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Paperdoi:10.1016/j.bja.2022.03.011

Inaccuracy of pulse oximetry with dark skin pigmentation: clinical implications and need for improvement

Venue listed2023Added Nov 5, 2026

Authors: Panicos A. Kyriacou, Peter H. Charlton, Raghda Al-Halawani, Kirk H. Shelley

British Journal of Anaesthesia

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TL;DR

British Journal of Anaesthesia (2023) points to reports that pulse oximetry can be inaccurate across a range of skin pigmentation, dark skin included. The piece takes up the clinical implications and the case for improvement.

  • Published in British Journal of Anaesthesia (2023).

Abstract

Recent reports highlight potential inaccuracies of pulse oximetry in patients with various degrees of skin pigmentation. We summarise the literature, provide an overview of potential clinical implications, and provide insights into how pulse oximetry could be improved to mitigate against such potential shortcomings.

Verbatim from Europe PMC (opens in a new tab) · Abstract via Europe PMC; © the authors/publisher

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SpO₂

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PPG

Keywords

Kyriacou BibliographyPulse Oximetry Oxygenation

How it works

How Method works: Setup → Method → TargetSetup: Signals (PPG). Method: Method. Target: SpO₂.SetupSignals: PPGSignalsPPGMethodMethodTargetSpO₂O₂SpO₂

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Kyriacou, P. A., Charlton, P. H., Al-Halawani, R., & Shelley, K. H. (2023). Inaccuracy of pulse oximetry with dark skin pigmentation: clinical implications and need for improvement. British Journal of Anaesthesia. https://doi.org/10.1016/j.bja.2022.03.011
Kyriacou, Panicos A., Peter H. Charlton, Raghda Al-Halawani, and Kirk H. Shelley. 2023. "Inaccuracy of pulse oximetry with dark skin pigmentation: clinical implications and need for improvement." British Journal of Anaesthesia. https://doi.org/10.1016/j.bja.2022.03.011.
Kyriacou, P. A., Charlton, P. H., Al-Halawani, R. and Shelley, K. H. (2023) 'Inaccuracy of pulse oximetry with dark skin pigmentation: clinical implications and need for improvement', British Journal of Anaesthesia. doi: 10.1016/j.bja.2022.03.011.
Kyriacou, Panicos A., et al. "Inaccuracy of pulse oximetry with dark skin pigmentation: clinical implications and need for improvement." British Journal of Anaesthesia, 2023. https://doi.org/10.1016/j.bja.2022.03.011.
P. A. Kyriacou, P. H. Charlton, R. Al-Halawani, and K. H. Shelley, "Inaccuracy of pulse oximetry with dark skin pigmentation: clinical implications and need for improvement," British Journal of Anaesthesia, 2023, doi: 10.1016/j.bja.2022.03.011.
@article{kyriacou2023inaccuracy,
  title         = {{Inaccuracy of pulse oximetry with dark skin pigmentation: clinical implications and need for improvement}},
  author        = {Kyriacou, Panicos A. and Charlton, Peter H. and Al-Halawani, Raghda and Shelley, Kirk H.},
  year          = {2023},
  journal       = {British Journal of Anaesthesia},
  doi           = {10.1016/j.bja.2022.03.011}
}

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