before your scheduled flight to ensure they know all the necessary information and can help you meet their travel requirements.  

If you don't meet their requirements, you will not be allowed to use the POC during the flight. 

2. Prepare a Medical Certificate

You need to present a signed medical certificate for POC use. The airline has a medical certificate for POC available on its website. The certificate must: 

• State whether the POC is medically necessary for the entire or a portion of the flight.
• Include the maximum oxygen flow rate in liters per minute corresponding to the pressure in the cabin under normal operating conditions.
• State that the POC unit's expected total duration (operating time) extends the entire flight time, plus three additional hours.
• Be with you at all times and provided upon request of the personnel at any time during the flight. 

3. During the Flight

You need an ample supply of extra batteries to cover the entire flight duration and ground connection time where the portable oxygen concentrator unit will be used. Additionally, prepare at least 3 hours of extra battery time in case of delays or disruptions. 

Note that the in-seat electrical power is only available to a limited number of planes; even then, there is no actual guarantee that it can charge your POC. 

How to Fly With Oxygen on Delta Airlines

Another major airline that welcomes FAA approved portable oxygen concentrators pocs is Delta Airlines. Until October 1, 2009, Delta offered inflight compressed oxygen to passengers undergoing oxygen therapy. They no longer do so but they allow the use of approved POCs as long as you provide 48-hour advance notice.

If you're  flying with Delta Airlines,  you will need to notify them of your need to bring a POC on board when you purchase your ticket. Fortunately, your POC unit and the accessory bag that carries the needed stuff will not count against your carry-on limit. 

Delta Airlines Approved the Following Portable Oxygen Concentrators

Here is an approved delta airlines portable oxygen concentrator list for those traveling with Delta.

• AirSep Lifestyle (modified
• Caire Freestyle Comfort
• Delphi RS-00400
• Inova Labs Lifechoice Activox
• Precision Medical Easy Pulse 3
• Oxus RS-00400
• Resmed AirCurve 10V Auto
• SeQual Eclipse (1 and 2 models)
• SeQual Eclipse (3 and 5 models)
• VBox Trooper

Delta Airlines Requirements and Reminders When Flying With Portable Oxygen Concentrators

Here are a  few requirements  you need to know about if you are planning to fly with Delta:

1. Travel Requirements

It would be best to verify that your FAA-approved POC will have the required 150% battery life for the flight duration. Also, at least 48 hours before you board the plane, complete the POC Approval and Battery Approval Request form and email or fax it to OxygenToGo. 

You will receive confirmation from them when they receive your form. Contact them if you do not receive a confirmation within 24 hours. Failing to submit the form 48 hours prior will cause delays or refusal to board. 

2. Battery Requirements

The POC unit is not counted towards the carry-on limit. The battery must be removed and packed separately when not in use. 

Patients with POC should not sit on bulkhead rows, near exit rows, or on seats blocking aisle access.  

How to Fly With Oxygen on Hawaiian Airlines 

Hawaiian Airlines  have their passengers' health and safety in the front of their minds, which is why they have their own set of requirements and rules for bringing POC units aboard. 

Like most airlines, you need to notify them that you must bring your POC unit with you 48 hours before your flight. You will need to be transparent with all the details they are asking, including the POC unit you are bringing, its battery life, and your required oxygen dosage.  

Arrive early, at least an hour or two, to check in properly. Mainly so the airline can check the physician's statement and doctor's official letterhead. They will also need to check your ability to travel and if you know how to use the POC unit properly. 

Hawaiian Airlines Approved the Following Portable Oxygen Concentrators

Check below to know if your POC unit is included in the Hawaiian airlines portable oxygen concentrator list. If it's not on the approved POC list, it must have an FAA label certifying that it is safe for in-flight use. 

• AirSep Lifestyle
• Inova Labs LifeChoice 
• International Biophysics LifeChoice
• SeQual Oxywell (model 4000)
• SeQual eQuinox (model 4000)

Hawaiian Airlines Requirements and Reminders When Flying With Portable Oxygen Concentrators

Here are the guidelines you need to remember before and during your scheduled flight with Hawaiian Airlines: 

You must give them 48-hour advance notice if you want to use your portable oxygen concentrator onboard. Call their Reservations Department at 800-367-5320 to notify the airline properly. 

2. Battery Life

You must fully charge the batteries so they can power your device and let it run optimally. It needs to have a battery life of 150% for the flight time. Passengers cannot plug the concentrator device onboard. 

As mentioned, you need to arrive at least an hour early. Mobile, website, and kiosk check-ins are not allowed for those traveling with portable concentrators since an airport agent must thoroughly check a few things first. 

How to Fly With Oxygen on Southwest Airlines

Southwest Airlines recommends that passengers traveling with oxygen need to notify them two days before the flight. It is to help the airline prepare correctly for the oxygen passenger's needs. 

When booking a flight through the airline's website, you may add disability options to the booking and request assistance. For flights that are already booked, you can opt to manage your reservations and include the disability details after. 

The  airline's additional policies  regarding traveling with oxygen may be read on their official website. 

Southwest Airlines Approved the Following Portable Oxygen Concentrators

Refer to this southwest airlines portable oxygen concentrator list to know if your POC model is approved for use during the travel. 

Southwest Airlines Requirements and Reminders When Flying With Portable Oxygen Concentrators

Read to learn about the reminders set by Southwest Airlines for traveling with portable concentrator units.

Make sure that your portable oxygen is suitable for traveling. It needs to be battery-operated. The FAA also requires those bringing POC units to have batteries that cover no less than 150% of the flight. Carry extra batteries in case of emergency or delays. 

2. Make Reservations

You can tell the airline in advance that you'll be traveling with a portable oxygen concentrator through booking. You can add it when you are booking your flight. Go to the Special Assistance Link of their website and click on the 'Passenger & Payment Info' (desktop) or 'Passenger' (mobile) screen.  

You may also add it to your existing booking. Go to their website, manage your reservations and click on 'Special Assistance' (desktop) under the passenger name or select the pencil icon that is located next to the passenger name, then click 'Special Assistance' (mobile).

3. Before The Flight

You are required to arrive no less than 45 minutes before the scheduled departure. If you want to preboard, look for a customer service agent before boarding. 

Prior to boarding, the airline will need to verify the model, phases of flight during which the passenger intends to use the POC, and the number and packaging of the batteries.  

4. During the Flight

Under the FAA safety regulations, a passenger with a portable oxygen concentrator must sit near the window. Also, consistent with the FAA safety regulations, a POC model must fit underneath the seat. 

How to Fly With Oxygen on Alaska Airlines

Alaska Airlines also has its own requirements and guidelines for using portable oxygen concentrators. These requirements mainly exist because the airline wants to ensure your flight goes as smoothly as possible. 

Safety and meeting all your needs, including oxygen needs, are the top priority of Alaska Airlines. Here are things you need to consider when flying with Alaska Airlines. 

Mainly, you need to read the  guidelines set by the airlines  from their official website. Doing this allows you to prepare thoroughly for your flight. You must meet all their travel requirements to ensure you can board the plane without any delay or issues. 

Reach out to the airline before your scheduled flight to inform them that you are traveling with a portable concentrator. Doing so allows them to prepare everything beforehand to ensure you have the best travel experience they could offer. 

Alaska Airline Approved the Following Portable Oxygen Concentrators

Here is an up-to-date Alaska Airlines portable oxygen concentrator list. They accept the following devices on both domestic and international flights:

• SeQual Oxywell 

Alaska Airlines Requirements and Reminders When Flying With Portable Oxygen Concentrators

Alaska Airlines has a set of requirements for in-flight portable oxygen concentrators. Here are the notable reminders you need to know before you start packing your POC device:

It is highly recommended to contact and reach out to the airline to provide advance notice that you will be bringing and using a portable oxygen concentrator. Once your travel plans are finalized and confirmed, call the airline's accessible services line at 1-800-503-0101, so they can note that you are traveling with a POC. 

You are required to bring your own POC unit. You also should know how to use it since the airline does not provide instructions. 

Bring an ample supply of batteries to power your device. It should be no less than 150% of the flight duration and ground connection time. Electrical outlets or power ports are not available in some planes. 

As advised by the FAA safety regulations, you may use your portable concentrator during all phases of the trip as long as it is stowed and hidden under the seat in front of you. You need to monitor your portable oxygen concentrator at all the time so as not to miss any warning features. 

How to Fly With Oxygen on Frontier Airline 

You don't need to let your respiratory condition and oxygen needs get in the way of traveling and exploring. It doesn't have to prevent you from crossing the country to meet family or visit places! Some airlines allow portable concentrator models for onboard use!

Frontier Airlines is one such airline that permits various portable concentrator models onboard their aircraft! Like the previously mentioned airlines, Frontier also has its guidelines for using travel oxygen. 

Passengers must meet all the requirements to board the plane without much worry. The most notable thing to remember is that your portable oxygen concentrator must meet all the criteria of the FAA, and it must be battery-powered. 

Frontier Airline Approved the Following Portable Oxygen Concentrators

The approved frontier airlines portable oxygen concentrator list includes multiple models and brands. 

Frontier Airlines Requirements and Reminders When Flying With Portable Oxygen Concentrators

Here are things you need to know about if you travel with portable concentrator units on a Frontier Airlines flight.

Before traveling, the passenger with the concentrator must fill out and complete the Portable Oxygen Medical Authorization Form 30881 or acquire a medical statement from their doctor addressing the points in the airline's Medical Authorization Form. 

If you need assistance with booking a flight or have a special services request, you can call them at 801-401-9004. 

2. Check In

A portable oxygen concentrator is a medical assistive device that has the task of delivering oxygen to patients in need of supplemental oxygen. Assistive devices like this do not count against the limit on the number of carry-on baggage pieces. It can be carried on the plane or checked in without charge. You may use it during the flight, or it can be transported as checked luggage. 

3. Battery Requirements

Bringing sufficient and extra batteries is a must in traveling with a portable oxygen concentrator. For your safety, you must ensure that the concentrator will not run out of power, hence the extras. 

FAQs About Traveling With Oxygen on a Plane

Can you bring oxygen on a plane.

The only oxygen equipment or device a patient can bring onboard a plane is an FAA-approved portable oxygen concentrator. You cannot carry liquid oxygen or oxygen tanks on a commercial aircraft. If you are taking a portable concentrator abroad, you must inform the airline ahead of time. 

