Abstract

Pulse oximetry is a frequently used tool in anesthesia practice. Gives valuable information about arterial oxygen content, tissue perfusion and heart beat rate. In this study we aimed to provide the comparison of peripheral capillary hemoglobin oxygen saturation (SpO2) values among every finger of the two hands. Thirty-seven healthy volunteers from operative room stuffs between the ages of 18–30 years were enrolled in the study. They were monitored after 5 min of rest. After their non invasive blood pressure, heart rate, fasting time and body temperature were measured, SpO2 values were obtained from every finger and each of two hands fingers with the same pulse oximetry. All the SpO2 values were obtained after at least 1 min of measurement period. A total of 370 SpO2 measurements from 37 volunteers were obtained. The highest average SpO2 value was measured from right middle finger (98.2 % ± 1.2) and it was statistically significant when compared with right little finger and left middle finger. The second highest average SpO2 value was measured from right thumb and it was statistically significant only when compared with left middle finger (the finger with the lowest average SpO2 value) (p < 0.05). SpO2 measurement from the fingers of the both hands with the pulse oximetry, the right middle finger and right thumb have statistically significant higher value when compared with left middle finger in right-hand dominant volunteers. We assume that right middle finger and right thumb have the most accurate value that reflects the arterial oxygen saturation.

Highlights

  • Peripheral capillary oxygen saturation (SpO2) measured by pulse oximeter, is a simple and reliable objective measurement in routine medical practice that approximates the level of oxygen in arterial blood

  • Forty-five comparisons were done between fingers (Repeated Anova, F: 3.621, p = 0.004)

  • The highest average SpO2 value was measured from R3 (98.2 % ± 1.2) and it was statistically

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Summary

Introduction

Peripheral capillary oxygen saturation (SpO2) measured by pulse oximeter, is a simple and reliable objective measurement in routine medical practice that approximates the level of oxygen in arterial blood. Measurements with this inexpensive and noninvasive method provide heart rate and an indication of tissue perfusion (pulse amplitude). There is no information in the current literature about which finger could give the highest or the reliable recording of SpO2.

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