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Corrected formula level setting: The lowset p indicates the "pulse oximetry"; if written as S_{pO_2} the pO_2 can be confused as the (partial) pressure (of oxygen in blood); hence the SpO2 setting is S_p O_2 with S and O on the same level
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{{Short description|Medical measurement}}
{{short description|Fraction of oxygen-saturated hemoglobin relative to total hemoglobin in the blood}}
{{For|oxygen saturation in general|Oxygen saturation|}}
{{For|oxygen saturation in general|Oxygen saturation|}}
[[File:Blutkreislauf.png|thumbnail|right|Blood circulation: Red = oxygenated (arteries), Blue = deoxygenated (veins)]]
[[File:Blutkreislauf.png|thumbnail|right|Blood circulation: Red = oxygenated (arteries), Blue = deoxygenated (veins)]]


'''Oxygen saturation''' is the fraction of [[oxygen]]-saturated [[hemoglobin]] relative to total hemoglobin (unsaturated + saturated) in the [[blood]]. The human body requires and regulates a very precise and specific balance of oxygen in the blood. Normal arterial '''blood oxygen saturation levels''' in humans are 95–100 percent. If the level is below 90 percent, it is considered low and called [[hypoxemia]].<ref>{{cite web|title=Hypoxemia (low blood oxygen)|url=http://www.mayoclinic.com/health/hypoxemia/MY00219|work=Mayo Clinic|publisher=mayoclinic.com|accessdate=6 June 2013}}</ref> Arterial blood oxygen levels below 80 percent may compromise organ function, such as the brain and heart, and should be promptly addressed. Continued low oxygen levels may lead to respiratory or cardiac arrest. [[Oxygen therapy]] may be used to assist in raising blood oxygen levels. Oxygenation occurs when [[Allotropes of oxygen#Dioxygen|oxygen]] molecules ({{chem|O|2}}) enter the [[Tissue (biology)|tissues]] of the body. For example, [[blood]] is oxygenated in the [[lung]]s, where oxygen molecules travel from the air and into the blood. Oxygenation is commonly used to refer to medical oxygen saturation.
'''Oxygen saturation''' is the fraction of [[oxygen]]-saturated [[haemoglobin]] relative to total haemoglobin (unsaturated + saturated) in the [[blood]]. The human body requires and regulates a very precise and specific balance of oxygen in the blood. Normal arterial '''blood oxygen saturation levels''' in humans are 96–100 percent.<ref name="Kobayashi et al., 2018">{{cite journal |last1=Kobayashi |first1=M |last2=Fukuda |first2=S |last3=Takano |first3=KI |last4=Kamizono |first4=J |last5=Ichikawa |first5=K |title=Can a pulse oxygen saturation of 95% to 96% help predict further vital sign destabilization in school-aged children?: A retrospective observational study. |journal=Medicine |date=June 2018 |volume=97 |issue=25 |pages=e11135 |doi=10.1097/MD.0000000000011135 |pmid=29924014|pmc=6023980 |s2cid=49312513 }}</ref> If the level is below 90 percent, it is considered low and called [[hypoxemia]].<ref>{{cite web|title=Hypoxemia (low blood oxygen)|url=http://www.mayoclinic.com/health/hypoxemia/MY00219|work=[[Mayo Clinic]]|publisher=mayoclinic.com|access-date=6 June 2013}}</ref> Arterial blood oxygen levels below 80 percent may compromise organ function, such as the brain and heart, and should be promptly addressed. Continued low oxygen levels may lead to respiratory or cardiac arrest. [[Oxygen therapy]] may be used to assist in raising blood oxygen levels. Oxygenation occurs when [[Allotropes of oxygen#Dioxygen|oxygen]] molecules ({{chem|O|2}}) enter the [[Tissue (biology)|tissues]] of the body. For example, [[blood]] is oxygenated in the [[lung]]s, where oxygen molecules travel from the air and into the blood. Oxygenation is commonly used to refer to medical oxygen saturation.