Can you take portable oxygen on a plane?

Yes. You can bring in a portable oxygen concentrator aboard a plane if you alert the airline and meet all their requirements and reminders. 

Each airline and carrier has its own set of requirements for approving oxygen concentrator units. Though typically, they require a doctor’s letter to verify that the patient is indeed in need of supplemental oxygen on the plane. 

Can you fly with an oxygen tank on Southwest?

The Federation Aviation Administration, or FAA, does not permit passengers to bring oxygen tanks, portable or not, on flights and aboard planes. These oxygen equipment are not exactly safe to fly with.

An oxygen patient, fortunately, can bring a portable oxygen concentrator unit. These medical devices are compliant with the FAA requirements. 

What is the best portable oxygen concentrator for air travel?

Arguably, the best portable oxygen concentrator in the market for air travel is CAIRE Freestyle Comfort. They are most appropriate for travel due to their long battery life and lightweight design, making them easy to carry and move around. It also has low operating noise, only 39 decibels, that would not disturb your flight neighbors.

Learn more about the best portable oxygen concentrators for high altitude here .

Where to buy a portable oxygen concentrator for air travel? 

You can buy yours from a reputable retailer that sell portable oxygen concentrators like Sprylyfe. If you’re looking for the best seller with good feedback, responsive customer service, and offers the best deals, you can visit our website at  SpryLyfe.com . We offer the FAA-approved concentrator units that are perfectly suitable for air travel!

Can an oxygen concentrator be checked in baggage?

You may place your portable oxygen concentrator units on your checked baggage or luggage. Though, it is not exactly recommended. You cannot control what happens to your luggage at airports or while flying. These devices are fragile and expensive, so keeping them with you while traveling might be best. 

Which airlines provide inflight oxygen?

In general, airlines do not offer inflight oxygen. Instead, they allow passengers to bring their portable oxygen concentrators. However, only a few airlines provide them, typically via a specialized 'tank in a bag' system. British Airways is one such airline. 

Travel The Skies With An FAA-Approved Portable Oxygen Concentrator 

Traveling with oxygen is now made easier thanks to the development of portable oxygen concentrators. These devices can run on a battery pack, plugged into a wall, used on cruise lines or cruise ships, and be taken on airplanes!

If you plan to air travel, read the guidelines set by your airline of choice, especially concerning portable oxygen concentrators. You must take extra precautions to research and understand airline policies to avoid issues and delays. 

Leave a comment

Comments must be approved before appearing

* Required fields

• Oxygen Concentrators
• Privacy Policy
• Terms of Service
• Refund Policy
• SpryLyfe Blog

Portable Oxygen Concentrators

• SeQual Eclipse 5

BBB Accredited Business

Copyright © 2024 SpryLyfe.

Empire Theme by Pixel Union .

• American Express

Added to your cart:

Learn how UpToDate can help you.

Select the option that best describes you

• Medical Professional
• Resident, Fellow, or Student
• Hospital or Institution
• Group Practice
• Find in topic

RELATED TOPICS

Contributor Disclosures

Please read the Disclaimer at the end of this page.

INTRODUCTION

As air travel has become more common, travel opportunities have increased for people with serious medical conditions. This includes passengers with lung disease who require supplemental oxygen during air travel. Commercial air carriers' policies regarding in-flight oxygen vary considerably, potentially leading to a great deal of confusion for travelers.

This topic review provides an overview of the potential effects of air travel; measures to determine who may require in-flight oxygen; and steps to help patients plan ahead so that traveling with oxygen can be achieved safely, comfortably, and relatively easily.

EFFECTS OF AIRLINE TRAVEL

Traveling by airplane exposes people to decreased air pressure and lower than normal oxygen levels. For most people, these changes are not noticeable. However, for patients with certain underlying lung conditions, small atmospheric changes can have significant and potentially severe effects.

Cabin pressure  —  Air pressure drops as altitude increases. Thus, as an airplane ascends, the air pressure inside the plane is reduced. Inside commercial airplanes, pressurization of the cabin limits the fall of pressure. This allows the airplane to cruise at altitudes up to 40,000 feet without exposing travelers to dangerously low levels of air pressure and oxygen in the air.

Cabin pressurization levels vary by the type of airplane. The United States Federal Aviation Administration (FAA) requires that the cabin pressure on commercial airplanes be maintained at levels equivalent to the atmospheric pressure below 8,000 feet. The FAA allows for brief drops in air pressure for safety purposes only, such as to avoid bad weather conditions. The minimum air pressure to which travelers could be exposed for short periods of time is equal to that encountered 10,000 feet above sea level.

Risks of exposure to low air pressure  —  The effects of increased altitude and associated reductions in air pressure can result in expansion of the air or gas trapped within the body. Trapped air or gas can be located in many different places, including:

● Nasal sinuses

● Tubes within the ear

● Abnormal pockets within the lung (bullae)

● The space between the outer layer of the lung and the inner layer of the chest wall; air trapped in this region is referred to as a pneumothorax

● Internal organs in the abdominal cavity

As atmospheric pressure drops, trapped air expands. This explains the "ear-popping" which many travelers experience. When air is trapped in the chest, gas expansion can be dangerous, even life-threatening.

Low air pressure during air travel also decreases the amount of oxygen in the air. This effect is modest and generally not noticeable for healthy travelers. For patients with significant lung disease, a small decrease in available oxygen can cause significant symptoms (like worsened shortness of breath), especially with exercise. Although air travelers usually remain sitting and are relatively inactive during flight, even modest exertion (eg, walking to the plane’s lavatory) under these conditions can cause low oxygen levels in up to 80 percent of people with lung disease.

Despite the theoretical risks associated with air travel, studies indicate that medical emergencies and deaths are uncommon in people with long-standing (chronic) lung disease or pulmonary hypertension who fly. Most studies suggest that medical emergencies occur in about one in every 19,000 to 40,000 travel episodes and that deaths occur rarely, eg, in approximately one in every 3,200,000 travel episodes.

WILL I REQUIRE IN-FLIGHT SUPPLEMENTAL OXYGEN?

Patients with diseases that can cause low oxygen levels, particularly chronic obstructive pulmonary disease (COPD), may need oxygen supplementation in-flight. This is true even if the person does not use oxygen at home. (See "Patient education: Chronic obstructive pulmonary disease (COPD) (Beyond the Basics)" .)

Predictive tests  —  The evaluation often includes measurement of the blood oxygen level using a finger oximeter or arterial blood gas and general tests of lung function. If you require supplemental oxygen on a daily basis, you may need an increased flow rate in-flight. If you do not require oxygen on a daily basis, but have borderline lung function, other tests may be recommended to calculate oxygen requirements during in-flight conditions. These include:

● Breathing a gas mixture with lower than normal levels of oxygen and checking your oxygen levels while breathing this mixture (which simulates the cabin environment in the airplane)

● Testing in a special chamber where air pressure is lowered to simulate flight and checking your oxygen level then

Experts generally recommend supplemental oxygen for any patient whose in-flight oxygen level is predicted to fall below a certain point and for anyone who is known to have low oxygen levels on the ground.

PREPARING FOR AIRLINE TRAVEL

Visit your doctor  —  People who are at risk for low oxygen levels should discuss their condition with a clinician well in advance of the planned departure date. Here are some suggestions to make this process as efficient as possible:

● Determine if you need supplemental oxygen during air travel several weeks to months before leaving. The studies necessary to determine the need for oxygen are best performed when your health is stable, within several weeks before the actual travel date. In general, airlines do not provide medical oxygen, but allow passengers to bring a battery-powered portable oxygen concentrator (POC) for use in flight. POCs that are approved by the Federal Aviation Association (FAA) can be purchased or rented through an oxygen supplier. Approved POCs will have a label indicating that they meet FAA regulations. Airlines may require notification of the need for in-flight oxygen at least 48 hours before the trip, making it necessary to undergo testing at least three days before travel.

● Learn what your oxygen requirements will be while flying, as well as during layovers and at the final destination (for those who require supplemental oxygen on the ground). Airlines do not provide oxygen for ground use. Speak with your doctor or other members of the healthcare team about arrangements to supply oxygen for each part of the trip. If you will be using the POC at your destination, be sure that you have the necessary cords and outlet adaptors (if traveling internationally) to recharge the battery. If other forms of supplemental oxygen are needed on arrival, a local oxygen provider might be able to help with such arrangements.

● Obtain documentation of the need for oxygen from your doctor. Some airlines require a letter on the doctor's letterhead with his or her name and contact information, your specific underlying lung condition, approval for air travel, verification of need for in-flight oxygen, and information specifying the required oxygen flow rate in liters per minute, as well as duration of use ( figure 1 ). Be sure to bring enough copies of this letter for all flights.

● POCs are battery-operated, so you need to bring enough 12-cell batteries for one and one-half times the anticipated duration of the flight (for example, a four-hour flight needs six hours of battery life). While you are in the airport waiting for boarding, you might be able to plug the POC into an electrical outlet to save your battery power.

● It is a good idea to bring an extra nasal cannula or mask, whichever you use.

● Make sure that you have an adequate supply of your usual medications for the trip. These should be packed in your carry-on, not in your checked bags.

● Some doctors will prescribe an emergency supply of certain medications, such as an antibiotic in case of a bacterial lung infection or an oral glucocorticoid (eg, prednisone) to prevent or reduce inflammation. Keep such medications in their original containers and be sure to pack them in carry-on luggage.

● Gather copies of prescriptions for your medications. You should carry multiple copies in case the luggage is delayed, lost, or stolen. Consider keeping copies in the carry-on luggage rather than in checked baggage.

● Obtain a list of recommended physicians at your destination(s) and along your travel route.

Obtaining oxygen for air travel  —  The Federal Aviation Administration (FAA) does not allow travelers to carry their own oxygen tanks or liquid oxygen aboard commercial aircraft. Instead, most patients can use a FAA Department of Transportation approved battery-powered portable oxygen concentrator. Airlines landing in the United States are now required to allow use of these devices throughout the flight.

You can get portable oxygen concentrators for short-term rental from an oxygen supply company. Examples of portable oxygen concentrators include AirSep Free Style, AirSep Life Style, Inogen One, Inogen One G2, Respironics EverGo, Sequal Eclipse, Delphi Medical Systems RS-00400, Invacare Corporation XPO2, DeVilbiss Healthcare iGo, International Biophysics Corporation Life Choice, and Oxlife Independence Oxygen Concentrator. You can use these on the ground and carry them onto the plane.

