Saturation – Nail Polish and Two Different Devices

Öz

Objective: Finger oxygen saturation monitoring with a non-invasive method is an important patient follow-up method thats hould be performed in the emergency room and peroperative period. The presence of nail polish is generally undesirable. This study was planned to evaluate the effect of nail polish on peripheral oxygen saturation and perfusion index. Materials and Methods: This study was conducted prospectively on 80 non-smoking healthy volunteers, aged 18 years and over in the 3rd Level University Hospital Emergency Department. Oxygen saturation value and perfusion index value in finger probe and perfusion index device were measured and recorded by applying dark blue nail polish, which affects oxygen saturation the most and shows the greatest difference in spectrophotometer absorbance. Results: The mean SPO2 level of the nail polish-free group with the probe was 1.48 units higher than the nail polish group. SPO2 level measured with PI was 1.18 units higher. The mean PI level of the nail polish-free group was 0.51 units lower than the group with nail polish. (p<0.01). Conclusion: In saturation measurements made with finger probe and perfusion index devices, the two devices were not superior to each other; however, it is seen that statistically significant results were obtained in saturation measurements made without nail polish. It has been determined that nail polish causes the saturation rate to be lower.

Anahtar Kelimeler

• Emergency service
• Nail polish
• Oxygen saturation
• Perfussion Index
• Probe
• Emergency service, Nail polish, Oxygen saturation, Perfussion Index, Probe

Saturasyon – Tırnak Cilası ve İki Farklı Cihaz

Öz

Giriş ve Amaç: Non-invaziv yöntemle parmaktan oksijen saturasyonu takibi, acil servis ve peroperatif dönemde yapılması gereken önemli bir hasta takip yöntemidir. Tırnak cilasının mevcut olması genellikle istenmeyen bir durumdur. Bu çalışma, tırnak cilasının periferik oksijen saturasyonu ve perfüzyon indeksi üzerindeki etkisi değerlendirmek üzere planlandı. Gereç ve Yöntemler: Bu çalışma 3. Basamak Üniversite Hastanesi Acil servisinde sigara içmeyen, 18 yaş ve üzeri olan 80 sağlıklı gönüllü üzerinde prospektif olarak yapıldı. Oksijen saturasyonunu en çok etkileyen, spektrofotometre absorbansı en büyük farkı gösteren koyu mavi tırnak cilası sürülerek parmak probe ve perfüzyon indeks cihazındaki oksijen saturasyon değeri ve perfüzyon indeks değeri ölçülüp kaydedildi. Bulgular: Probe ile bakılan ojesiz grubun ortalama SPO2 düzeyi, ojeli gruptan ortalama 1,48 birim yüksekti. PI ile bakılan SPO2 düzeyi 1,18 birim daha yüksek saptandı. Ojesiz grubun ortalama PI düzeyi, ojeli gruptan ortalama 0,51 birim daha düşük olarak saptandı (p<0,01). Sonuç: Parmak prob ve perfüzyon indeksi cihazları ile yapılan saturasyon ölçümlerinde, iki cihazın birbirine üstün olmadığı; ancak ojesiz yapılan saturasyon ölçümlerinde istatistiksel olarak anlamlı sonuçlar elde edildiği

Anahtar Kelimeler

• Acil Servis
• Oje
• Oksijen Saturasyonu
• Perfüzyon İndeks
• Prob

Kaynakça

1. Baquero, H, Alviz, R, Castillo, A, Neira, F, Sola, A, Avoiding hyperoxemia during neonatal resuscitation: time to response of different SpO2 monitors. Acta Paediatrica, 2011, 100(4), 515-8.
2. 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.
3. Karaman, K, Sağlam Gürmen, E, The role of peripheral perfusion index in differential diagnosis of cardiac and pulmonary-origin dyspnea in emergency service, Hong Kong Journal of Emergency Medicine, 2020, 1024907920944050.
4. Levrat, Q, Petitpas, F, Bouche, G, Debaen, B, Mimoz, O. Usefulness of pulse oximetry using the SET technology in critically ill adult patients. Annales Françaises d’Anesthésie et de Réanimation, 2009, 28(7-8),640-4.
5. Lima, A.P, Beelen, P, Bakker, J, Use of a peripheralperfusion index derived from the pulse oximetry signal as a noninvasive indicator of perfusion. Critical Care Medicine, 2002, 30(6), 1210-3.
6. Lima, A, Van Genderen, M.E, Klijn, E, Bakker, J, Van Bommel, J, Peripheral vasoconstriction influences thenar oxygen saturation as measured by near-infrared spectroscopy, Intensive care medicine, 2012, 38(4), 606-611.
7. Rodden, A.M, Spicer, L, Diaz, V.A, Steyer, T.E. Doesfingernailpolishaffect pulse oximeter readings? Intensive and Critical Care Nursing journal, 2007, 23(1), 51-55.
8. Yönt, G. H, Korhan, E.A, Dizer, B, The effect of nail polish on pulse oximetry readings, Intensive and Critical Care Nursing Journal, 2014, 30(2), 111-115.

9. Bucx, M.J, Krijtenburg, P, Perioperative management of nail polish, artificial nails and piercings in The Netherlands: A survey study. European Journal of Anaesthesiology| EJA, 2016, 33(3), 223-224.
10. Yeganehkhah, M, Dadkhahtehrani, T, Bagheri, A, Kachoie, A, Effect of glittered nail polish on pulse oximetry measurements in healthy subjects, Iranian journal of nursing and midwifery research, 2019, 24(1), 25.