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Online Medical Tools — SpO₂ to PaO₂

Printed on 2/13/2026

For informational purposes only. This is not medical advice.


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SpO₂ to PaO₂

This tool estimates the partial pressure of arterial oxygen (PaO₂) from pulse oximetry oxygen saturation (SpO₂) values based on the oxygen-hemoglobin dissociation curve. While an ABG is needed for precise PaO₂ measurement, this converter provides a clinically useful estimate. The relationship is sigmoidal — SpO₂ drops rapidly once PaO₂ falls below 60 mmHg.

Formula: Approximation based on the oxygen-hemoglobin dissociation curve (Severinghaus equation)

%

Disclaimer: This tool is for educational and informational purposes only. It is not a substitute for professional medical advice, diagnosis, or treatment. Always consult a qualified healthcare provider with questions about your health.

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Frequently Asked Questions

How does SpO₂ relate to PaO₂?

The oxygen-hemoglobin dissociation curve describes this relationship. It is sigmoidal: SpO₂ 97% ≈ PaO₂ 95 mmHg, SpO₂ 90% ≈ PaO₂ 60 mmHg, SpO₂ 75% ≈ PaO₂ 40 mmHg. The steep portion of the curve means small PaO₂ changes below 60 mmHg cause large SpO₂ drops.

Why is PaO₂ 60 mmHg a critical threshold?

At PaO₂ ~60 mmHg, SpO₂ is approximately 90%. Below this point, the dissociation curve becomes steep, meaning even small further decreases in PaO₂ cause rapid oxygen desaturation. This is why SpO₂ 90% is often used as a clinical threshold for supplemental oxygen.

What affects the accuracy of this estimate?

The actual curve can shift with temperature (rightward shift with fever), pH (Bohr effect), 2,3-DPG levels, carbon monoxide exposure, methemoglobinemia, and certain hemoglobin variants. Pulse oximetry itself can be inaccurate in poor perfusion, dark nail polish, anemia, and dark skin pigmentation.

When should I get an ABG instead?

ABG is preferred when: precise PaO₂ is needed, CO poisoning is suspected (SpO₂ is falsely normal), acid-base status is needed, ventilator management requires accurate data, or pulse oximetry readings are unreliable.