Alternatively, some airlines provide oxygen that is supplied in an oxygen canister packaged in a flame proof "super box."

"Shop around" for an appropriate airline  —  Oxygen policies and charges (which can be imposed by the airline if you are using their equipment) can be very different, depending upon the airline. It is important to obtain the most up-to-date information about an airline’s specific requirements to make sure that your needs will be met.

● The Transportation Security Administration (TSA) web site ( www.tsa.gov/travel/special-procedures ) provides general information regarding in-flight oxygen use and equipment.

● Information on European airlines, whose rules and charges regarding in–flight oxygen may differ from those of American carriers can be found separately ( http://www.efanet.org/images/2015/20151118_EFA_Booklet_Enabling_Air_Travel_with_Oxygen_Updated_2015_FINAL.pdf ). It is also a good idea to double check with your specific airline as policies can change over time.

When contacting the airlines, begin by asking if they have a special services office, medical department, or a help desk to help travelers who need in-flight oxygen. The following is a list of suggested questions that may be helpful in clarifying a specific air carrier's oxygen policies:

● Does your airline accept passengers who require supplemental oxygen?

● Are portable oxygen concentrators acceptable or is oxygen supplied by the airline? Some airlines outside the United States supply oxygen, but may charge an extra fee.

● How much notice do you require before the flight? Many airlines require 48- to 72-hour advance notice. However, some air carriers may require several days, one to two weeks, or as much as one month advance notice. This is particularly true of international flights.

● What documentation is required from my doctor? All carriers require some notification from the passenger's personal doctor concerning oxygen needs, usually a written prescription or an airline authorization form, although sometimes verbal notification is sufficient.

● Do you allow passengers to bring their empty oxygen equipment? Due to safety reasons, the FAA prohibits travelers from carrying their own partially or completely filled oxygen tank or liquid oxygen tank aboard commercial aircraft. However, the FAA does permit passengers to bring empty personal oxygen cylinders on board or as checked baggage. It must be clearly visible to TSA officers that the tank is empty.

● Are there specific seat requirements? Some air carriers assign certain seats to oxygen-using passengers to accommodate their equipment. Do try to secure a seat near the plane’s lavatory to minimize the distance you might need to walk to use the lavatory in flight.

If the airline will be supplying the oxygen:

● What do you charge for supplying in-flight oxygen and how is the charge determined? Specific price structures vary among carriers. Some carriers supply oxygen for free, while others charge varying rates, often ranging from about $100 to $250. However, fees may be as low as $50 or as high as $1500. Charges may be based on a flat fee, the number of travel legs, the number of oxygen cylinders needed, or total air time. It is important to be aware that airlines may charge for each separate flight. Because health insurance may not cover such charges, it is important to consider the expense of in-flight oxygen when selecting among air carriers that serve the same destinations.

● What liter flow options are available? The liter flow capability offered among different air carriers varies. For example, liter flow options may range from only one or two choices (eg, either 2 or 4 liters per minute) to an adjustable range of 1 to 15 liters per minute.

● Do you provide nasal cannulas or masks? A nasal cannula is a device that delivers oxygen via two small tubes inserted in the nostrils. Air carriers may offer nasal cannulas or masks only, or a choice between the two. In addition, they may allow you to bring and use your own cannula or mask.

Verify the arrangements  —  After deciding on an appropriate airline, be sure to make reservations as far in advance as you can. If there are any questions or concerns about the information you received while originally talking with the airline, call again to verify the information. In addition, make it a point to confirm your in-flight oxygen arrangements a few days before your flight, and be sure to arrive early.

Take appropriate precautions when aboard  —  Before your plane leaves the gate, you should also take certain additional precautions. You should make sure that:

● The oxygen equipment is working properly

● You have plenty of batteries for your portable oxygen concentrator; you need enough to last the whole flight comfortably

● For oxygen canisters in a “super box,” check that the cylinders are full

● The flow meter has been set to the proper liter flow per minute

● You have access to all of your medicines, including inhalers

If you have any questions or problems, notify a flight attendant immediately.

WHERE TO GET MORE INFORMATION

Your healthcare provider is the best source of information for questions and concerns related to your medical problem.

This article will be updated as needed on our web site ( www.uptodate.com/patients ). Related topics for patients, as well as selected articles written for healthcare professionals, are also available. Some of the most relevant are listed below.

Patient level information  —  UpToDate offers two types of patient education materials.

The Basics  —  The Basics patient education pieces answer the four or five key questions a patient might have about a given condition. These articles are best for patients who want a general overview and who prefer short, easy-to-read materials.

Patient education: Staying healthy when you travel (The Basics) Patient education: Chronic obstructive pulmonary disease (COPD) (The Basics) Patient education: Chronic bronchitis (The Basics) Patient education: Oxygen therapy at home (The Basics)

Beyond the Basics  —  Beyond the Basics patient education pieces are longer, more sophisticated, and more detailed. These articles are best for patients who want in-depth information and are comfortable with some medical jargon.

Patient education: Chronic obstructive pulmonary disease (COPD) (Beyond the Basics)

Professional level information  —  Professional level articles are designed to keep doctors and other health professionals up-to-date on the latest medical findings. These articles are thorough, long, and complex, and they contain multiple references to the research on which they are based. Professional level articles are best for people who are comfortable with a lot of medical terminology and who want to read the same materials their doctors are reading.

Ear barotrauma Approach to patients with heart disease who wish to travel by air or to high altitude Overview of the causes of venous thrombosis Assessment of adult patients for air travel Evaluation of patients for supplemental oxygen during air travel

The following organizations also provide reliable health information.

● National Library of Medicine

     ( https://medlineplus.gov/healthtopics.html )

● American Lung Association

     ( https://www.lung.org/ )

● Alpha-1 Foundation

     ( Alpha-1 Foundation )

● University of California San Francisco

( https://www.ucsfhealth.org/education/traveling-with-oxygen )

● British Thoracic Society

( https://www.brit-thoracic.org.uk/quality-improvement/clinical-statements/air-travel/ )

● American Association for Respiratory Care

     ( www.aarc.org )

● Transportation Security Administration

( https://www.tsa.gov/travel/special-procedures )

( www.tsa.gov/travel/special-procedures )

• Shrikrishna D, Coker RK, Air Travel Working Party of the British Thoracic Society Standards of Care Committee. Managing passengers with stable respiratory disease planning air travel: British Thoracic Society recommendations. Thorax 2011; 66:831.

• Português Br
• Journalist Pass

Mayo Clinic Q and A: Traveling with supplemental oxygen

Liza Torborg

Share this:

ANSWER: People who have COPD  or diseases that can cause low oxygen levels may need in-flight oxygen supplementation even if they don’t use oxygen at home.

As a plane takes off and gains altitude, surrounding air pressure — the weight of the atmosphere pressing against the earth — decreases. Pressurized cabins limit the decrease considerably but not entirely. Federal regulations require cabin pressure altitude to be below 8,000 feet above sea level. This pressure level is manageable for most people, but is still about the same as being a quarter to a third of the way up Mount Everest. If you have lung disease, this could cause problems.

Low air pressure decreases the rate at which oxygen is absorbed into your bloodstream. If you already have low oxygen levels on the ground, as is often the case with COPD, even a small decrease in oxygen flow can have an effect. Any increase in your body’s demand for oxygen — for something as simple as getting up and walking to the bathroom, for example — can elevate that effect, potentially leaving you with breathing problems on the plane.

Commercial airlines have varying requirements for bringing oxygen on a plane, so check with your airline. Also, flights within other countries may have different rules. Most airlines require notification at least 48 hours before the flight and longer for international flights. You’ll likely need written documentation of your need for oxygen from your doctor.

Some airlines provide in-flight supplemental oxygen systems. You also can rent a battery-powered portable oxygen concentrator to bring with you, which means you have it during layovers and when you arrive at your destination. Portable oxygen concentrators must be approved by the Federal Aviation Administration for domestic flights, and the International Civil Aviation Organization for international flights.

Give yourself enough time, preferably weeks or even months ahead, to confirm you have everything you need and answer any questions you might have. If you bring a portable oxygen concentrator, be sure you bring enough batteries to comfortably last more than the length of the trip, in case there are unanticipated delays. (adapted from Mayo Clinic Health Letter ) — Dr. Clayton T. Cowl , Pulmonary and Critical Care Medicine, Mayo Clinic, Rochester, Minnesota

• Infectious Diseases A-Z: Top public health threats #MayoClinicRadio Podcast: 12/24/16

Related Articles

An official website of the United States government Here's how you know

Official websites use .gov A .gov website belongs to an official government organization in the United States.

Secure .gov websites use HTTPS A lock ( Lock A locked padlock ) or https:// means you’ve safely connected to the .gov website. Share sensitive information only on official, secure websites.

PackSafe - Oxygen (compressed or liquid)

Medical oxygen, recreational oxygen

Passengers may not carry their own oxygen (compressed oxygen or liquid oxygen) in checked baggage, in carry-on baggage or on their person. Products such as "canned oxygen," "recreational oxygen" and "flavored oxygen" are also prohibited.

Compressed oxygen used in the aircraft cabin must be provided by the airline in accordance with  14 CFR 121.574  or  14 CFR 135.91 .

Contact your airline for instructions on arranging oxygen service.

Airlines are not required to provide oxygen service and many do not.

Passengers may carry portable oxygen concentrators (POCs). See separate entry in the PackSafe chart .

Though allowed in checked and carry-on baggage by international (ICAO/IATA) regulations, oxygen cylinders are not allowed in baggage in the U.S. Personal compressed oxygen is prohibited and must be supplied by the air carrier.

Note: The following information is offered for informational purposes; check your airline's policy.

Airlines are allowed to carry a passenger's oxygen cylinder in the aircraft cabin in accordance with  49 CFR 175.501(e)  but the passenger cannot use it. However, because a special overpack, written pilot notification, and additional hazmat training and manual documentation are required, most (if not all) U.S. airlines do not offer this service. Check with your airline before planning on carrying your own oxygen cylinder to your destination.

