Saturation – Nail Polish and Two Different Devices

Yıl 2022, Cilt: 9 Sayı: 2, 239 - 242, 30.06.2022

Ekim Sağlam Gürmen , Cumhur Murat Tulay

https://doi.org/10.34087/cbusbed.1029886

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

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