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editorial
. 2021 Sep 28;64(4):222–225. doi: 10.11622/smedj.2021134

Box 1.

Possible causes of low oxygen saturation (SpO2) detection on pulse oximetry.[41]

Falsely low readings True hypoxaemia
Abnormal haemoglobin variants Hypoxia (e.g. carbon monoxide poisoning)

Methemoglobinaemia Hypoventilation

Nail polish Right-to-left shunting (e.g. ventricular septal defect)

Movement artefacts Ventilation and perfusion mismatch (e.g. decompensated heart failure, asthma)

Vasoconstriction/peripheral hypoperfusion Diffusion defects