Interference of nail polish on the peripheral oxygen saturation in patients with lung problems during exercise

Shimoya-Bittencourt, Walkiria; Pereira, Carlos Alberto de Castro; Diccini, Solange; Bettencourt, Ana Rita de Cássia

doi:10.1590/s0104-11692012000600020

Cited by 3 publications

(4 citation statements)

References 16 publications

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“…Shimoya et al had a study on 42 patients with stable COPD using 4 different colors of nail polish to observe the effect of SpO2. Their result was light pink and red color nail polish did not affect SpO2 readings 18. …”

mentioning

confidence: 85%

Effect of Red Nail Polish on Pulse Oximetry Reading

Hossain¹,

Rahman

Khatun³

et al. 2021

KYAMC j.

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Background: Pulse oximetry is a beat-to-beat, non-invasive and virtually risk-free method of assessing continuous arterial hemoglobin saturation. It is now a standard for monitoring care in the operating room and the post-anesthesia care unit. It is also widely used in the critical care setting. Numerous factors including dark skin, pigmentation, henna dye, nail polish etc. could lead to inaccuracy or ambiguous information about oxygen saturation. In many cultures, women decorate their fingernails with different colors of nail polish. Objectives: The purpose of this study was to determine the effect of red nail polish on the measurement of oxygen saturation. Materials and Methods: One hundred young women were recruited for this study and red nail polish was used to color the index finger of the non-dominant hand; the middle finger of the same hand was the control. Blood oxygen saturation was simultaneously measured by two calibrated pulse oximeters with two minutes interval for 30 minutes. Results: Red nail polish did not affect pulse oximetry measurement of oxygen saturation. There was no statistically significant difference between the control and the red nail polished fingers. Conclusion: Application of red nail polish does not cause statistically significant error in the measurement of oxygen saturation in young healthy individuals. KYAMC Journal Vol. 11, No.-4, January 2021, Page 181-183

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mentioning

confidence: 85%

Effect of Red Nail Polish on Pulse Oximetry Reading

Hossain¹,

Rahman

Khatun³

et al. 2021

KYAMC j.

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“…[23] Privileges of pulse oximetry for assessing oxygenation of patients are safety, low expense, no need of specialist, short time results, and no need of blood sampling. [24]…”

Section: Introductionmentioning

confidence: 99%

“…Although pulse oximetry is simple, it may give incorrect and unreliable results (diagnostic errors) in some conditions such as oxygen saturation below 70%, nail polish, environment light (e.g., operation lamp, florescent lamp, fiber devices), movement of sensor, incompatibility of sensor with device, shock with decline in tissue perfusion, skin pigmentation, carboxy hemoglobin, methemoglobin, anemia, raised blood lipids, raised blood bilirubin, no calibration of device, and intravenously injected dye. [45] Since pulse oximeter probes are most commonly applied over the fingernails, it has been a concern that nail polish may hinder light transmission. [6] Some studies indicated clinically significant decline in oxygen saturation (5%–10%) due to nail polish,[789] whereas some of them have demonstrated the accuracy of pulse oximetry measurement even with black, blue, and purple nail polish.…”

Section: Introductionmentioning

confidence: 99%

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Effect of glittered nail polish on pulse oximetry measurements in healthy subjects

Yeganehkhah

Dadkhahtehrani

Bagheri

et al. 2019

Iranian J Nursing Midwifery Res

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Background:Pulse oximeter is a simple and noninvasive standard device to monitor the saturation of peripheral oxygen (SpO2) and heart rate. The nail polish of different colors may result in inaccurate oximetry reading and interpretation of oxygen saturation. This study aimed at determining the effect of different colors of glittered nail polish on SpO2 in healthy students.Materials and Methods:This is a randomized clinical trial on 30 healthy students with SpO2 ≥95% and without any complications on nail beds and environmental perfusion. SpO2 was measured on 10 fingers of the participants after sitting and resting on a seat for 10 min in a room with normal temperature. Then they were asked to apply 10 colors of glittered nail polish randomly to their fingernails as all colors were used. After drying the two-layer nail polish, SpO2 was measured again.Results:Of 10 glittered nail-polishes, dark green and purple did not change SpO2 reading significantly. All other colors lowered SpO2 significantly based on Wilcoxon test (red: p = 0.003; orange: p = 0.002; yellow: p = 0.015; pink: p = 0.017; dark blue: p = 0.001; violet: p = 0.001; brown: p = 0.001; black: p = 0.001). However, those changes were not clinically significant because SpO2 differences before and after nail polish were in acceptable range (less than a 2% change).Conclusions:We conclude that different colors of glittered nail polishes do not result in a clinically significant change in pulse oximetry measurements in healthy subjects; therefore, it is not necessary to remove the glittered nail polish routinely in clinical, surgical, and emergency settings.

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