SpO₂

SpO₂ (Peripheral Saturation of Pulmonary O₂) refers to the oxygen saturation level measured in peripheral tissues (usually the fingertips or earlobes) using a pulse oximeter.

Key Points About SpO₂:

  • Normal Range95–100% (at sea level, in healthy individuals).
    • 90–94%: May indicate mild hypoxia (concerning in some patients).
    • < 90%: Considered hypoxemia (requires medical attention).
  • Measurement Method: Uses light absorption (red & infrared) to estimate oxygen bound to hemoglobin.
  • Limitations:
    • Less accurate in poor circulation, nail polish, dark skin pigmentation, or motion artifacts.
    • Does not measure CO₂ or ventilation efficiency (for that, an arterial blood gas (ABG) test is needed).

Causes of Low SpO₂:

  • Respiratory conditions (COPD, pneumonia, asthma, COVID-19).
  • Cardiac issues (heart failure, congenital defects).
  • High altitude (reduced atmospheric O₂).
  • Anemia or carbon monoxide poisoning (misleadingly normal/high SpO₂ in CO poisoning).