==Definition==
==Definition==
[[File:Oxyhaemoglobin dissociation curve.png|thumb|Hemoglobin saturation curve]]
[[File:Oxyhaemoglobin dissociation curve.png|thumb|Hemoglobin saturation curve]]
In [[medicine]], '''oxygen saturation''', commonly referred to as "sats", measures the percentage of [[hemoglobin]] binding sites in the bloodstream occupied by oxygen.<ref>{{cite book|url=https://books.google.co.uk/books?id=3PJVLH1NmQAC&pg=PA370&dq=definition+of+oxygen+saturation+so2&hl=en&sa=X&ved=0ahUKEwi42bWkksPKAhVHrD4KHfZcC0QQ6AEIIDAA#v=onepage&q=definition%20of%20oxygen%20saturation%20so2&f=false|title=Clinical Laboratory Medicine|author=Kenneth D. McClatchey|publisher=[[Lippincott Williams & Wilkins]]|location=[[Philadelphia]]|year=2002|page=370}}</ref> At low partial pressures of oxygen, most hemoglobin is deoxygenated. At around 90% (the value varies according to the clinical context) oxygen saturation increases according to an [[oxygen-hemoglobin dissociation curve]] and approaches 100% at partial oxygen pressures of >11 kPa. A [[pulse oximeter]] relies on the light absorption characteristics of saturated hemoglobin to give an indication of oxygen saturation.
In [[medicine]], '''oxygen saturation''', commonly referred to as "sats", measures the percentage of [[hemoglobin]] binding sites in the bloodstream occupied by oxygen.<ref>{{cite book|url=https://books.google.com/books?id=3PJVLH1NmQAC&q=definition+of+oxygen+saturation+so2&pg=PA370|title=Clinical Laboratory Medicine| first1 = Kenneth D. | last1 = McClatchey|publisher=[[Lippincott Williams & Wilkins]]|location=[[Philadelphia]]|year=2002|page=370 | via = [[Google Books]] |isbn=9780683307511}}</ref>{{rp|page=[https://books.google.com/books?id=3PJVLH1NmQAC&q=definition+of+oxygen+saturation+so2&pg=PA370 370]}} At low partial pressures of oxygen, most hemoglobin is deoxygenated. At around 90% (the value varies according to the clinical context) oxygen saturation increases according to an [[oxygen-hemoglobin dissociation curve]] and approaches 100% at partial oxygen pressures of >11 kPa. A [[pulse oximeter]] relies on the light absorption characteristics of saturated hemoglobin to give an indication of oxygen saturation.<ref>{{Cite web |title=Pulse Oximetry Basic Principles and Interpretation {{!}} Iowa Head and Neck Protocols |url=https://medicine.uiowa.edu/iowaprotocols/pulse-oximetry-basic-principles-and-interpretation |access-date=2023-03-29 |website=medicine.uiowa.edu |language=en}}</ref>


== Physiology==
==Physiology==
The body maintains a stable level of oxygen saturation for the most part by chemical processes of [[aerobic metabolism]] associated with [[breathing]]. Using the [[respiratory system]], red blood cells, specifically the [[hemoglobin]], gather oxygen in the lungs and distribute it to the rest of the body. The needs of the body's blood oxygen may fluctuate such as during exercise when more oxygen is required <ref>{{cite web|title=Understanding Blood Oxygen Levels at Rest|url=http://www.fitday.com/fitness-articles/fitness/cardio/understanding-blood-oxygen-levels-at-rest.html#b|work=fitday.com|publisher=fitday.com|accessdate=6 June 2013}}</ref> or when living at higher altitudes. A blood cell is said to be "saturated" when carrying a normal amount of oxygen.<ref>{{cite web|last=Ellison|first=Bronwyn|title=NORMAL RANGE OF BLOOD OXYGEN LEVEL|url=http://www.livestrong.com/article/124374-normal-range-blood-oxygen-level/|work=Livestrong.com|publisher=Livestrong.com|accessdate=6 June 2013}}</ref> Both [[hyperoxia|too high]] and [[hypoxia (medical)|too low]] levels can have adverse effects on the body.<ref>{{Cite web|url=https://www.webmd.com/asthma/guide/hypoxia-hypoxemia|title=Hypoxia and Hypoxemia: Symptoms, Treatment, Causes|website=WebMD|language=en|access-date=2019-03-11}}</ref>
The body maintains a stable level of oxygen saturation for the most part by chemical processes of [[aerobic metabolism]] associated with [[breathing]]. Using the [[respiratory system]], red blood cells, specifically the [[hemoglobin]], gather oxygen in the lungs and distribute it to the rest of the body. The needs of the body's blood oxygen may fluctuate such as during exercise when more oxygen is required <ref>{{cite web|title=Understanding Blood Oxygen Levels at Rest|url=http://www.fitday.com/fitness-articles/fitness/cardio/understanding-blood-oxygen-levels-at-rest.html#b|website=fitday.com|access-date=6 June 2013}}</ref> or when living at higher altitudes. A blood cell is said to be "saturated" when carrying a normal amount of oxygen.<ref>{{cite web|last=Ellison|first=Bronwyn|title=Normal Range of Blood Oxygen Level|url=http://www.livestrong.com/article/124374-normal-range-blood-oxygen-level/|website=Livestrong.com|access-date=6 June 2013}}</ref> Both [[hyperoxia|too high]] and [[hypoxia (medical)|too low]] levels can have adverse effects on the body.<ref>{{Cite web|url=https://www.webmd.com/asthma/guide/hypoxia-hypoxemia|title=Hypoxia and Hypoxemia: Symptoms, Treatment, Causes|website=WebMD|language=en|access-date=2019-03-11}}</ref>


