Effect of Glittered Nail Polish on Pulse Oximetry Measurements in Healthy Subjects

Mohammadreza Yeganehkhah, Mohammadreza Yeganehkhah and Tahmineh Dadkhahtehrani, Tahmineh Dadkhahtehrani and Ahmad Reza Bagheri, Ahmad Reza Bagheri and Ahmad Kachoie, Ahmad Kachoie (2019) Effect of Glittered Nail Polish on Pulse Oximetry Measurements in Healthy Subjects. Iranian Journal of Nursing and Midwifery Research, 24 (1). pp. 25-29.

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Abstract

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.
Keywords: Diagnostic errors, healthy subjects, Iran, nails, oximetry

Item Type:	Article
Uncontrolled Keywords:	Diagnostic errors, healthy subjects, Iran, nails, oximetry
Subjects:	R Medicine > R Medicine (General) R Medicine > RT Nursing
Divisions:	Faculty of Medicine, Health and Life Sciences > School of Medicine
Depositing User:	Mrs Ni Made Yunia Dwi Savitri
Date Deposited:	06 Jul 2022 01:16
Last Modified:	06 Jul 2022 01:16
URI:	http://eprints.triatmamulya.ac.id/id/eprint/1334

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