Recent events have highlighted the importance of pilot fatigue in aviation operations. Because of demanding flight schedules, crew members often suffer disrupted sleep and desynchronized circadian rhythms, the combination of which threatens alertness and performance. Unfortunately, market requirements for transcontinental and transoceanic routes, as well as for nighttime departures and early-morning arrivals, continue to pose challenges to human vigilance in flight. However, regulatory attention to the physiological causes of fatigue, new techniques for schedule optimization, advanced sleep-monitoring technology, and behavioral strategies to counter fatigue will go a long way toward managing fatigue-related risks in operational contexts.
AchermannP. (2004). The two-process model of sleep regulation revisited. Aviation, Space, and Environmental Medicine, 75(Suppl. 3), A37–A43.
2.
CaldwellJ. A.CaldwellJ. L. (2003). Fatigue in aviation: A guide to staying awake at the stick. Burlington, VT: Ashgate Publishing Company.
3.
CaldwellJ. A.CaldwellJ. L.BrownD. L.SmithJ. K. (2004). The effects of 37 hours without sleep on the performance of F-117 pilots. Military Psychology, 16, 163–181.
4.
CaldwellJ. A.CaldwellJ. L.SchmidtR. M. (2008). Alertness management strategies for operational contexts. Sleep Medicine Reviews, 12, 257–273.
5.
CaldwellJ. A.MallisM. M.CaldwellJ. L.PaulM. A.MillerJ. C.NeriD. F. (2009). Fatigue countermeasures in aviation. Aviation, Space, and Environmental Medicine, 80, 29–59.
6.
CaldwellJ. A.MuQ.SmithJ. K.MishoryA.GeorgeM.CaldwellJ. L.. . . BrownD. L. (2005). Are individual differences in fatigue vulnerability related to baseline differences in cortical activation?Behavioral Neuroscience, 119, 694–707.
Committee on Military Nutrition Research. (2001). Caffeine for the sustainment of mental task performance: Formulations for military operations. Washington, DC: National Academies Press.
9.
DijkD. J.FrankenP. (2005). Interaction of sleep homeostasis and circadian rhythmicity: Dependent or independent systems? In KrygerM. A.RothT.DementW. C. (Eds.), Principles and practice of sleep medicine (pp. 418–434). Philadelphia, PA: Elsevier Saunders.
10.
DingesD. F. (1990). The nature of subtle fatigue effects in long-haul crews. Proceedings of the Flight Safety Foundation 43rd International Air Safety Seminar (pp. 258–267). Arlington, TX: Flight Safety Foundation.
11.
FolkardS.ÅkerstedtT. (1991). A three-process model of the regulation of alertness and sleepiness. In OgilvieR.BroughtonR. (Eds.), Sleep, arousal and performance: Problems and promises (pp. 11–26). Boston, MA: Birkhauser.
12.
HurshS. R.RaslearT. G.KayeA. S.FanzoneJ. F. (2006). Validation and calibration of a fatigue assessment tool for railroad work schedules, Summary Report (Technical Report No. DOT/FRA/ ORD-06/21). Washington, DC: U.S. Department of Transportation, Federal Railroad Administration, Office of Research and Development.
13.
HurshS. R.RedmondD. P.JohnsonM. L.ThorneD. R.BelenkyG.BalkinT. J.. . . EddyD. R. (2004). Fatigue models for applied research in warfighting. Aviation, Space, and Environmental Medicine, 75(Suppl. 3), A44–A53.
14.
LymanE. G.OrladyH. W. (1981). Fatigue and associated performance decrements in air transport operations (NASA Contractor Report No. 166167). Moffett Field, CA: NASA Ames Research Center.
15.
MonkT. (1994). Shiftwork. In KrygerM. H.RothT.DementW. C. (Eds.), Principles and practice of sleep medicine (pp. 471–476). Philadelphia, PA: Saunders.
16.
MorgenthalerT.AlessiC.FriedmanL.OwensJ.KapurV.BoehleckeB.. . . SwickT. J. (2007). Practice parameters for the use of actigraphy in the assessment of sleep and sleep disorders: An update for 2007. Sleep, 30(4), 519–529.
National Transportation Safety Board. (1994). A review of flightcrew-involved, major accidents of U.S. air carriers, 1978 through 1990 (NTSB Safety Study No. SS-94–01). Washington, DC: Author.
19.
National Transportation Safety Board (2010). Aircraft accident report: Loss of control on approach, Colgan Air, Inc., operating as Continental Connection Flight 3407, Bombardier DHC-8-400, N200WQ. (NTSB Report number NTSB/AAR-10/01, PB2010-910401). Washington, DC: Author.
20.
NeriD. F.OyungR. L.CollettiL. M.MallisM. M.TamP. Y.DingesD. F. (2002). Controlled activity as a fatigue countermeasure on the flight deck. Aviation, Space, and Environmental Medicine, 73(7), 654–664.
21.
PrevicF. H.LopezN.ErcolineW. R.DaluzC. M.WorkmanA. J.EvansR. H.DillonN. A. (2009). The effects of sleep deprivation on flight performance, instrument scanning, and physiological arousal in pilots. International Journal of Aviation Psychology, 19, 326–346.
22.
RosekindM. R.GraeberR. C.DingesD. F.ConnellL. J.RountreeM. S.SpinweberC. L.GillenK. (1994). Crew factors in flight operations IX. Effects of planned cockpit rest on crew performance and alertness in long-haul operations (Report No. DOT/FAA/92/24). Moffett Field, CA: NASA Ames Research Center.
23.
RussellC. A.CaldwellJ. A.ArandD.MyersL. J.WubbelsP.DownsH. (2010). Validation of the Fatigue Science ReadiBand [White Paper]. Honolulu, HI: Fatigue Science.
24.
SadehA.AceboC. (2002). The role of actigraphy in sleep medicine. Sleep Medicine Reviews, 6, 113–124.
25.
Van DongenH. (2004). Comparison of mathematical model predictions to experimental data of fatigue and performance. Aviation, Space, and Environmental Medicine, 75(Suppl. 3), A15–A36.
26.
Van DongenH.MaislinG.MullingtonJ. M.DingesD. F. (2003). The cumulative cost of additional wakefulness: Dose-response effects on neurobehavioral functions and sleep physiology from chronic sleep restriction and total sleep deprivation. Sleep, 26, 117–126.
27.
Van DongenH. P.MottC. G.HuangJ. K.MolliconeD. J.McKenzieF. D.DingesD. F. (2007). Optimization of biomathematical model predictions for cognitive performance impairment in individuals: accounting for unknown traits and uncertain states in homeostatic and circadian processes. Sleep, 30, 1129–1143.
28.
WilliamsonA. M.FeyerA. M. (2000). Moderate sleep deprivation produces impairments in cognitive and motor performance equivalent to legally prescribed levels of alcohol intoxication. Occupational and Environmental Medicine, 57, 649–655.
29.
WilliamsonA. M.LombardiD. A.FolkardS.StuttsJ.CourtneyT. K.ConnorJ. L. (2011). The link between fatigue and safety. Accident Analysis & Prevention, 43, 498–515.
