This study aimed to develop a protocol for assessing the influence of
movement on oxyhaemoglobin saturation readings from pulse oximeters. T
hirty-six volunteers took part in the study. In each volunteer, each h
and was monitored by both a Nellcor N200 oximeter using a disposable p
robe and by a Datex Satlite DS103 oximeter using a clip-on finger prob
e. Volunteers made five standardised movements during which output was
recorded from all four oximeters. All movements were associated with
apparent decreases in oxyhaemoglobin saturation which were statistical
ly significant for two movements with the Nellcor equipment and for fo
ur movements with the Datex equipment. Movement was associated with in
creases in the magnitude of pulse amplitude, but this was not quantita
tively associated with magnitude of artefactual changes in saturation.
Use of this standardised movement protocol allows quantification of m
ovement artefact from pulse oximeters and should facilitate the develo
pment of equipment less affected by movement.