==Measurement==
==Measurement==
An SaO<sub>2</sub> (arterial oxygen saturation, as determined by an [[arterial blood gas test]]<ref name=":0">{{Cite web|url=http://incenter.medical.philips.com/doclib/enc/fetch/586262/586457/Understanding_Pulse_Oximetry.pdf%3Fnodeid%3D586458%26vernum%3D2|title=Understanding Pulse Oximetry: SpO2 Concepts|last=|first=|date=|website=|publisher=Philips Medical Systems|access-date=19 August 2016}}</ref>) value below 90% indicates [[hypoxemia]] (which can also be caused by [[anemia]]). Hypoxemia due to low SaO<sub>2</sub> is indicated by [[cyanosis]]. Oxygen saturation can be measured in different tissues:<ref name=":0" />
An SaO<sub>2</sub> (arterial oxygen saturation, as determined by an [[arterial blood gas test]]<ref name=":0">{{Cite web|url=http://incenter.medical.philips.com/doclib/enc/fetch/586262/586457/Understanding_Pulse_Oximetry.pdf%3Fnodeid%3D586458%26vernum%3D2|title=Understanding Pulse Oximetry: SpO2 Concepts|publisher=Philips Medical Systems|access-date=19 August 2016}}</ref>) value below 90% indicates [[hypoxemia]] (which can also be caused by [[anemia]]). Hypoxemia due to low SaO<sub>2</sub> is indicated by [[cyanosis]]. Oxygen saturation can be measured in different tissues:<ref name=":0" />
⚫
* Venous oxygen saturation (SvO<sub>2</sub>) is the percentage of oxygenated hemoglobin returning to the right side of the heart. It can be measured to see if oxygen delivery meets the tissues' demands. SvO<sub>2</sub> typically varies between 60% and 80%.<ref>https://www.lhsc.on.ca/critical-care-trauma-centre/central-venous/mixed-venous-oxygen-saturation</ref> A lower value indicates that the body is in lack of oxygen, and [[ischemic]] diseases occur. This measurement is often used under treatment with a [[heart lung machine]] ([[Extracorporeal membrane oxygenation|extracorporeal circulation]]), and can give the perfusionist an idea of how much flow the patient needs to stay healthy.
⚫
* Tissue oxygen saturation (StO<sub>2</sub>) can be measured by [[near infrared spectroscopy]]. Although the measurements are still widely discussed, they give an idea of tissue oxygenation in various conditions.
* Peripheral oxygen saturation (SpO<sub>2</sub>) is an estimation of the oxygen saturation level usually measured with a [[pulse oximeter]] device. It can be calculated with [[pulse oximetry]] according to the following formula:<ref name=":0"/>