Portable Oxygen Concentrators

• Inogen One G5
• Inogen One G4
• SimplyGo Mini
• FreeStyle Comfort
• Oxlife Independence

Home Oxygen Concentrators

• Inogen at Home
• Companion 5
• Drive DeVilbiss 5L
• Millennium 10
• Drive DeVilbiss 10L
• NewLife Intensity 10
• Oxygen Accessories
• Inogen At Home

Cannula’s & More

• Charitable Partners
• POCs in 50 States
• POCs on Major Airlines
• POC Travel Resources
• Technical Blog
• Respiratory Diseases
• Healthy Living
• Living with Supplemental Oxygen
• Sleep Therapy Blog

Flying on American Airlines with a Portable Oxygen Concentrator

Flying with a portable oxygen concentrator can sometimes be a scary experience that leaves you anxious and irritable when you finally board your flight. That is not how you want to start off your trip! Liberty Medical understands this and wants you to know that your time is valuable. We’ve taken all the guesswork and tiresome research out of flying with a POC by giving you all the information you will ever need to prepare for and have a safe flight.

The Federal Aviation Administration (FAA) does not allow passengers to bring liquid oxygen or portable oxygen tanks on flights by any means. You can, however, bring your portable oxygen concentrator on-board with you. Check out the FAA’s list of approved POC machines so you can make a purchase or rent one with Liberty Medical that fully complies with this list. Each airline is different. Each have their own unique set of guidelines and requirements for bringing your POC on their flight.

Flying with American Airlines? Here’s everything you need to know!

American Airlines’ Portable Oxygen Policy

• When reserving your flight, you must notify Reservations about your POC device 48 hours in advance .
• You do not need a pre-flight form.
• Make sure your batteries are fully charged and can supply power to your POC for no less than 150% of the listed flight time. So, for example, if your flight is four hours long, you will need six hours of battery life. Make sure when calculating how much battery life you will need for your flight that you also account for layovers. If possible, reserve a direct flight to avoid additional layover delays.
• If you’d like to look at their guidelines further, visit their medical devices page here .

When you check in at an American Airlines gate, an agent will help get you all squared away and ready to board your flight. Make sure to request an early boarding (if you aren’t guaranteed one already) to ensure you can easily bring your POC on the flight without having to navigate around many other passengers. Ask the agent any questions you may have before your hop on the plane.

Flying with your portable oxygen concentrator doesn’t have to be a hassle! Always follow the POC guidelines listed by your airline to have the safest and most comfortable flight possible. For more information on airline POC policies, browse our travel oxygen blog , where you can find the policies of all popular airlines so that you’re always in-the-know. Or check out our comprehensive article that will tell you everything about POC pre-flight preparation, operation and maintenance during your flight, post-flight reminders, and TSA procedures. We’ve got you taken care of.

Remember, our technical support team is available 24/7 to help you in any way they can! Call us at 1-800-375-6060. www.traveloxygen.com

Have a safe and enjoyable flight while you travel!

Previous Story

The Best Place to Buy Portable Oxygen Concentrators in Virginia

Flying on alaska airlines with a portable oxygen concentrator, comments ( 2 ).

Very helpful information. Thank you.

Thank you. Easy and helpful information.

Leave a Reply Cancel reply

Your email address will not be published. Required fields are marked *

Save my name, email, and website in this browser for the next time I comment.

Travel with oxygen

Can i take oxygen on a plane can i fly with oxygen, can i take oxygen on a plane.

Air carriers conducting passenger service must permit someone with a disability to use an FAA-approved portable oxygen concentrator (POC) on all flights (on aircraft originally designed to have a maximum passenger capacity of more than 19 seats).

The device must meet applicable FAA requirements for medical portable electronic devices (M-PED) and display a manufacturer’s label that indicates the device meets those FAA requirements.

Is my Portable Oxygen Concentrator approved for flying?

Rules about liquid and compressed oxygen in airplane

Liquid oxygen is prohibited for use on commercial airlines; the only aircraft permitted to carry or utilize liquid oxygen are helicopters serving as air ambulances

Improper transport of either liquid or compressed oxygen can present significant safety risks resulting in operators being liable for large civil penalties

Passengers may not carry their own oxygen (compressed oxygen or liquid oxygen) in checked baggage, in carry-on baggage or on their person. Products such as “canned oxygen,” “recreational oxygen” and “flavored oxygen” are also prohibited.

Compressed oxygen used in the aircraft cabin must be provided by the airline in accordance with 14 CFR 121.574 or 14 CFR 135.91.

Contact your airline for instructions on arranging oxygen service.

Airlines are not required to provide oxygen service and many do not.

Passengers may carry portable oxygen concentrators (POCs). See separate entry in this table.

Though allowed in checked and carry-on baggage by international (ICAO/IATA) regulations, oxygen cylinders are not allowed in baggage in the U.S. Personal compressed oxygen is prohibited and must be supplied by the air carrier.

Note: The following information is offered for informational purposes; check your airline’s policy.

Airlines are allowed to carry a passenger’s oxygen cylinder in the aircraft cabin in accordance with 49 CFR 175.501(e) but the passenger cannot use it. However, because a special overpack, written pilot notification, and additional hazmat training and manual documentation are required, most (if not all) U.S. airlines do not offer this service. Check with your airline before planning on carrying your own oxygen cylinder to your destination

There are guidelines about which portable oxygen containers are permitted onto flights.

Obtain a letter from your physician, stating that you require a supplemental oxygen prescription, and ask for an additional copy to keep with your records.

Contact the airline to inform them that you’ll be needing supplemental oxygen during the flight. That way they can check to see if your model of supplemental oxygen container is approved by the airline and FAA.

Each airline has different rules so get familiar with your airline’s policy ahead of time.

Make sure to bring an ample amount of batteries or charged power supplies to keep your supplemental oxygen powered. The FAA requires that the charge should be able to last 150 percent the length of the trip.

Get to the airport as early as possible and inform the ticket agent that you’ll be traveling with supplemental oxygen.

During the security screening by the Transportation Security Administration (TSA), inform them that you are unable to be disconnected from supplemental oxygen and ask for an alternative screening process.

The only approved oxygen device allowed on-board flights is a portable oxygen concentrator (POC), a smaller, lighter, and easier-to-carry variation of a home oxygen concentrator. No other personal oxygen systems can be used on board, and filled oxygen tanks (liquid or compressed gas) cannot be brought on board—or even checked as baggage—on any airline. Some airlines may allow empty oxygen equipment to be stowed in baggage, but it must be verified as empty, and the regulator must be removed. Check with your airline ahead of time to see if it allows empty tanks to be checked.

Can i fly with oxygen?

Patients for whom air travel is contraindicated.

Certain patients with pulmonary disease should be instructed not to fly.

These include patients who pose risk to others such as those with active infectious diseases (e.g., tuberculosis or influenza), or those in whom air travel would pose a risk to themselves: hemoptysis, unresolved pneumothorax, and a sea-level supplemental oxygen requirement in excess of 4 L/minute.

Additional Considerations When Evaluating Patients for Air Travel

It is important to highlight the following points in assessing patients for air travel:.

1. Even at 35,000 feet, different types of commercial aircraft will have widely differing cabin altitudes, ranging from an equivalent of approximately 5,400 to 8,000 feet. In addition, commercial aircraft may also vary their cruising altitude several times during the flight, which in turn can alter cabin pressure.

2. Respiratory symptoms may occur even despite having a preflight assessment. One study found 18% of patients with COPD developed respiratory symptoms despite having a preflight evaluation.

3.Flight duration is another important factor to consider. Longer flight durations are associated with increased symptoms, particularly when lasting over 3 hours.

4.The levels of activity of the patient during the flight should also be considered. Patients with COPD, restrictive lung disease, and cystic fibrosis demonstrate significant worsening of hypoxemia at simulated altitude with a workload equivalent to that of walking around the aircraft cabin.

Flying with portable oxygen

Booking a flight in order to travel with oxygen, before your flight with a portable oxygen device, arriving at the airport with portable oxygen, during the flight. .

Booking a flight in order to travel with oxygen (airplane)

1) Try to find a direct flight.

2) Make sure you inform the airline about your oxygen needs early.

3) Some airplanes have power supply on board. Ask if your airplane has power supply and if it does book a seat next to it.

4) Most of the airlines have their own physician statement that must be filled in by your doctor. You can find it on the airline’s website.

5) Check with the airline the maximum limit of batteries you can carry. If there is someone travelling with you ask him/her to carry some extra batteries for you.

6) A lot of airlines provide extra assistance at the airports, to people with disabilities. In case you need assistance, especially if you are travelling alone, inform the airline. Some airports also might provide this kind of assistance, regardless of the airline you’re travelling with.

The FAA requires that the charge should be able to last 150 percent the length of the trip.

You should also factor in time needed to travel to the airport, waiting to board, layovers, and traveling from the airport to your destination after arrival. Ensure that you have sufficient battery power for the duration of your flight, including a conservative estimate of unanticipated delays. Fly non-stop if possible. This eliminates the hassle of arranging for oxygen deliveries to the airport which results in extra charges.

Before your flight with an oxygen device

1) Visit your doctor to inform him/her about your trip. The oxygen needs on a flight might be different from the needs when you are on ground, because of the difference in the air pressure. Take a new prescription if necessary. Also inform the doctor if there are extreme weather conditions at your destination (high humidity, extreme cold, extreme hot, high altitude, air pollution). Weather conditions can make breathing even more difficult or/and can worsen your symptoms.

2) Make sure you have all the medicine you need.

3) Take at least one copy of your medicine and oxygen prescription and always have it on you.

4) Do a research for doctors and hospitals at your destination in case you need it.

5) We suggest you to have an oximeter on you to check your oxygen levels.

6) If you ‘re travelling abroad, check if your insurance covers you in case of emergency.

7)  Make sureI that your Portable Oxygen Concentrator  it has a FAA* approval.

8) Fully charge all your batteries.

9) Be sure you have the right power convertors/adaptors.

10) Take your cpap or bipap machine with you, even when you’ re not planning to stay the night.

11) Be prepared for possible delays and have extra batteries with you.

12) If you don’t have your own oxygen device or oxygen tanks/cylinders, you can always rent. There are companies that can supply you with oxygen devices or tanks almost everywhere in the world.

Arriving at the airport with supplemental oxygen:

1) Ask from your companion to help you with your luggage.

2) In case you have require the airline’s or airport’s assistance, inform them for your arrival.

3) Arrive to the airport early because getting a Portable Oxygen Concentrator (POC) device through security may take some time.

