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Pulse Oxygen Saturation (Arterial)

Immunology & Autoimmune

Pulse oximetry (arterial oxygen saturation)SpO2

Review status

Currently under review

Pending specialist review and validation.

What it shows

This test estimates the percentage of oxygen carried by your red blood cells in arterial blood using a pulse oximeter. A small sensor placed on a finger, toe, or ear shines light through your tissue and analyzes how much is absorbed to estimate how much hemoglobin is bound to oxygen.

It provides a quick, noninvasive snapshot of how well your lungs are transferring oxygen into your bloodstream and how effectively your heart and circulation are delivering it to your body. Clinicians use it in clinics, hospitals, and at home to monitor oxygenation in real time.

Why it matters

Your oxygen saturation helps your care team assess breathing problems, guide oxygen therapy, and track response to treatment. It is commonly checked if you have symptoms like shortness of breath, chest discomfort, or changes in mental alertness, and during procedures that may affect breathing such as sedation or anesthesia.

It is also useful in monitoring chronic lung and heart conditions, infections that affect the lungs, and recovery after surgery. Knowing your saturation can alert clinicians to problems early so they can adjust oxygen, medications, or other support to keep you safe.

Understanding your results

Interpretation depends on your overall health, symptoms, and the clinical setting. A reading that is lower than expected for you may suggest that your lungs are not moving enough oxygen into your blood or that blood flow to the sensor site is reduced. If results are unexpected, your clinician may repeat the test, check the sensor placement, warm the hand, or compare with another site.

If low or changing results persist, your clinician may order additional tests, such as an arterial blood gas or imaging, and consider treatments like supplemental oxygen or therapies targeted to the underlying cause. Seek urgent care if you have severe shortness of breath, chest pain, confusion, or bluish discoloration of lips or fingers.

Reference ranges

0.951 fraction
All sexes
0 days – 150 years

Reference intervals vary by laboratory, analyzer, methodology, population, and units. The ranges shown here are for education only. Always interpret your results against the reference interval printed on your own lab report.

Factors that could impact Pulse Oxygen Saturation (Arterial)

  • Poor circulation at the sensor site

    Cold hands, shock, or peripheral vascular disease can reduce blood flow and make the reading unreliable. Warming the site or moving the sensor can help.

  • Movement and sensor placement

    Motion, an ill‑fitting probe, or ambient light leaking into the sensor can cause erratic readings. Keep still and ensure the probe is snug and properly aligned.

  • Nail polish, dyes, and skin products

    Dark nail polish, artificial nails, henna, or certain dyes can interfere with light transmission and skew results. Remove polish or use an alternate site.

  • Dyshemoglobins and smoking

    Carboxyhemoglobin from smoking and methemoglobin from some drugs can cause falsely elevated or altered readings. Your clinician may confirm with a blood test.

  • Anemia and hemoglobin variants

    Anemia and some inherited hemoglobin types can affect oxygen delivery without proportionally changing the saturation reading. Clinical context is essential.

  • Altitude and ambient oxygen

    Higher altitude or low ambient oxygen conditions can lower readings even in healthy people. Interpretation should consider your usual environment.

2026

References

  1. McGill University Health Centre. (2015, July 03). Pulse SatO2 Arterial (Task CD 1088516). Laboratory reference ranges.
  2. O'Driscoll, B. R., Howard, L. S., Earis, J., & Mak, V. (2017). BTS guideline for oxygen use in adults in healthcare and emergency settings. Thorax, 72(Suppl 1), ii1–ii90.