{{unordered list
:<math chem>S_\ce{p}O_\ce{2}=\frac\ce{HbO2}\ce{{HbO2}+Hb}</math><ref name=":0" />
⚫
| Venous oxygen saturation (SvO<sub>2</sub>) is the percentage of oxygenated hemoglobin returning to the right side of the heart. It can be measured to see if oxygen delivery meets the tissues' demands. SvO<sub>2</sub> typically varies between 60% and 80%.<ref>{{Cite web|url=https://www.lhsc.on.ca/critical-care-trauma-centre/central-venous/mixed-venous-oxygen-saturation|title=Central Venous/Mixed Venous Oxygen Saturation &#124; LHSC}}</ref> A lower value indicates that the body is in lack of oxygen, and [[ischemic]] diseases occur. This measurement is often used under treatment with a [[heart lung machine]] ([[Extracorporeal membrane oxygenation|extracorporeal circulation]]), and can give the perfusionist an idea of how much flow the patient needs to stay healthy.

⚫
| Tissue oxygen saturation (StO<sub>2</sub>) can be measured by [[near infrared spectroscopy]]. Although the measurements are still widely discussed, they give an idea of tissue oxygenation in various conditions.
where HbO<sub>2</sub> is oxygenated hemoglobin ([[Hemoglobin#Oxyhemoglobin|oxyhemoglobin]]) and Hb is deoxygenated hemoglobin
| Peripheral oxygen saturation (SpO<sub>2</sub>) is typically measured at a fingertip using a pulse oximeter.
⚫
}}


==Pulse oximetry==
==Pulse oximetry==
{{Main article|Pulse oximetry}}
{{Main article|Pulse oximetry}}
[[File:Wrist-oximeter.jpg|thumbnail|right|Example pulse oximeter]] Pulse oximetry is a method used to estimate the percentage of oxygen bound to [[hemoglobin]] in the blood.<ref name="Aguilar">{{cite journal | vauthors = Peláez EA, Villegas ER | title = LED power reduction trade-offs for ambulatory pulse oximetry | journal = Conf Proc IEEE Eng Med Biol Soc | volume = 2007 | issue = | pages = 2296–9 | date = 2007 | pmid = 18002450 | doi = 10.1109/IEMBS.2007.4352784 }}</ref> This approximation to SaO<sub>2</sub> is designated SpO<sub>2</sub> (peripheral oxygen saturation). The pulse oximeter consists of a small device that clips to the body (typically a finger, an earlobe or an infant's foot) and transfers its readings to a reading meter by wire or wirelessly. The device uses light-emitting diodes in conjunction with a light-sensitive sensor to measure the absorption of red and infrared light in the extremity. The difference in absorption between oxygenated and deoxygenated hemoglobin makes the calculation possible.<ref name=":0" />
[[File:Wrist-oximeter.jpg|thumbnail|right|Example pulse oximeter]] Pulse oximetry is a method used to estimate the percentage of oxygen bound to [[hemoglobin]] in the blood.<ref name="Aguilar">{{cite book | vauthors = Peláez EA, Villegas ER | title = 2007 29th Annual International Conference of the IEEE Engineering in Medicine and Biology Society | chapter = LED power reduction trade-offs for ambulatory pulse oximetry | volume = 2007 | pages = 2296–99 | date = 2007 | pmid = 18002450 | doi = 10.1109/IEMBS.2007.4352784 | isbn = 978-1-4244-0787-3 | s2cid = 34626885 }}</ref> This approximation to SaO<sub>2</sub> is designated SpO<sub>2</sub> (peripheral oxygen saturation). The pulse oximeter is a small device that clips to the body (typically a finger, an earlobe or an infant's foot) and displays its reading, or transfers it to another device. Oxygenated and deoxygenated hemoglobin differ in absorption of light of different wavelengths. The oximeter uses [[light-emitting diode]]s of different wavelengths in conjunction with a light-sensitive sensor to measure the absorption of red and infrared wavelengths in the extremity, and estimates the SpO<sub>2</sub> from the absorption spectrum.<ref name=":0" />