4) Try to avoid the lines and remember that you have priority.

5) During the check in and boarding inform the staff that you are travelling with a Portable Oxygen Concentrator (POC) device.

6) Always take your Portable Oxygen Concentrator (POC) device on board, even though you are not planning to use it. Never put your device, batteries, medicines, tubes or any other fitment in your checked in luggage, because sometimes luggages can be lost.

7) Airlines usually don’t provide oxygen during the waiting time at the airports and layovers, so you must have your device while you are at the airport. During that time try to use an electrical outlet to save battery life. While waiting to board your flight, you may be able to conserve battery power by powering your POC from an electrical outlet in the airport terminal.

8)Be prepared for possible delays and have extra oxygen/batteries with you.

9)During the security screening by the Transportation Security Administration (TSA), inform them that you are unable to be disconnected from supplemental oxygen and ask for an alternative screening process.

During the flight with a portable oxygen device

1) Take all your medicines and prescriptions with you on the plane.

2) Ask the cabin crew to assist you with your handbags during boarding and debarkation.

3) Adjust the oxygen supply at your needs.

4) Check your oxygen levels with your oximeter regularly during the flight.

5) If you ‘re using your Portable Oxygen Concentrator (POC) device, take extra fully charged batteries on board.

6) Ask for a power supply use it as much as possible to save battery.

7) Place the device properly, and make sure that the air filters are not blocked. The POC should be placed underneath the seat in front of the POC user so that the user or the user’s attendant can see the warning lights and/or hear the audible warning. Placement directly under the POC user’s seat and placement in a closed compartment would prohibit the user from seeing the warning lights, as well as possibly prohibiting the user from hearing audible warnings. Other placement locations may be acceptable.

The FAA prohibits any person using a POC from occupying any seat in an exit row.

Stowage During Movement.

During movement on the surface (pushback from the gate and taxi), takeoff, and landing, the POC must be stowed properly and in such a manner that it does not restrict passenger egress to any exit or the aisle in the passenger compartment.

During movement on the surface, takeoff, and landing, the tubing that is used to dispense oxygen from a properly stowed POC to the user’s mask/nasal cannula may stretch across the row in such a way as to restrict passenger egress or become a tripping hazard in an evacuation.

The POC user must not restrict another passenger’s egress during these phases of flight. In this case, a seating restriction may be required to comply with an FAA safety rule. For example, if all seats in the row are occupied, the appropriate seat for the POC user would be a window seat.

However, if there are no other passengers in the row, or if there is one other passenger in a row of three seats and that passenger is seated in the aisle seat, or if the POC is stowed in such a way that the tubing does not block another passenger’s egress, then other seats in that row may be appropriate as long as no other passenger’s egress is restricted by the tubing.

An operator can only establish seating restrictions based on an FAA safety rule.

Cabin Depressurization and a POC oxygen.

There is no danger posed by a POC that is operating during a loss of cabin pressure.

In the case of loss of cabin pressure (rapid or slow), POCs typically will not continue to meet the oxygen needs of the user at cabin pressure altitudes above 8,000-10,000 feet. This is because the lower ambient air pressure at higher altitudes makes the concentration of the oxygen output of the POC too low to meet the POC user’s oxygen needs.

In cabin depressurization, the POC user should be instructed to discontinue use of the POC and use the oxygen masks that deploy to provide supplemental passenger oxygen until the aircraft descends below 10,000 feet cabin pressure altitude.

FAA Approved Oxygen Concentrators

List of portable oxygen concentrators that meet faa specifications for inflight use., which poc are authorized for use during the flight.

ACCEPTANCE CRITERIA FOR POCs AUTHORIZED FOR USE ON AIRCRAFT. POC Acceptance Criteria.

Rather than continuing to approve POCs on a case-by-case basis, the FAA established acceptance criteria for POCs used on aircraft.

The criteria are: 1. The POC is legally marketed in the United States in accordance with U.S. Food and Drug Administration (FDA) requirements as stated in Title 21 of the Code of Federal Regulations (21 CFR). 2. The POC does not radiate radio frequency emissions that interfere with aircraft systems. 3. The POC does not generate a compressed gas. 4. The POC does not contain any hazardous materials (hazmat), except as provided for in 49 CFR part 175, § 175.10 for batteries used to power PEDs, and that do not require aircraft operator approval for carriage as is the case for certain larger batteries. Required POC Labeling. All POCs that satisfy the acceptance criteria and are not previously identified in SFAR 106 must also bear a label with the following statement in red lettering: “The manufacturer of this POC has determined this device conforms to all applicable FAA acceptance criteria for POC carriage and use on board aircraft.” Figure 2. Example of Required POC Labeling

Note: POCs identified in §§ 121.574, 125.219, and 135.91 may be used on aircraft without bearing a label.

PASSENGER AND AIRCRAFT OPERATOR IDENTIFICATION OF POCs AUTHORIZED FOR USE ON AIRCRAFT. Prior to the flight, both a passenger intending to use a POC on an aircraft and the operator of the aircraft on which the POC is intended to be used are responsible for determining whether the POC satisfies the FAA acceptance criteria.

POCs With Manufacturer’s Labels.

The passenger and the aircraft operator can determine whether the POC conforms to the acceptance criteria through a visual inspection of the device to locate the manufacturer’s label indicating such conformance.

POCs Without Manufacturer’s Labels.

If the device does not bear the required label, the passenger and the aircraft operator may determine compliance by identifying the manufacturer and model name and confirming that the POC appears on the list of devices contained in §§ 121.574, 125.219, and 135.91.

Some airlines disclose a list of POCs and confirm the possibility to use them during flight. Some they provide contact information to confirm if your device is permissible. 

Is my Portable  Oxygen concentrator approved for traveling by air ?

We are here to provide helpful information, tips, and advice for people who use supplemental oxygen and want to travel. The website aims to be a comprehensive resource for anyone who needs to use oxygen while traveling, whether they are traveling by plane, car, train, or other means of transportation.

• How to choose a Portable Oxygen (POC)?
• Learn more about oxygen therapy
• Accommodation advices
• Find an oxygen provider all around the world.
• Airlines policy about oxygen on board
• Cruise lines policy about supplemental oxygen
• List of all FAA Approved Portable oxygen concentrators
• Travel with portable oxygen by air/cruise ship/car/train.

Overall our aim is to empower and support people who use supplemental oxygen so that they can enjoy safe and comfortable travel experiences, without letting their medical needs hold them back from exploring the world.

[email protected]

This website uses cookies to ensure you get the best experience on our website. By continuing to browse on this website, you accept the use of cookies for the above purposes.

About lung conditions

• Find your condition
• Symptoms, tests and treatments
• How your lungs work

Help + guidance

• Our helpline
• Living with a lung condition
• Groups + support
• Leaflets + booklets

• Healthcare professionals

Common conditions

• Bronchiectasis
• COPD (chronic obstructive pulmonary disease)
• Coronavirus (COVID-19)

Featured pages

• Flu vaccines
• How to use your inhaler
• Air pollution
• Financial support and benefits when you have a lung condition

Travelling with oxygen

Find out how to plan ahead if you’re travelling with oxygen.

On this page

Using oxygen in the uk, using oxygen abroad.

You can arrange oxygen for travel within the UK through your oxygen provider. You will need to give them your holiday details, including the dates and where you will stay. Give them as much notice as you can.

Check with your hotel or accommodation provider about taking and storing oxygen equipment.

Make sure you know how to travel safely with your oxygen. Your respiratory team and oxygen provider will be able to advise you if you’re unsure.

If you need oxygen abroad, you’ll need to make arrangements before you travel. In most cases UK companies do not allow their equipment to be taken outside the UK, but they can usually advise you on arranging oxygen abroad. You’ll have to pay for the oxygen supply.

The European Lung Foundation has a list of oxygen providers in European countries .

If you’re travelling by ferry or train with oxygen, make sure you contact the company operating the service in advance to see what help they can offer. This may vary between different providers.

Using oxygen while flying

If you plan to fly, you may need extra tests beforehand to confirm if you need in-flight oxygen.

You may not normally need oxygen, but you may need it while flying because there is less oxygen in the air at high altitudes. Talk to your GP about whether you will need extra tests before you travel.

One test you may need is a hypoxic challenge test. This is a test to find out if you need extra oxygen when flying. We have more information about hypoxic challenge tests . Your usual NHS hospital will probably not be able to provide a hypoxic challenge test. You may have to travel to a different hospital or use a private provider.

Airlines have their own rules about using oxygen in-flight. Some airlines may only allow you to bring a portable oxygen concentrator, which you may need to hire or buy. Some airlines supply oxygen for a fee, but the cost can vary widely. Make sure you check with the airline before booking. You can also speak to your oxygen supplier for more information.

The European Lung Foundation has a list of airline oxygen policies . Make sure you look on the airline’s website or contact them, so you have the most up-to-date information.

Medical clearance to fly 

If you’re using oxygen on the plane, the airline will ask for a medical certificate to show you’re healthy enough to fly. This is called a Fit to Fly Certificate or Medical Information Form (MEDIF). You’ll need to complete the form yourself as much of this as possible, and then ask your doctor to complete and sign it.

Each airline has its own form, which you can find on their website. The European Lung Foundation’s list of airline oxygen policies includes links to forms .

The form will ask for information about:

• your route, flight date and booking reference
• who you’re travelling with 
• your oxygen needs, including rates in litres per minute and flow type (continuous or pulse)
• what medical equipment you’re taking, such as a portable oxygen container, CPAP machine or mobility equipment
• batteries your equipment uses.

Advice for travelling with oxygen 

Start planning well in advance of your trip.

• Check the validity of your fitness to fly test. Some airlines are specific about the time between the test and travel. 
• Check the insurance arrangements for your oxygen equipment.
• Check ahead with your airline for any flight delays or cancellations. If you use oxygen, you may need to bring more or make sure you have enough battery to cover any delays.
• Check whether your flight is code-sharing. This is when a flight has one airline’s code and flight number but is operated by another one. You will need to check with each airline about their own oxygen policy.
• Make sure you know how many batteries you’ll need for your flight.
• Think ahead – plug in and charge your portable concentrator whenever you can.
• Remember to take international plug adapters that will work at your destination.
• Keep helpline numbers for your oxygen equipment with you at all times.
• Take a copy of your oxygen prescription or doctor’s letter in case you need to reorder supplies.

