Hypoxia: Causes, Symptoms, Tests, Diagnosis & Treatment (2024)

What is hypoxia?

Hypoxia is when the tissues of your body don’t have enough oxygen. When you breathe, you take oxygen into your lungs, where it travels through your airways out into small sacks called alveoli. From there, it gets picked up by your blood in small vessels that travel close to the alveoli (capillaries). Finally, it travels through your blood out to other tissues.

You can think of oxygen as billions of passengers flying into the airport (your lungs). They get picked up at the gate and get on the highway (blood vessels) to be taken to their destination (your tissues). As the oxygen gets dropped off, it makes room for a different passenger to be picked up: carbon dioxide. Carbon dioxide is a waste product, which is then taken back to your lungs and exits your body when you breathe out.

If not enough oxygen gets through at any place on the journey, it can lead to hypoxia. Airflow and blood flow are both important to the process. This is why lung disease and heart disease both increase your risk of hypoxia. Someone who experiences hypoxia is called hypoxic.

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Hypoxia vs. hypoxemia: What’s the difference?

You may hear the words hypoxia and hypoxemia used interchangeably, but they aren’t the same. The names sound similar because they both involve a lack of oxygen but in different parts of your body.

Hypoxia is low oxygen levels in the tissues and hypoxemia is low oxygen levels in the blood. Hypoxia is often caused by hypoxemia but not always. You can be hypoxic but not hypoxemic and vice versa.

Who does hypoxia affect?

Any condition that reduces the amount of oxygen in your blood or restricts blood flow can cause hypoxia. People living with heart or lung diseases such as COPD, emphysema or asthma, are at an increased risk for hypoxia. Some infections, like pneumonia, influenza and COVID-19 can also increase your risk of hypoxia.

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What is hypoxia and what does it do to the body?

Your cells need oxygen to produce energy and help your organs and tissues to do their jobs. While some of your tissues can adjust to temporary dips in oxygen levels, prolonged hypoxia can cause organ damage. Brain and heart damage are particularly dangerous and can lead to death. Lack of oxygen to your brain is called cerebral hypoxia.

Hypoxia: Causes, Symptoms, Tests, Diagnosis & Treatment (2024)

FAQs

What is the diagnostic test for hypoxia? ›

This is called an arterial blood gas test. Most often, the amount of oxygen carried by red blood cells, called oxygen saturation, is measured first. It is measured with a medical device that clips to the finger, called a pulse oximeter. Healthy pulse oximeter values often range from 95% to 100%.

What are the symptoms of hypoxia in patients? ›

Restlessness is an early sign of hypoxia. An elevated heart rate (above 100 beats per minute in adults) can be an early sign of hypoxia. An increased respiration rate (above 20 breaths per minute in adults) is an indication of respiratory distress. Shortness of breath is a subjective symptom of not getting enough air.

What is the primary treatment for hypoxia? ›

Oxygen is initially started at a low concentration (2 L/min) using nasal prongs. Then the flow is titrated up to maintain oxygen saturation of 92% or greater. Selection of delivery system is based on the level of oxygen support required (controlled or non-controlled), the severity of hypoxia, and the disease process.

What are the 4 types of hypoxia? ›

Hypoxia is actually divided into four types: hypoxic hypoxia, hypemic hypoxia, stagnant hypoxia, and histotoxic hypoxia. No matter what the cause or type of hypoxia you experience, the symptoms and effects on your flying skills are basically the same.

What is the first symptom of hypoxia? ›

Early signs of hypoxia are anxiety, confusion, and restlessness; if hypoxia is not corrected, hypotension will develop. As hypoxia worsens, the patient's vital signs, activity tolerance, and level of consciousness will decrease.

What is silent hypoxia symptoms? ›

Possible signs of silent hypoxia include mild COVID symptoms for a couple of days before a dramatic tightening of the chest, pain when trying to take deep breaths, profuse sweating for no reason, and blue lips or a change of color in the skin, ranging from cherry red to blue.

Can a patient recover from hypoxia? ›

A full recovery from severe anoxic or hypoxic brain injury is rare, but many patients with mild anoxic or hypoxic brain injuries are capable of making a full or partial recovery. Furthermore, symptoms and effects of the injury are dependent on the area(s) of the brain that was affected by the lack of oxygen.

What does low oxygen feel like? ›

Hypoxemia is low levels of oxygen in your blood. It causes symptoms like headache, difficulty breathing, rapid heart rate and bluish skin. Many heart and lung conditions put you at risk for hypoxemia. It can also happen at high altitudes.

How long does it take to recover from hypoxia? ›

Full recovery of most cognitive and physiological indices, however, appear much sooner and typically within ~2–4 hours. Based on these findings, there is evidence to support a 'hypoxia hangover' and a need to implement restrictions following acute hypoxic exposures.

How do you recover from hypoxia? ›

What are the treatments for cerebral hypoxia? Healthcare providers start treatment by identifying the underlying cause and restoring the flow of oxygen to your brain, like using mechanical ventilation to help you breathe or treatments to help oxygen-rich blood flow to your brain.

How can I raise my oxygen level quickly? ›

Increasing your oxygen flow
  1. Breathe in fresh air.
  2. Quit smoking.
  3. Practice breathing exercises.
  4. Get more exercise.
  5. Improve your posture.

What is the most common cause of hypoxemia? ›

Characteristic features of ventilation/perfusion mismatch

Some common causes of hypoxemia due to V/Q mismatch include asthma, COPD, bronchiectasis, cystic fibrosis, interstitial lung diseases (ILDs), and pulmonary hypertension.

What organ is most affected by hypoxia? ›

Taken together, the liver, kidney and brain are the three main organs of the body that are strongly respond to acute hypoxia, and the liver exhibited the highest hypoxic sensitivity.

What organ is most susceptible to hypoxia? ›

Per gram of tissue, the kidneys are among our most highly perfused organs. Yet the renal cortex and, in particular, the renal medulla are susceptible to hypoxia. In turn, hypoxia is a major pathophysiological feature of both acute kidney injury and chronic kidney disease.

What is the diagnostic test for oxygenation? ›

Pulse oximetry

A pulse oximeter can also measure blood oxygen saturation levels through a small clip that's usually placed on your finger or toe. An oximeter reading only indicates what percentage of your blood is saturated with oxygen, known as the SpO2 level, as well as your heart rate.

What is the marker for hypoxia? ›

PDK1 (pyruvate dehydrogenase kinase 1) is a molecule whose expression is dependent upon HIF-1a expression. It is therefore, a marker of hypoxia, and it is responsible for moving glucose through the glycolysis pathway - an anerobic metabolic route - so that ATP can still be produced for the body's energy needs2.

What are the blood markers for hypoxia? ›

A multitude of studies has concluded that the proteins HIF-1α, BNIP3, PDK1, and GLUT1 can be used as markers to detect hypoxia.

Can you check hypoxia with a pulse oximeter? ›

An important purpose of pulse oximetry is to determine whether a patient is normoxic or hypoxic.

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