Does fingernail polish affect pulse oximeter readings?
BACKGROUND
Results from previous studies evaluating the effect of nail polish on oxygen saturation (SpO(2)) determined by pulse oximeter monitors are inconsistent. Establishing the effect of nail polish on SpO(2) is relevant to clinical practice, since removing nail polish requires clinical time and supplies.


OBJECTIVE
The objective of this study was to determine if fingernail polish affects SpO(2) as measured by two different pulse oximeter machines.


METHODS
Absorption spectra of 10 nail polish colors were obtained by spectrophotometry. Twenty-seven healthy volunteers with SpO(2)> or =95% participated. Using the Nellcor N20 and N595 pulse oximeters, the mean SpO(2) was measured on each of 10 nails with and without nail polish and using a side-to-side configuration. Means were compared using paired t-tests.


RESULTS
Mean SpO(2) had a statistically significant decrease with brown and blue nail polish using both machines (p<0.05) but this was not clinically significant (<1% difference). Using the side-to-side configuration, the N595 oximeter had a statistically significant decrease in mean SpO(2) with red nail polish but again this was not clinically significant.


CONCLUSIONS
Fingernail polish does not cause a clinically significant change in pulse oximeter readings in healthy people.
Rodden
Ann M
AM
Medical University of South Carolina, Department of Family Medicine, 295 Calhoun Street, Charleston, SC 29425, USA. rodden@musc.edu
Spicer
Leigh
L
Diaz
Vanessa A
VA
Steyer
Terrence E
TE
D000328:Adult; D015982:Bias; D015400:Clinical Nursing Research; D003116:Color; D015986:Confounding Factors, Epidemiologic; D003358:Cosmetics / Q000009:adverse effects*; D003422:Critical Care; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009262:Nails / Q000502:physiology; D009730:Nursing Assessment; D010092:Oximetry / Q000451:nursing / Q000592:standards*; D010100:Oxygen / Q000097:blood; D044469:Racial Groups; D013053:Spectrophotometry
D003358:Cosmetics; D010100:Oxygen