You can read more about oxygen therapy on our website. Our web community is also a good place to ask about other people’s experiences of travelling with oxygen.

Use our helpful checklist to make sure you’re prepared for your trip   

We use your comments to improve our information. We cannot reply to comments left on this form. If you have health concerns or need clinical advice, call our helpline  on 0300 222 5800 between 9am and 5pm on a weekday or email them .

Air Travel with Oxygen

Medically reviewed by Drugs.com. Last updated on Aug 4, 2024.

• Español

What do I need to know about air travel with oxygen?

Airlines have to make sure oxygen is transported safely. You will need to follow the airline's safety rules before you can travel. Contact the airline 2 weeks before your trip to make arrangements. Make a copy of your doctor's order for oxygen and carry it with you on the plane.

What do I need to do 2 weeks before I travel with oxygen?

• Call the airline and tell them about your oxygen needs. Some airlines charge a fee to supply oxygen during the flight. The fee may be covered by your insurance company. You will need access to a plug if your oxygen supply is electric.
• You will only receive oxygen from the airline while you are on the plane. Order enough oxygen to last before your flight, during delays and layovers, and when you arrive.
• Ask if you can bring a respirator on the plane. You may have to buy an extra ticket for it.
• Ask if your personal oxygen supply is counted as part of your carry-on luggage. Ask if you can bring your own portable oxygen concentrator (POC) on the plane.
• Make a list of health facilities at your destination. You may need to contact someone if you have a problem with your oxygen equipment.

What do I need to do on the day of travel with oxygen?

• Make sure you have your doctor's order and other paperwork before you leave for the airport. Keep the documents in a carry-on bag. You will need to access the documents easily during your trip.
• Bring extra batteries to last during your flight and through any delays.
• Pack all your medicines, oxygen supplies, and power cords in your carry-on. Be sure to include your nasal cannula. Airplanes only supply oxygen through face masks.
• Bring a list of any medicines you are taking. Bring extra medicines on the plane in case of delays or emergencies.
• Arrive early at the airport. Allow enough time to get through security with your oxygen. Ask if you may board the plane early. This will give you time to get settled with your supplies.
• Secure your oxygen in an upright position.

Care Agreement

© Copyright Merative 2024 Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes.

Learn more about Air Travel with Oxygen

Care guides.

• Using Oxygen at Home

Further information

Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.

Medical Disclaimer

Enable JavaScript

Please enable JavaScript to fully experience this site. How to enable JavaScript

• Special assistance

Mobility and medical devices

Traveling with mobility and medical devices.

If you’re traveling with any medical device, a wheelchair or other mobility device we’re here to help – we offer pre-boarding, deplaning and airport assistance.

For battery operated mobility devices, contact Special Assistance to make sure the battery type is approved for travel and for any other special assistance travel requests.

Contact Special Assistance

If you’re connecting to another airline or traveling on a codeshare flight, contact the operating carrier or other airline for their rules on traveling with mobility and medical devices.

• Be sure your equipment is clearly labeled with your name, address and phone number.
• Write down the make, model, serial number and note any normal wear and tear.
• Write down any safe-handling and disassembly instructions and attach to your device.
• Plan to arrive at your departure gate 1 hour before scheduled departure.
• Check with the gate agent to get a gate delivery tag and attach it to your equipment before boarding.
• When you arrive at your final destination look over your equipment to make sure it’s in good and working condition before leaving the airport.
• Notify the gate agent or baggage service office if you notice any damage.

When you check-in at the airport we’ll inspect the condition of your mobility device and document any pre-existing damage. We’ll take great care to make sure no damage occurs to your mobility or medical device while in our care. However, if you notice damage when you arrive at your destination, please file a report at the Baggage Service Office.

If you’re not able to report any damage when you arrive, you can submit a claim online with required documents within 7 days of receiving your mobility or medical device.

Required documents include:

• A copy of your ID, like a driver’s license or passport
• A photo of the damage, If applicable
• Receipts for all items
• Airline ticket receipts
• Baggage claim checks

Submit a claim Opens another site in a new window that may not meet accessibility guidelines.

If your mobility or other medical device is delayed or damaged, we’ll provide a temporary replacement and arrange to promptly repair any damage that happened while it was in our care.

In the rare event that your mobility or medical device is damaged beyond repair or lost, despite our best care and efforts, we will replace it with the same, or comparable model. The limits of liability as stated in our Conditions of Carriage do not apply to mobility or medical devices.

• Liability for domestic flights
• Liability for international flights

Carry-on devices

Mobility and medical devices don’t count toward carry-on limits. If space is limited, the device doesn’t fit in the cabin or if it isn’t required during the flight, it may need to be checked. These include:

• Canes, walkers, continuous positive airway pressure machines (CPAP) and other assistive devices that can be collapsed to fit into overhead and under-seat storage
• Items used for comfort such as seat cushions, arm or footrests

Wheelchairs

Please let a gate or Reservation agent know if you need onboard wheelchair assistance during your trip. Flight attendants can provide assistance in transfers between your seat and an onboard wheelchair, and in moving the onboard wheelchair to and from the lavatory door.

When traveling outside the U.S., we highly recommended you make your special assistance requests as far in advance as possible.

• Planes have a designated space to hold 1 collapsible wheelchair.
• Mobility devices can also be stored overhead or under your seat.
• Non-collapsible wheelchairs, scooters or other battery-powered wheelchairs can be checked at the ticket counter or departure gate.

The doors to the wheelchair storage area are 25in high x 40in wide (63cm x 101cm), with some smaller at 25in x 38in. If your wheelchair is larger than this, contact Reservations.

Reservations and ticket changes

Removal and dangerous goods packaging procedures apply to:

• Batteries not labeled by their manufacturer as 'non-spillable'
• Wheelchairs that can’t be loaded, stowed, secured and unloaded in an upright position at all times
• Lithium-ion batteries

Battery restrictions

Requirements for traveling with a portable oxygen concentrator

Before you board, check in at the gate so an agent can:.

• Confirm that your POC is approved for use in flight
• Test that you can operate the POC and respond to its alarm
• Explain the phases of the flight when the POC will be operable
• Check your supply of fully charged batteries to power the POC no less than 150% for the duration of the flight and ground connection time (including unanticipated delays)

Additional information:

• POC must fit underneath the seat in front of you during taxi, takeoff and landing
• Some seats may be unavailable due to limited under-seat space
• You can't sit in an emergency exit, bulkhead or any seat that blocks another passenger's aisle access if you have a POC in flight
• You may use your POC while away from your seat only when the "fasten seatbelt" sign is off
• POCs must be free of oil, grease or other petroleum products, in good condition and free from damage or other signs of excessive wear or abuse

These POCs can be transported and / or used:

• AirSep Focus
• AirSep Freestyle / AirSep Freestyle 5
• Delphi Medical Systems Rs-00400 (Evo Ca1)
• DeVilbiss Healthcare iGo
• Inogen One / Inogen One G2 / Inogen One G3 / Inogen One G4
• Inova Labs Lifechoice
• Inova Labs Lifechoice Activox
• International Biophysics Lifechoice
• Invacare XPO2 - Includes model numbers XPO100 and XPO100b
• Invacare Solo2
• Oxlife Independence
• Oxus Rs-0400 Evo
• Precision Medical EasyPulse
• Respironics EverGo
• Respironics SimplyGo
• SeQual Eclipse - Models 1, 2 and 3*
• SeQual Eclipse 3-1000b*
• SeQual Equinox - Model 4000
• SeQual Saros*
• VBOX Trooper

We also allow any POC with a manufacturer's label stating that it meets applicable FAA acceptance criteria to be carried and used on board.

FAA Regulations prohibit the use and transportation of other personal oxygen units, including those that contain compressed or liquid oxygen because they are classified as hazardous materials.

*SeQual Eclipse (models 1000, 1000a and 1000b) and SeQual Eclipse Saros may not be used on Republic Airways. These models are too large to fit under the seat for use on board the aircraft. These models may be transported in the cabin as assistive devices and stowed in the overhead compartments but cannot be used on board the aircraft.

Onboard power for medical devices

We recommend you bring any necessary, fully-charged batteries to power your medical devices throughout your flight. Don’t depend on the availability of a power outlet to support your device.

• If available, power outlets may be used for medical devices
• The use of onboard power might require a DC power adaptor

Onboard power

Which Equipment Meets FAA Oxygen Requirements?

Let’s maximize aviation safety by understanding faa oxygen regulations., kasia szwed-carlson.

In unpressurized aircraft, the oxygen system provides supplemental oxygen when required by altitude and time of exposure. [Flying file photo]

To conduct flights at higher altitudes, an aircraft must either have a pressurized cabin to replicate the pressure at a lower altitude, or its occupants must be given supplemental oxygen . Regardless of the system, basic knowledge of oxygen equipment can be critical whether you are flying a pressurized commercial jet or an unpressurized general aviation aircraft.

In unpressurized aircraft, the oxygen system is primarily intended to provide supplemental oxygen when required by altitude and time of exposure. It can also be used, when required, for protection in the event of smoke, fire, and/or fumes.

Conversely, the primary purpose of oxygen systems installed in a pressurized aircraft is for emergency use in the event of pressurization loss. Oxygen equipment must also be used for smoke, fire, and/or fumes events as well as certain normal flight profiles.

Overview of FAA Oxygen Regulations

The FAA, via Title 14 of the Code of Federal Regulations (14 CFR), governs supplemental oxygen requirements under different flight rules.

Part 91: General Operating and Flight Rules

14 CFR 91.211 , which pertains to supplemental oxygen requirements for civil aircraft, states:

• At cabin pressure altitudes above 12,500 feet msl and up to 14,000 feet msl, the required minimum flight crew must use supplemental oxygen if the flight at these altitudes lasts more than 30 minutes.
• At cabin pressure altitudes above 14,000 feet msl, the entire flight crew must use supplemental oxygen during the entire flight time at these altitudes.
• At cabin pressure altitudes above 15,000 feet msl, all occupants of the aircraft, including passengers, must be provided with supplemental oxygen.

