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Pulse oximetry is a noninvasive way to check someone’s oxygen saturation (SO2). Even though the studying of peripheral oxygen saturation (SpO2) from gas analysis in arterial blood may not be just like the far more favorable reading of arterial oxygen saturation (SaO2) from arterial blood gas analysis, both information correlate very well, so pulse oximetry is really a safe, straightforward, noninvasive, and cheap technique for determining oxygen saturation in clinical use.
The sensor is applied on a thin area of the patient’s body, generally a fingertip or earlobe, or across the foot in the case of an infant. In the most common setting of application (transmissive), the machine sends two wavelengths of light to a photodetector via the body part. It can determine absorbances caused just by pulsating arterial blood, excluding venous blood, skin, bone, muscle, body fat, and (typically) nail polish, by measuring the absorbance that is made to vary over each one of the wavelengths.
A significantly less popular option to transmissive pulse oximetry is reflection pulse oximetry. This method is not going to involve a thin part of the person’s body, so that it is suitable for general use such as the feet, forehead, and torso, but it does have some disadvantages. As a result of affected venous return to the heart, vasodilation and clumping of venous blood in the head may trigger a combination of arterial and venous pulses in the forehead region, resulting in erroneous O2 results. In the course of anesthesia with endotracheal intubation and mechanical ventilation, or in people in theTrendelenburg position, such circumstances may take place.
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