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Pulse oximetry is actually a noninvasive approach to check someone’s oxygen saturation (SO2). Even though reading of peripheral oxygen saturation (SpO2) from gas examination in arterial blood may not be the same as the much more ideal reading of arterial oxygen saturation (SaO2) from arterial blood gas analysis, the two data correlate very well, so pulse oximetry is really a risk-free, easy, noninvasive, and cheap way of measuring oxygen saturation in clinical use.
The sensor is applied on the thin area of the patient’s body, normally a fingertip or earlobe, or over the foot in the case of an infant. In the most normal method of application (transmissive), the device delivers two wavelengths of light to a photodetector via the body part. It determines absorbances caused merely by pulsating arterial blood, excluding venous blood, skin, bone tissue, muscle, fat, and (generally) nail polish, by determining the absorbance that is made to differ over each one of the wavelengths.
A less well-known substitute for transmissive pulse oximetry is reflection pulse oximetry. This approach will not involve a thin part of the person’s body, so that it is ideal for general applications including the feet, forehead, and upper body, however it does have some drawbacks. Due to affected venous return to the heart, vasodilation and clumping of venous blood in the head may induce a combination of arterial and venous pulses in the forehead area, causing erroneous O2 readings. During anesthesia with endotracheal intubation and mechanical ventilation, or in patients in theTrendelenburg position, such circumstances may take place.
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