Additionally, for pressurized cabin aircraft:

• At flight altitudes above flight level (FL) 250, a 10-minute supply of supplemental oxygen must be available for each occupant of the aircraft, including passengers, in case of cabin pressurization loss.
• At flight altitudes above FL 350, one pilot must wear and use an oxygen mask that automatically supplies oxygen when cabin pressure exceeds 14,000 feet msl. If two pilots are present, quick-donning oxygen masks are acceptable below FL 410.
• If it is necessary for one pilot to leave the flight deck when operating at flight altitudes above FL 350, the remaining pilot shall put on and use an oxygen mask until the other pilot has returned to that crewmember's station.

Part 135: Operating Requirements Regarding Commuter and On-Demand Operations

14 CFR 135.89 , which outlines the requirements for supplemental oxygen use by pilots of commuter and on-demand operations, states:

• Above 10,000 feet through 12,000 feet msl, each pilot must use supplemental oxygen if the flight at these altitudes lasts more than 30 minutes.
• Above 12,000 feet msl, each pilot must use supplemental oxygen during the entire flight time at these altitudes.
• Whenever a pressurized aircraft operates with cabin pressure altitude above 10,000 feet msl, each pilot shall follow the same requirements as above.
• At least one pilot must wear an oxygen mask that supplies oxygen continuously or automatically when cabin pressure altitude exceeds 12,000 feet msl.
• Other pilots in the flight deck must have quickly accessible oxygen masks.
• At altitudes above 35,000 feet mslMSL, at least one pilot at the controls must wear the required oxygen mask .
• If it is necessary for one pilot to leave the flight deck when operating at flight altitudes above 25,000 feet msl, the remaining pilot shall put on and use an oxygen mask until the other pilot has returned to that crewmember's station.

Part 121: Operating Requirements Regarding Domestic, Flag, and Supplemental Operations

14 CFR 121.329 pertains to supplemental oxygen requirements for turbine-engine-powered airplanes conducting domestic, flag, and/or supplemental operations. It states each certificate holder must equip their airplane with sustaining oxygen and dispensing equipment. In addition, the amount of oxygen provided must be sufficient to comply with the rules of this section.

For crewmembers:

• At cabin pressure altitudes above 10,000 feet, up to and including 12,000 feet, oxygen must be provided for and used by each member of the flight crew on flight deck duty and must be provided for other crewmembers for that part of the flight at these altitudes for a duration longer than 30 minutes.
• Above 12,000 feet, oxygen is required for all flight crewmembers during the entire flight at these altitudes.

For passengers:

• For flights lasting more than 30 minutes at cabin pressure altitudes above 10,000 feet and up to 14,000 feet, enough oxygen for 10 percent of the passengers must be available.
• For flights at cabin pressure altitudes above 14,000 feet and up to 15,000 feet, enough oxygen must be provided for that part of the flight at these altitudes for 30 percent of the passengers.
• For flights at cabin pressure altitudes above 15,000 feet, enough oxygen must be provided for each passenger carried during the entire flight at these altitudes.

Equipment for Meeting FAA Oxygen Requirements

There are three components to most oxygen systems, whether they are portable or installed systems. They include storage systems (i.e., containers ), delivery systems, as well as masks and cannulas .

When choosing oxygen equipment for an aircraft, it is critical to select products from trusted manufacturers known for their commitment to quality and safety.

Oxygen Storage Systems

Oxygen can be stored in the aircraft as a gas, liquid, or a solid. It can be stored in either high-pressure (i.e., 1,800-2,200 psi) or low-pressure (i.e., 400-450 psi) containers.

Oxygen Delivery Systems

There are three primary oxygen delivery systems:

• Continuous flow system : This system delivers a continuous flow of oxygen from the storage container to its user(s) whether they are inhaling, exhaling, or pausing in between breaths. This system is typically used at 28,000 feet and lower.
• Diluter demand system : This system gives its user(s) oxygen on demand, during inhalation, and stops the flow when the demand ceases during exhalation. The incoming oxygen is diluted with cabin air and provides the proper percentage of oxygen depending on the altitude . This system is typically used at altitudes up to 40,000 feet.
• Pressure demand system : This system provides oxygen under positive pressure. Positive pressure is a forceful oxygen flow that slightly overinflates the lungs. This, in a sense, pressurizes the lungs to a lower altitude, thus allowing its user(s) to fly at altitudes above 40,000 feet.

Oxygen Masks and Cannulas

When considering an oxygen mask or cannula , ensure it is compatible with the delivery system being used.

Nasal cannulas, for example, are continuous-flow devices and offer the advantage of personal comfort. However, they are restricted by federal aviation regulations to 18,000 feet service altitude. 

Best Practices for Oxygen Equipment Use

Oxygen equipment certification and approval processes depend on the type of aircraft. Regardless of the oxygen equipment being used, regular maintenance and inspections must be followed to ensure the proper operation of the system.

Oxygen Equipment Certification and Approval Processes

The oxygen equipment certification and approval procedures follow 14 CFR Part 23 requirements for aircraft airworthiness standards. However, for type-certificated aircraft in private, noncommercial operations, any portable system may be used to satisfy the previously mentioned flight rules.

On the other hand, type-certificated aircraft that are approved for operation above 14,000 msl must have an oxygen system installed as part of the certification process. While that oxygen system cannot be uninstalled or removed, there is no requirement to use that oxygen system for private, non-commercial operations in unpressurized aircraft.

In private settings , a pilot can use a portable system to satisfy the oxygen use rules even with an installed system present in the aircraft.

Oxygen Equipment Maintenance and Inspection Protocols

The FAA recommends that every pilot performs the “PRICE” check prior to every flight on the oxygen equipment installed on the aircraft they are about to operate. Following these steps ensures the proper operation of the oxygen equipment in case there is a need for it:

• P ressure: Ensure there is enough oxygen pressure and quantity to complete the flight.
• R egulate: Inspect the oxygen regulator for proper function.
• I ndicator: Don the oxygen mask and check the flow indicator to ensure a steady flow of oxygen.
• C onnections: Ensure all connections are secured.
• E mergency: Have the oxygen equipment ready for use in emergencies requiring oxygen. This step should also include briefing passengers on the location of oxygen and its proper use.

Regular maintenance and inspections of the system should also be conducted per manufacturer’s instructions.

Choose Oxygen Equipment That Meets Your Needs

Oxygen equipment is an issue that should concern all pilots from a safety-of-flight standpoint.

In addition, every pilot should be familiar with the equipment they have on board, know when to use it, and most importantly, understand its limitations.

What is the minimum oxygen saturation for flying?

The minimum oxygen saturation for flying varies depending on the context. A 100 percent oxygen saturation level is ideal while flying.

At what altitude do you need oxygen when flying?

Supplemental oxygen is required above 12,500 feet msl for unpressurized cabin aircraft, if the flight at these altitudes lasts more than 30 minutes. Additional requirements apply per 14 CFR 91.211.

What are the oxygen requirements for Part 121?

Part 121 oxygen requirements necessitate certificate holders to equip their airplanes with sustaining oxygen and dispensing equipment. In addition, the amount of oxygen provided must be sufficient to comply with the rules of 14 CFR 121.329.

Subscribe to Our Newsletter

Get the latest FLYING stories delivered directly to your inbox

Subscribe to our newsletter

Do you know how to fly safely? The 'why' behind airline safety rules | Cruising Altitude

I fly a lot and it always drives me crazy when people aren’t following the safety instructions on planes and it got me thinking: maybe some travelers just don’t know why the rules and guidelines for what to do on airplanes are in place. 

Regular flyers have heard the safety briefing a thousand times but may never have looked under the hood at the reasons behind every instruction. 

Two things in particular always stuck out to me: why does it matter if you put your own oxygen mask on before helping someone else (as my mom would say: what mother would put her own mask on before helping her child?), and why do your seat back and tray table need to be up for landing? What harm could be done if they’re not?

Of course, there’s an explanation for both of those things.

“People just don’t get it,” Raychel Armstrong, vice president of Transportation Worker’s Union Local 577, the union of Allegiant Air flight attendants, told me. “Understand we’re not just asking for fun.”

In the case of needing to affix your own oxygen mask first, it’s because when an airplane cabin decompresses, the oxygen content goes way down. At altitudes above 10,000 feet, you may have only a matter of seconds to connect yourself to supplemental oxygen before you start to develop symptoms of oxygen deprivation, which can include losing consciousness. If you take time to help someone else with their mask, you may be unconscious before you’re able to put on your own.

Sorry Mom, but even the most selfless mother in the world should put her own mask on first – she won’t be much use to anyone, least of all her beloved child if she dies from hypoxia.

It’s similar for seat backs and tray tables.

I long assumed the danger from seat backs in the wrong position or tray tables not properly stowed was that someone could smash their face and get bloodied during a hard landing.

It turns out it’s because they can be obstacles to escape in an emergency.

“There have been so many incidents in the past where passengers haven’t listened in emergencies and it’s resulted in death,” Armstrong said.

Seconds matter during an evacuation and any delays to getting out of an airplane increase the risks of not surviving a crash.

Who determines safety briefing contents?

The Federal Aviation Administration sets out the basic requirements for every safety briefing, though airlines can tweak the exact wording and how the information is delivered. The FAA required safety briefings and seat-back cards beginning in March 1965. Early briefings had to include information about when and where smoking was permitted on board, how to operate the plane’s seat belts and where emergency exits were located. 

Since then, the requirements have been updated to include guidance on ditching procedures for water landings and oxygen mask operation.

Who reads those? Why the airplane safety card is more complicated than you think.

Why aren’t airline safety briefings more explicit?

I’m a big believer in the “knowledge is power” philosophy, but I also understand that there’s a limit to how effective that can be.

“At some point, if you say too much, everything goes out the window because people have goldfish brains sometimes,” Armstrong said.

But beyond people’s inability to absorb lots of information all at once, a more explicit safety briefing could make many travelers more hesitant and anxious about flying.

Adam Borland, a clinical psychologist at the Cleveland Clinic, told me that many people are stressed when they travel, and more information about potential airplane catastrophes could make that stress worse for some.

“There may be some people that want to know every single detail, and there may be others that are like, ‘you know what? I’m not going there in my head,’ ” he said. “You provide people with the tools, but you don’t want to do it in a way that is scary.”

Armstrong said that many inflight emergencies have a surprisingly long lead time, which can help with safety preparations. 

For example, if a plane experiences a landing gear failure, the pilots often know well in advance of touchdown. That gives the cabin crew time to give passengers a more explicit briefing tailored to the specific situation, which is usually more effective than the general presentation at the start of every flight.