==Medical significance==
==Medical significance==
{|class="wikitable" align="right"
|+Effects of decreased oxygen saturation<ref>{{cite web |url=http://www.mastertrain.8m.com/masterimages/2013articles/may2013/Oxygen%20research%202013/Oxymoron%20Our%20Love-Hate%20Relationship%20with%20Oxygen.pdf |title=Oxymoron: Our Love-Hate Relationship with Oxygen |last=McEvoy |first=Mike |date=November 14, 2012 |archive-url=https://web.archive.org/web/20160305005035/http://www.mastertrain.8m.com/masterimages/2013articles/may2013/Oxygen%20research%202013/Oxymoron%20Our%20Love-Hate%20Relationship%20with%20Oxygen.pdf |archive-date=March 5, 2016 |url-status= dead}}</ref>
|-
! SaO<sub>2</sub> !! Effect
|-
| 95% and above || No evidence of impairment
|-
| 80% and less || Impaired mental function on average
|-
| 75% and less ||[[Loss of consciousness]] on average
⚫
|}
Healthy individuals at sea level usually exhibit oxygen saturation values between 96% and 99%, and should be above 94%. At 1,600 meters' altitude (about one [[mile]] high) oxygen saturation should be above 92%.<ref>{{cite web | title = Normal oxygen level | work = National Jewish Health | publisher = [[MedHelp]] | date = February 23, 2009 | url = http://www.medhelp.org/posts/Respiratory-Disorders/Normal-oxygen-level/show/760829 | accessdate = 2014-01-28 }}</ref>


An SaO<sub>2</sub> (arterial oxygen saturation) value below 90% causes [[Hypoxia (medical)|hypoxia]] (which can also be caused by [[anemia]]). Hypoxia due to low SaO<sub>2</sub> is indicated by [[cyanosis]], but oxygen saturation does not directly reflect tissue oxygenation. The affinity of hemoglobin to oxygen may impair or enhance oxygen release at the tissue level. Oxygen is more readily released to the tissues (i.e., [[hemoglobin]] has a lower affinity for oxygen) when pH is decreased, body temperature is increased, arterial partial pressure of carbon dioxide (PaCO<sub>2</sub>) is increased, and 2,3-DPG levels (a byproduct of glucose metabolism also found in stored blood products) are increased. When the hemoglobin has greater affinity for oxygen, less is available to the tissues. Conditions such as increased pH, decreased temperature, decreased PaCO<sub>2</sub>, and decreased 2,3-DPG will increase oxygen binding to the hemoglobin and limit its release to the tissue.<ref>{{Cite web|url=http://www.aacn.org/WD/Practice/Docs/ch_14_PO.pdf|title=Oxygen Saturation Monitoring by Pulse Oximetry|last=Schutz|date=2001|website=American Association of Critical Care Nurses|format=PDF|url-status=dead|access-date=September 10, 2011|archiveurl=https://web.archive.org/web/20120131222646/http://www.aacn.org/WD/Practice/Docs/ch_14_PO.pdf|archivedate=January 31, 2012}}</ref>
Healthy individuals at sea level usually exhibit oxygen saturation values between 96% and 99%, and should be above 94%. At 1,600 meters' altitude (about one [[mile]] high) oxygen saturation should be above 92%.<ref>{{cite web | title = Normal oxygen level | work = National Jewish Health | publisher = [[MedHelp]] | date = February 23, 2009 | url = http://www.medhelp.org/posts/Respiratory-Disorders/Normal-oxygen-level/show/760829 | access-date = 2014-01-28 }}</ref>
An SaO<sub>2</sub> (arterial oxygen saturation) value below 90% causes [[Hypoxia (medical)|hypoxia]] (which can also be caused by [[anemia]]). Hypoxia due to low SaO<sub>2</sub> is indicated by [[cyanosis]], but oxygen saturation does not directly reflect tissue oxygenation. The affinity of hemoglobin to oxygen may impair or enhance oxygen release at the tissue level. Oxygen is more readily released to the tissues (i.e., [[hemoglobin]] has a lower affinity for oxygen) when pH is decreased, body temperature is increased, arterial partial pressure of carbon dioxide (PaCO<sub>2</sub>) is increased, and 2,3-DPG levels (a byproduct of glucose metabolism also found in stored blood products) are increased. When the hemoglobin has greater affinity for oxygen, less is available to the tissues. Conditions such as increased pH, decreased temperature, decreased PaCO<sub>2</sub>, and decreased 2,3-DPG will increase oxygen binding to the hemoglobin and limit its release to the tissue.<ref>{{Cite web|url=http://www.aacn.org/WD/Practice/Docs/ch_14_PO.pdf|title=Oxygen Saturation Monitoring by Pulse Oximetry|last=Schutz|date=2001|website=American Association of Critical Care Nurses|url-status=dead|access-date=September 10, 2011|archive-url=https://web.archive.org/web/20120131222646/http://www.aacn.org/WD/Practice/Docs/ch_14_PO.pdf|archive-date=January 31, 2012}}</ref>


