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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]
Dissolved oxygen levels required by various species in the Chesapeake Bay (US). In aquatic environments, oxygen saturation is a ratio of the concentration of "dissolved oxygen" (DO, O 2), to the maximum amount of oxygen that will dissolve in that water body, at the temperature and pressure which constitute stable equilibrium conditions.
A pulse oximeter probe applied to a person's finger. A pulse oximeter is a medical device that indirectly monitors the oxygen saturation of a patient's blood (as opposed to measuring oxygen saturation directly through a blood sample) and changes in blood volume in the skin, producing a photoplethysmogram that may be further processed into other measurements. [4]
The functional oxygen saturation measured by this procedure is the basis for calibrating pulse oximeters. Pulse oximeters cannot be calibrated using physical procedures, but only by directly comparing the reported measurements and the parallel arterial oxygen saturation measured by hemoximetry in a group of healthy subjects. [citation needed]
An ABG test measures the blood gas tension values of the arterial partial pressure of oxygen (PaO2), and the arterial partial pressure of carbon dioxide (PaCO2), and the blood's pH. In addition, the arterial oxygen saturation (SaO2) can be determined. Such information is vital when caring for patients with critical illnesses or respiratory disease.
Samples from the earlobe are seen to be a more appropriate site for the prediction of the arterial partial pressure of oxygen. [3] Blood gas tests also measure the levels of bicarbonate and standard bicarbonate, base excess, oxygen saturation, and pH. Typically, an arterial blood gas test is used more often than venous blood gas tests. [4]
To perform the test, one set of electrodes are placed on viable tissue (e.g. the chest) as a control and a second set is placed around the tissue in question (e.g. legs or feet). The electrodes may mildly heat the skin to increase blood flow into the area. Oxygen may also be given to the patient to see if that increases oxygen levels in the tissue.
Hypoxemia is usually defined in terms of reduced partial pressure of oxygen (mm Hg) in arterial blood, but also in terms of reduced content of oxygen (ml oxygen per dl blood) or percentage saturation of hemoglobin (the oxygen-binding protein within red blood cells) with oxygen, which is either found singly or in combination. [2] [5]