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Respiratory Anaesthesia / Critical Care Emergency Medicine Standard physiological calculation

Arterial Oxygen Content (CaO₂)

Calculates total arterial oxygen content — oxygen bound to haemoglobin plus dissolved in plasma. Used to assess oxygen delivery (DO₂ = CaO₂ × CO × 10).

Used in: Anaemia

Score interpretation

Low Oxygen Content 0–15

CaO₂ < 15 mL/dL: Reduced arterial oxygen content. May indicate anaemia, hypoxaemia, or impaired oxygen binding.

→ Identify cause: anaemia (transfuse if Hb < 7 g/dL or symptomatic), hypoxaemia (increase FiO₂, CPAP, ventilation), methaemoglobinaemia. Consider oxygen delivery calculation (DO₂ = CaO₂ × CO × 10).

Normal Oxygen Content 15–22

CaO₂ 15–22 mL/dL: Normal arterial oxygen content.

→ Adequate oxygenation. Ensure sufficient cardiac output. Monitor VO₂ if critically ill.

Elevated — Possible Polycythaemia ≥ 22

CaO₂ > 22 mL/dL: Elevated. Consider polycythaemia.

→ Consider polycythaemia vera, secondary polycythaemia (COPD, high altitude, EPO use). Investigate haematology. Hyperviscosity risk.

Interpretation bands for the CaO₂. Apply clinical judgement and local guidance.

References

Related

Curated clinical cross-links plus same-class fallbacks.

Decision support only — verify against a current formulary, NICE, or your local guideline before clinical use.