Physio-Control LIFEPAK 20e - Manual (Page 50)

Monitoring
3-4 LIFEPAK 20e Defibrillator/Monitor Operating Instructions
Monitoring ECG with Paddles Accessories
Anterior-lateral Placement
Anterior-lateral placement is the only placement that should be used for ECG monitoring with
paddles accessories.
1 Place either the ♥ or + therapy electrode or the apex paddle lateral to the patient’s left nipple in
the midaxillary line, with the center of the electrode in the midaxillary line, if possible. Refer to
Figure 3-1 .
Figure 3-1 Anterior-lateral Placement
2 Place the other therapy electrode or sternum paddle on the patient’s upper right torso, lateral
to the sternum and below the clavicle as shown in Figure 3-1 .
Special Placement Situations
When placing therapy electrodes or standard paddles, be aware of the special requirements in
the following possible situations.
• Obese Patients or Patients with Large Breasts — Apply therapy electrodes or standard
paddles to a flat area on the chest, if possible. If skin folds or breast tissue prevent good
adhesion, it may be necessary to spread skin folds apart to create a flat surface.
• Thin Patients — Follow the contour of the ribs and spaces when pressing the therapy
electrodes or standard paddles onto the torso. This limits air spaces or gaps under the
electrodes and promotes good skin contact.
• Patients with Implanted Pacemakers — If possible, place therapy electrodes or standard
paddles away from internal pacemaker generator.
• Patients with Implanted Defibrillators — Apply therapy electrodes or standard paddles in
the anterior-lateral position and treat this patient as any other patient requiring emergency
care.
Paddles Monitoring Procedure
To monitor using therapy electrodes or standard paddles:
1 Press ON .
2 Prepare the patient’s skin:
• Remove excessive chest hair as much as possible. Avoid nicking or cutting the skin. If
possible, avoid placing therapy electrodes or standard paddles over broken skin.
• Clean and dry the skin.
• Do not use alcohol, tincture of benzoin, or antiperspirant to prep the skin.
FAST-PATCH
Electrodes
QUIK-COMBO
Electrodes
Standard
Paddles
Anterior
Lateral
Anterior
Lateral
Sternum
Apex