“In those situations, you do a more detailed, ‘you and you, this is what your roles are going to be in this evacuation,’ ” she said. “You go through with the passengers. You remind them how to unfasten the seat belt.”

What else should be in the safety briefing?

Armstrong said from her perspective as a flight attendant, she wants to emphasize how much of an obstacle carry-on bags can be in an evacuation, and she said she wishes safety briefings were more explicit about that danger.

“Don’t take your stuff. If you take your stuff, somebody can die,” she said.

Passengers leaving their carry-on bags behind was considered an important factor in the 100% survival rate of the Japan Airlines A350 that crashed in Tokyo in January.

Similarly, she said passengers need to understand how important it is to heed the fasten seat belt sign.

“We had a turbulence incident in August that was awful. We had three flight attendants that hit their heads on the ceiling and broke their ankles,” she said. “If you fly into the air, there’s a good chance you can harm somebody else … You are the biggest threat to yourself (in turbulence).”

Last week's Cruising Altitude: Flight attendants aren't there to just pour drinks. What's their job?

How can you deal with travel anxiety?

Borland said anxiety around flying is extremely common, and it’s important to recognize that you’re not alone if you’re experiencing it.

“Healthy distractions, whether it’s a book, a movie, a podcast, reading, working on some sort of project while you’re there,” he said. “If you don’t, if you’re just kind of sitting there, then the brain has an opportunity to go to the worst-case scenario.” 

He added that you should consult a professional if your travel anxiety is really debilitating, and he would encourage airlines to consider recognizing this common problem and some do-it-yourself relaxation mechanisms in their announcements or inflight entertainment programming. (I’ve seen some airlines with meditation and deep breathing exercise videos on their seat-back screens, which can help with just this kind of issue.)

But even if it makes you nervous, paying attention to the safety briefing is still important. Listening to those instructions could literally save your life and should, hopefully, make you feel more secure.

Zach Wichter is a travel reporter based in New York. You can reach him at [email protected]

Airplane Faux Pas, Ranked from Most to Least Forgivable

But this brief exit from the traditional structures of governance is really no excuse to manspread, watch TikToks out loud, or eat that tuna sandwich in a shared space—among other grievances. It’s hard to believe Pete Buttigieg hasn’t drafted up an official code of conduct for existing on an aircraft. So, to help the greater travel community parse through right and wrong, we’ve compiled a list of complaints, ranked from most to least forgivable.

9. Striking up a conversation with your seatmate

8. keeping the armrest(s) up.

“No offense, but I need that partition! It isn’t about you. Planes are cramped to begin with, so please don’t take one of the few things that allows me some personal space. Also, in the case of turbulence, I need that armrest available for grabbing! Truly the only time it’s acceptable to keep the armrest up is during boarding and deboarding when we all need a little extra room to wiggle in or out of our seats and onto our next adventure.” – Becca James, senior editor

7. Taking both armrests

6. not helping someone with the overhead bin, 5. keeping the window shade up when it’s lights out, 4. having a conversation across my face, 3. constantly shoving against your seat, 2. not standing to allow seatmates in/out when you’re in the aisle seat, 1. bailing on your spouse to sit wherever you’d like.

Jessica Sulima  is a staff writer on the Travel team at Thrillist. Follow her on  Twitter  and  Instagram .

More From Forbes

Cdc issues an alert about parvovirus — here’s what you need to know.

• Share to Facebook
• Share to Twitter
• Share to Linkedin

Parvovirus B19 slapped cheek rash

Parvovirus B19 is a common respiratory virus that can cause serious illness in pregnant women, people with sickle cell disease and immunocompromised people. It is recognized more often in children because of its characteristic “slapped cheek” appearance.

Most people acquire infection by adulthood, as shown through antibody tests revealing past infection. Transmission is through droplets and is seasonal, peaking in the winter.

The virus is also known as “fifth disease” because it was fifth in a list of childhood rashes , along with measles, scarlet fever, rubella, Duke’s disease (a rash due to a toxin from Staphylococcus aureus ), erythema infectiosum (parvovirus, the fifth disease) and roseola.

Why Did The Alert Happen Now?

While there is no reporting requirement for parvovirus, the European CDC noted unusually high numbers of parvovirus B19. Our CDC then noted similar increases, especially in children aged 5–9 years, where the finding of antibodies in blood (seroprevalence) rose from 15% during 2022–2024 to 40% in June 2024. In plasma donors, the increase rose from 1.5% in December 2023 to 19.9% in June 2024.

Who Is At Risk From Parvovirus B19?

The biggest concern is for pregnant women and those who are immunocompromised if they haven’t previously had parvovirus B19 infection. In nonimmune pregnant women, 5-10% will develop fetal anemia, severe edema of the fetus (hydrops), or death of the fetus. The risk is highest between 9 and 20 weeks of pregnancy. ( Hydrops fetalis is severe fluid buildup, or edema, including the liver, spleen or heart.)

Immunocompromised people, such as those with sickle cell disease, leukemia, or transplant patients, are also at risk of complications from parvovirus B19, particularly aplastic anemia . That is where your bone marrow stops making red blood cells (needed for oxygen transport), white blood cells (which fight infection), and platelets (needed for clotting). Aplastic anemia is life-threatening and is treated primarily with supportive transfusions.

Best High-Yield Savings Accounts Of 2024

Best 5% interest savings accounts of 2024, how is parvovirus b19 transmitted.

Parvovirus B19 is very transmissible in respiratory droplets , which spread in coughing or sneezing. After exposure, half of susceptible household contacts become infected, as do 20-50% of susceptible people in school outbreaks. Pregnant teachers becoming infected are a significant concern due to the risk of pregnancy loss. (They are also at high risk of CMV infections). Parvovirus can also be transmitted from the pregnant woman to her fetus or through transfusions.

Note that Parvovirus B19 is different than the parvovirus infections dogs get, and is not transmitted between the two species.

Signs And Symptoms Of Parvovirus B19

Many people are asymptomatic. Others commonly develop flu-like symptoms with fever, malaise, aching, cough, and sore throat beginning about a week after exposure. It’s important to know that parvovirus B19 can cause an acute arthritis and be mistaken for rheumatoid arthritis since the treatments are different.

Children often develop a characteristic rash in known as “slapped cheek” appearance. Unfortunately, the rash develops late in the illness and after the child is no longer infectious.

Prevention And Treatment

There is no specific treatment for parvovirus B19. Therapy is entirely supportive and symptomatic.

Notably, the CDC’s recommendations for prevention include “taking steps for cleaner air , ” including the use of HEPA filters, and “consider wearing a respirator or mask while at work,” in addition to their standard hand hygiene focus. The CDC’s recommendations for staying home are minimal (e.g., no fever for 24 hours ). As with Covid, people with parvovirus B19 are likely to return to school or work while still infectious.

The CDC health alert concludes, “People at higher risk of severe parvovirus B19 can consider using additional prevention strategies such as wearing a mask when around others .” This recommendation is notable because mask bans are growing nationally . North Carolina and Nassau County, New York, just passed bans prohibiting wearing a mask in public. They say this is to prevent crime and people from hiding their identity. Penalties include fines and jail time. While legislators say that there are medical exemptions, there are no exemptions for preventing disease, and decisions are left to the discretion of police.

In a recent interview, Dr. Anthony Fauci revealed he had just had his third infection with Covid despite being vaccinated and boosted. He offers sound advice: “You don't have to immobilize what you do and just cut yourself off from society. But regardless of what the current recommendations are, when you are in a crowded, closed space and you are an 85-year-old person with chronic lung disease or a 55-year-old person who's morbidly obese with diabetes and hypertension, then you should be wearing a mask when you're in closed indoor spaces.

Certainly when you get out on an airplane, you should do that. And you should be careful to avoid crowded places where you don't know the status of other people.”

Masking in indoor or crowded situations would prevent a host of infectious diseases including Covid-19, influenza, and parvovirus B19.

• Editorial Standards
• Reprints & Permissions

Join The Conversation

One Community. Many Voices. Create a free account to share your thoughts. 

Forbes Community Guidelines

Our community is about connecting people through open and thoughtful conversations. We want our readers to share their views and exchange ideas and facts in a safe space.

In order to do so, please follow the posting rules in our site's  Terms of Service.   We've summarized some of those key rules below. Simply put, keep it civil.

Your post will be rejected if we notice that it seems to contain:

• False or intentionally out-of-context or misleading information
• Insults, profanity, incoherent, obscene or inflammatory language or threats of any kind
• Attacks on the identity of other commenters or the article's author
• Content that otherwise violates our site's  terms.

User accounts will be blocked if we notice or believe that users are engaged in:

• Continuous attempts to re-post comments that have been previously moderated/rejected
• Racist, sexist, homophobic or other discriminatory comments
• Attempts or tactics that put the site security at risk
• Actions that otherwise violate our site's  terms.

So, how can you be a power user?

• Stay on topic and share your insights
• Feel free to be clear and thoughtful to get your point across
• ‘Like’ or ‘Dislike’ to show your point of view.
• Protect your community.
• Use the report tool to alert us when someone breaks the rules.

Thanks for reading our community guidelines. Please read the full list of posting rules found in our site's  Terms of Service.

Tropical Storm Ernesto: Track where the storm is heading in the latest models

Tropical Storm Ernesto formed Monday as it moved toward the Caribbean islands and the forecast suggest Puerto Rico and the Virgin Islands could experience tropical storm conditions beginning Tuesday.

You can track the storm's path with the latest maps and models below and follow along with USA TODAY's coverage of Tropical Storm Ernesto as the fifth named storm of the 2024 Atlantic hurricane season moves through the Caribbean.

The storm is expected to bring heavy rain and cause flash floods and mudslides but the mainland U.S. could be largely spared from the storm, according to forecasts.

Where is Ernesto heading?

The National Hurricane Center's 11 p.m. ET update Monday indicated that Ernesto could bring tropical storm conditions to parts of the Leeward Islands by early Tuesday, and the Virgin Islands and Puerto Rico later in the day.

A tropical storm warning was issued in the area late Monday evening.

Tropical storm Ernesto path tracker

If the map above is not loading on your screen,  click here .

Tropical Storm Ernesto Spaghetti Models

Illustrations include an array of forecast tools and models, and not all are created equal. The hurricane center uses only the top four or five highest-performing models to help make its forecasts.