Resting SpO2

General Discussion on any topic relating to CPAP and/or Sleep Apnea.
jonquiljo
Posts: 484
Joined: Mon Aug 30, 2010 7:22 pm
Location: SF Bay area (Marin)

Resting SpO2

Post by jonquiljo » Fri Nov 05, 2010 3:39 am

I have been checking my O2 levels with 2 different home oximeters and find that my resting O2 (wile sitting is 93-96) - an it is about the same when I am sleeping (sometimes 91-93).

As background, I am 57, in good shape, exercise regularly (cardio), have a stress echocardiogram every year which is flawless. I have no known heart disease or lung disease. I feel great - well - as great as anyone can these days.

I read that the norm is 95 and higher. This makes me wonder. Either the following ...

1.) I have an unknown respiratory problem.
2.) the oximeters are not that accurate.
3.) my numbers are fine.
4.) I never read perfectly because I have "pitted" fingernails - from psoriasis - I've been told it is quite common.

Any ideas? Thanks.

jweeks
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Location: Minneapolis, MN
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Re: Resting SpO2

Post by jweeks » Fri Nov 05, 2010 6:11 am

Hi,

Do you know what your O2 level was during your sleep study? If that wasn't too long ago, maybe you could use that as a data point to help calibrate what you are seeing now.

If it is a sensor problem, it would be interesting to try a different kind of meter. During my last sleep study, they used a sensor that clipped to my ear lobe. That would eliminate any fingernail issue getting in the way.

I have pretty severe asthma. I see numbers in the 92 to 94 range at rest. When I use my CPAP machine, those numbers jump up to around 96 on average.

-john-

HoseCrusher
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Joined: Tue Oct 12, 2010 6:42 pm

Re: Resting SpO2

Post by HoseCrusher » Fri Nov 05, 2010 11:49 am

Jonguiljo, you can eliminate any errors from pitted fingernails by simply turning the pulse oximeter sideways. You may have to go down a finger or two to get a good fit because most fingers are wider than tall.

I find that I have a 3 - 4% drop while driving. When I have brought this up with various medical professionals, they have indicated that this is not significant. The goal seems to be to stay above 90% (or 88% at higher elevations).

I am now practicing breathing patterns to improve my saturation while driving, and it does improve things.

I would guess that your numbers are fine, however, you may be able to get a little higher saturation by practicing proper breathing. I find it informative to monitor during different activities and see what happens.

_________________
Mask: Brevida™ Nasal Pillow CPAP Mask with Headgear
Additional Comments: Machine is an AirSense 10 AutoSet For Her with Heated Humidifier.
SpO2 96+% and holding...

jonquiljo
Posts: 484
Joined: Mon Aug 30, 2010 7:22 pm
Location: SF Bay area (Marin)

Re: Resting SpO2

Post by jonquiljo » Fri Nov 05, 2010 1:52 pm

Well, I just tried it (2 different oximeters) and got 96-97%. It's the morning for me (I have a skewed sleep schedule). By the end of the day - I think it drops a bit due to stress (lots of it around here these days).

The fingernail problem doesn't seem to be one after all.

I have looked at my old oximeter data and I tend to sleep at 93%. My sleep test was a take home test and the machine recorded 94-95%. So everything is within range. I sleep much much deeper now (post cpap) so maybe that's why the averages are a tad lower. I really am shut down resting.

Either way I think you're right - the numbers are not significantly low to worry about.