8-4 
 
8.5 Measurement Limitations 
If you doubt the measured SpO
2
, check patient vital signs first. Then check the patient 
ventilator and SpO
2
 sensor. The following factors may influence the accuracy of 
measurement:  
  Ambient light 
  Physical movement (patient and imposed motion) 
  Diagnostic testing 
  Low perfusion 
  Electromagnetic interference, such as MRI environment 
  Electrosurgical units 
  Dysfunctional haemoglobin, such as carboxyhemoglobin (COHb) and methemoglobin 
(MetHb) 
  Presence of certain dyes, such as methylene and indigo carmine   
  Inappropriate positioning of the SpO
2
 sensor, or use of incorrect SpO
2
 sensor 
  Drop of arterial blood flow to immeasurable level caused by shock, anemia, low 
temperature or vasoconstrictor.