Physio-Control LIFEPAK 20e - Manual (Page 73)

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Therapy
LIFEPAK 20e Defibrillator/Monitor Operating Instructions 4-3
©2006-2013 Physio-Control, Inc.
THERAPY ELECTRODE AND STANDARD PADDLE PLACEMENT
The following paragraphs describe therapy electrodes and standard paddles placement,
including special placement situations.
Anterior-lateral Placement
Anterior-lateral placement allows for ECG monitoring, defibrillation, synchronized cardioversion,
and noninvasive pacing.
1 Place either the ♥ or + therapy electrode, or 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 4-1 .
Figure 4-1 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 4-1 .
Anterior-posterior Placement
Anterior-posterior is an alternative position for noninvasive pacing, manual defibrillation, and
synchronized cardioversion, but not for ECG monitoring or automated defibrillation. The ECG
signal obtained through electrodes in this position is not a standard lead. (For pediatric
applications, see
"Pediatric Defibrillation," page 4-21 .)
1 Place either the ♥ or + therapy electrode over the left precordium as shown in Figure 4-2 . The
upper edge of the electrode should be below the nipple. Avoid placement over the nipple, the
diaphragm, or the bony prominence of the sternum if possible.
2 Place the other electrode behind the heart in the infrascapular area as shown in Figure 4-2 .
For patient comfort, place the cable connection away from the spine. Do not place the
electrode over the bony prominences of the spine or scapula.
FAST-PATCH
Electrodes
QUIK-COMBO
Electrodes
Standard
Paddles
Anterior
Lateral
Anterior
Lateral
Sternum
Apex