==See also==
==See also==
Line 46: Line 35:


==References==
==References==
{{reflist|30em}}
{{Reflist|30em}}


==External links==
==External links==
Line 52: Line 41:


{{Respiratory physiology}}
{{Respiratory physiology}}
{{Authority control}}


[[Category:Aquatic ecology]]
[[Category:Blood]]
[[Category:Blood]]
[[Category:Diagnostic intensive care medicine]]
[[Category:Diagnostic intensive care medicine]]
[[Category:Water quality indicators]]
[[Category:Diagnostic emergency medicine]]
[[Category:Diagnostic pulmonology]]
[[Category:Oxygen]]
[[Category:Oxygen]]
[[Category:Pulmonology]]
[[Category:Medical terminology]]
[[Category:Medical terminology]]

Latest revision as of 12:27, 6 June 2024

For oxygen saturation in general, see Oxygen saturation.
Blood circulation: Red = oxygenated (arteries), Blue = deoxygenated (veins)

Oxygen saturation is the fraction of oxygen-saturated haemoglobin relative to total haemoglobin (unsaturated + saturated) in the blood. The human body requires and regulates a very precise and specific balance of oxygen in the blood. Normal arterial blood oxygen saturation levels in humans are 96–100 percent.[1] If the level is below 90 percent, it is considered low and called hypoxemia.[2] Arterial blood oxygen levels below 80 percent may compromise organ function, such as the brain and heart, and should be promptly addressed. Continued low oxygen levels may lead to respiratory or cardiac arrest. Oxygen therapy may be used to assist in raising blood oxygen levels. Oxygenation occurs when oxygen molecules (O
2) enter the tissues of the body. For example, blood is oxygenated in the lungs, where oxygen molecules travel from the air and into the blood. Oxygenation is commonly used to refer to medical oxygen saturation.

Definition

[edit]
Hemoglobin saturation curve

In medicine, oxygen saturation, commonly referred to as "sats", measures the percentage of hemoglobin binding sites in the bloodstream occupied by oxygen.[3]: 370  At low partial pressures of oxygen, most hemoglobin is deoxygenated. At around 90% (the value varies according to the clinical context) oxygen saturation increases according to an oxygen-hemoglobin dissociation curve and approaches 100% at partial oxygen pressures of >11 kPa. A pulse oximeter relies on the light absorption characteristics of saturated hemoglobin to give an indication of oxygen saturation.[4]

Physiology

[edit]

The body maintains a stable level of oxygen saturation for the most part by chemical processes of aerobic metabolism associated with breathing. Using the respiratory system, red blood cells, specifically the hemoglobin, gather oxygen in the lungs and distribute it to the rest of the body. The needs of the body's blood oxygen may fluctuate such as during exercise when more oxygen is required [5] or when living at higher altitudes. A blood cell is said to be "saturated" when carrying a normal amount of oxygen.[6] Both too high and too low levels can have adverse effects on the body.[7]

Measurement

[edit]

An SaO2 (arterial oxygen saturation, as determined by an arterial blood gas test[8]) value below 90% indicates hypoxemia (which can also be caused by anemia). Hypoxemia due to low SaO2 is indicated by cyanosis. Oxygen saturation can be measured in different tissues:[8]

  • Venous oxygen saturation (SvO2) is the percentage of oxygenated hemoglobin returning to the right side of the heart. It can be measured to see if oxygen delivery meets the tissues' demands. SvO2 typically varies between 60% and 80%.[9] A lower value indicates that the body is in lack of oxygen, and ischemic diseases occur. This measurement is often used under treatment with a heart lung machine (extracorporeal circulation), and can give the perfusionist an idea of how much flow the patient needs to stay healthy.
  • Tissue oxygen saturation (StO2) can be measured by near infrared spectroscopy. Although the measurements are still widely discussed, they give an idea of tissue oxygenation in various conditions.
  • Peripheral oxygen saturation (SpO2) is typically measured at a fingertip using a pulse oximeter.

