General
pink puffer
What does pink puffer mean?
A patient with emphysema-predominant COPD who maintains oxygenation by increased respiratory effort, remaining pink but breathless.
"Classic pink puffer — thin, pursed-lip breathing, sats holding."
Origin
Clinical descriptor turned bedside shorthand; contrasted with 'blue bloater.'
Frequently asked questions
What is a 'pink puffer'?
A patient with emphysema-type COPD who keeps their blood oxygen up by breathing hard, so they stay pink but are visibly breathless.
What's the difference between a pink puffer and a blue bloater?
A pink puffer stays pink through extra breathing effort; a blue bloater is cyanosed (blue) and fluid-overloaded with chronic bronchitis.
Is 'pink puffer' a real medical term?
It's a classic teaching descriptor that crossed into informal bedside use; it describes a recognisable clinical picture.
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