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How It Works: Pulse Oximeter

The pulse oximeter allows pilots to monitor the oxygen saturation of hemoglobin in their blood, an invaluable tool when climbing above 10,000 feet.
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Illustration by Tim Barker
Gemini Sparkle

Key Takeaways:

  • A pulse oximeter allows pilots to monitor blood oxygen saturation by measuring the absorption of specific wavelengths of light by oxygenated and reduced hemoglobin.
  • Pilots should aim to keep their blood-oxygen level above 90% during flight (ideally 95% or higher with a mask), compared to a ground level of approximately 98%.
  • When using a cannula, pilots are advised to relax and breathe through their nose, especially when talking or exerting themselves, to help maintain optimal oxygen saturation.
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The use of a pulse oximeter allows pilots to monitor the oxygen saturation of hemoglobin in their blood. How a pulse oximeter works is pretty ingenious. Rather than directly measuring hemoglobin concentration, the small device, which costs about $40 and can be purchased online, takes constant measurements of the absorption of specific wavelengths of light in oxygenated hemoglobin. Blood is red due to the quality of oxyhemoglobin it contains, causing it to absorb light of certain wavelengths. The pulse oximeter incorporates two LEDs, one red and one infrared. Infrared light is absorbed by the oxyhemoglobin and red light by the reduced hemoglobin. The oxygen saturation of the blood determines the degree of light absorption, and the result is shown on a digital display of oxygen saturation on the pulse oximeter’s screen.

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