Carboxyhaemoglobinaemia and pulse oximetry

Br J Anaesth. 1991 May;66(5):625-6. doi: 10.1093/bja/66.5.625.

Abstract

We compared measurements obtained with a pulse oximeter (SpO2) against values obtained from a CO-oximeter in a patient with carbon monoxide poisoning. SpO2 was equal to the sum of the oxyhaemoglobin (HbO) and carboxyhaemoglobin (HbCO) values over the range of HbCO from 30 to 1%. This confirms the experimental findings that pulse oximeters measure HbCO as HbO. The patient was treated with oxygen (FlO2 = 50%) and recovered without any sequelae. Under these circumstances, the half-life of HbCO was approximately 2 h.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Blood Gas Analysis
  • Carbon Monoxide Poisoning / blood*
  • Carbon Monoxide Poisoning / therapy
  • Carboxyhemoglobin / analysis*
  • Humans
  • Male
  • Oximetry / methods*
  • Oxygen / therapeutic use
  • Oxyhemoglobins / analysis*

Substances

  • Oxyhemoglobins
  • Carboxyhemoglobin
  • Oxygen