The effect of nail polish on pulse oximetry measurements – a pilot study in female volunteers
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1
Students’ Scientific Society, Department of Anaesthesiology and Intensive Care, Faculty of Medical Sciences in Katowice, Medical University of Silesia, Katowice, Poland
2
Department of Anaesthesiology and Intensive Care, Faculty of Medical Sciences in Katowice, Medical University of Silesia, Katowice, Poland
Corresponding author
Tomasz Cyganek
Studenckie Koło Naukowe przy Klinice Anestezjologii i Intensywnej Terapii, Wydział Nauk Medycznych w Katowicach, Śląski Uniwersytet Medyczny w Katowicach, ul. Medyków 14, 40-752 Katowice, tel. +48 533 637 312
Ann. Acad. Med. Siles. 2022;76:91-95
KEYWORDS
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ABSTRACT
Introduction:
It is recommended to remove all nail polish before hospital admission to prevent erroneous oximeter readings. Although studies on the effect of color and type of nail polish on pulse oximetry are scarce, some differences were observed depending on the color of nail varnish. In this study we sought to evaluate the impact of the type and color of nail polish on saturation (SpO2) values in healthy female volunteers.
Material and methods:
169 females with nail polish applied to nails had their SpO2 measured with a pulse oximeter. After five minutes of rest, SpO2 was assessed from a finger and, as control, from an earlobe. The differences were subjected to statistical analysis.
Results:
169 paired measurements were obtained. Statistically significant differences were observed for enameled (p < 0.01) and hybrid (p < 0.01), but not for gel (p = 0.25) nails. As far as the colors are concerned, beige (p < 0.01), red (p < 0.01) and violet (p = 0.047) cover had a significant impact on the SpO2 readings. The differences in the measurements were 1%.
Conclusions:
Classic nail polish, hybrid polish, and the colours beige, red and violet may affect SpO2 readings but this effect is low and of no clinical significance.
REFERENCES (24)
1.
Fouzas S., Priftis K.N., Anthracopoulos M.B. Pulse oximetry in pediatric practice. Pediatrics 2011; 128(4): 740–752, doi: 10.1542/peds.2011-0271.
2.
Chan E.D., Chan M.M., Chan M.M. Pulse oximetry: Understanding its basic principles facilitates appreciation of its limitations. Respir. Med. 2013; 107(6): 789–799, doi: 10.1016/j.rmed.2013.02.004.
3.
Sütçü Çiçek H., Gümüs S., Deniz Ö., Yildiz S., Açikel C.H., Çakir E. et al. Effect of nail polish and henna on oxygen saturation determined by pulse oximetry in healthy young adult females. Emerg. Med. J. 2011; 28(9): 783–785, doi: 10.1136/emj.2010.096073.
4.
Callahan J.M. Pulse oximetry in emergency medicine. Emerg. Med. Clin. North Am. 2008; 26(4): 869–879, doi: 10.1016/j.emc.2008.08.006.
5.
Eisenkraft J.B. Pulse oximeter desaturation due to methemoglobinemia. Anesthesiology 1988; 68(2): 279–282, doi: 10.1097/00000542-198802000-00018.
6.
Barker S.J., Tremper K.K. The effect of carbon monoxide inhalation on pulse oximetry and transcutaneous Po2. Anesthesiology 1987; 66(5): 677–679, doi: 10.1097/00000542-198705000-00014.
7.
New W. Pulse oximetry versus measurement of transcutaneous oxygen. J. Clin. Monit. 1985; 1(2): 126–129, doi: 10.1007/BF02832200.
8.
Hanowell L., Eisele J.H., Downs D. Ambient light affects pulse oximeters. Anesthesiology 1987; 67(5): 864–865, doi: 10.1097/00000542-198711000-00057.
9.
Schnapp L.M., Cohen N.H. Pulse oximetry: uses and abuses. Chest 1990; 98(5): 1244–1250, doi: 10.1378/chest.98.5.1244.
10.
Coté C.J., Goldstein E.A., Fuchsman W.H., Hoaglin D.C. The effect of nail polish on pulse oximetry. Anesth. Analg. 1988; 67(7): 683–686.
11.
Rubin A.S. Nail polish color can affect pulse oximeter saturation. Anesthesiology 1988; 68(5): 825, doi: 10.1097/00000542-198805000-00049.
12.
Yamamoto L.G., Yamamoto J.A., Yamamoto J.B., Yamamoto B.E., Yamamoto P.P. Nail polish does not significantly affect pulse oximetry measurements in mildly hypoxic subjects. Respir. Care 2008; 53(11): 1470–1474.
13.
Hinkelbein J., Koehler H., Genzwuerker H.V., Fiedler F. Artificial acrylic finger nails may alter pulse oximetry measurement. Resuscitation 2007; 74(1): 75–82, doi: 10.1016/j.resuscitation.2006.11.018.
14.
Yek J.L.J., Abdullah H.R., Goh J.P.S., Chan Y.W. The effects of gel-based manicure on pulse oximetry. Singapore Med. J. 2019; 60(8): 432–435, doi: 10.11622/smedj.2019031.
15.
Kataria B.K., Lampkins R. Nail polish does not affect pulse oximeter saturation. Anesth. Analg. 1986; 65(7): 824, doi: 10.1213/00000539-198607000-00029.
16.
Brand T.M., Brand M.E., Jay G.D. Enamel nail polish does not interfere with pulse oximetry among normoxic volunteers. J. Clin. Monit. Comput. 2002; 17(2): 93–96, doi: 10.1023/a:1016385222568.
17.
Diccini S., Pereira E.M., Im S.Y., Shida L.Y., de Cássia Bettencourt A.R. Evaluation of pulse oximetry measurements in healthy subjects with nail polish. Acta Paul. Enferm. 2011; 24(6): 784–788, doi: 10.1590/S0103-21002011000600009.
18.
Chan M.M., Chan M.M., Chan E.D. What is the effect of fingernail polish on pulse oximetry? Chest 2003; 123(6): 2163–2164, doi: 10.1378/chest.123.6.2163.
19.
Rodden A.M., Spicer L., Diaz V.A., Steyer T.E. Does fingernail polish affect pulse oximeter readings? Intensive Crit. Care Nurs. 2007; 23(1): 51–55, doi: 10.1016/j.iccn.2006.08.006.
20.
Hinkelbein J., Genzwuerker H.V., Sogl R., Fiedler F. Effect of nail polish on oxygen saturation determined by pulse oximetry in critically ill patients. Resuscitation 2007; 72(1): 82–91, doi: 10.1016/j.resuscitation.2006.06.024.
21.
Severinghaus J.W., Naifeh K.H., Koh S.O. Errors in 14 pulse oximeters during profound hypoxia. J. Clin. Monit. 1989; 5(2): 72–81, doi: 10.1007/BF01617877.
22.
Severinghaus J.W., Spellman M.J. Jr. Pulse oximeter failure thresholds in hypotension and vasoconstriction. Anesthesiology 1990; 73(3): 532–537, doi: 10.1097/00000542-199009000-00025.
23.
Jay G.D., Hughes L., Renzi F.P. Pulse oximetry is accurate in acute anemia from hemorrhage. Ann. Emerg. Med. 1994; 24(1): 32–35, doi: 10.1016/s0196-0644(94)70158-x.
24.
Miyake M.H., Diccini S., de Cássia Bettencourt A.R. Interference of nail polish colors and time on pulse oximetry in healthy volunteers. J. Pneumol. 2003; 29(6): 386–390, doi: 10.1590/S0102-35862003000600011.