Pulse oximetry

[edit]
Main article: Pulse oximetry
Example pulse oximeter

Pulse oximetry is a method used to estimate the percentage of oxygen bound to hemoglobin in the blood.[10] This approximation to SaO2 is designated SpO2 (peripheral oxygen saturation). The pulse oximeter is a small device that clips to the body (typically a finger, an earlobe or an infant's foot) and displays its reading, or transfers it to another device. Oxygenated and deoxygenated hemoglobin differ in absorption of light of different wavelengths. The oximeter uses light-emitting diodes of different wavelengths in conjunction with a light-sensitive sensor to measure the absorption of red and infrared wavelengths in the extremity, and estimates the SpO2 from the absorption spectrum.[8]

Medical significance

[edit]

Healthy individuals at sea level usually exhibit oxygen saturation values between 96% and 99%, and should be above 94%. At 1,600 meters' altitude (about one mile high) oxygen saturation should be above 92%.[11]

An SaO2 (arterial oxygen saturation) value below 90% causes hypoxia (which can also be caused by anemia). Hypoxia due to low SaO2 is indicated by cyanosis, but oxygen saturation does not directly reflect tissue oxygenation. The affinity of hemoglobin to oxygen may impair or enhance oxygen release at the tissue level. Oxygen is more readily released to the tissues (i.e., hemoglobin has a lower affinity for oxygen) when pH is decreased, body temperature is increased, arterial partial pressure of carbon dioxide (PaCO2) is increased, and 2,3-DPG levels (a byproduct of glucose metabolism also found in stored blood products) are increased. When the hemoglobin has greater affinity for oxygen, less is available to the tissues. Conditions such as increased pH, decreased temperature, decreased PaCO2, and decreased 2,3-DPG will increase oxygen binding to the hemoglobin and limit its release to the tissue.[12]

See also

[edit]

References

[edit]
  1. ^ Kobayashi, M; Fukuda, S; Takano, KI; Kamizono, J; Ichikawa, K (June 2018). "Can a pulse oxygen saturation of 95% to 96% help predict further vital sign destabilization in school-aged children?: A retrospective observational study". Medicine. 97 (25): e11135. doi:10.1097/MD.0000000000011135. PMC 6023980. PMID 29924014. S2CID 49312513.
  2. ^ "Hypoxemia (low blood oxygen)". Mayo Clinic. mayoclinic.com. Retrieved 6 June 2013.
  3. ^ McClatchey, Kenneth D. (2002). Clinical Laboratory Medicine. Philadelphia: Lippincott Williams & Wilkins. p. 370. ISBN 9780683307511 – via Google Books.
  4. ^ "Pulse Oximetry Basic Principles and Interpretation | Iowa Head and Neck Protocols". medicine.uiowa.edu. Retrieved 2023-03-29.
  5. ^ "Understanding Blood Oxygen Levels at Rest". fitday.com. Retrieved 6 June 2013.
  6. ^ Ellison, Bronwyn. "Normal Range of Blood Oxygen Level". Livestrong.com. Retrieved 6 June 2013.
  7. ^ "Hypoxia and Hypoxemia: Symptoms, Treatment, Causes". WebMD. Retrieved 2019-03-11.
  8. ^ a b c "Understanding Pulse Oximetry: SpO2 Concepts". Philips Medical Systems. Retrieved 19 August 2016.
  9. ^ "Central Venous/Mixed Venous Oxygen Saturation | LHSC".
  10. ^ Peláez EA, Villegas ER (2007). "LED power reduction trade-offs for ambulatory pulse oximetry". 2007 29th Annual International Conference of the IEEE Engineering in Medicine and Biology Society. Vol. 2007. pp. 2296–99. doi:10.1109/IEMBS.2007.4352784. ISBN 978-1-4244-0787-3. PMID 18002450. S2CID 34626885.
  11. ^ "Normal oxygen level". National Jewish Health. MedHelp. February 23, 2009. Retrieved 2014-01-28.
  12. ^ Schutz (2001). "Oxygen Saturation Monitoring by Pulse Oximetry" (PDF). American Association of Critical Care Nurses. Archived from the original (PDF) on January 31, 2012. Retrieved September 10, 2011.
[edit]
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