Physio-Control LIFEPAK 20e - Manual (Page 91)

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LIFEPAK 20e Defibrillator/Monitor Operating Instructions 4-21
©2006-2013 Physio-Control, Inc.
PEDIATRIC DEFIBRILLATION
Pediatric paddles are part of the standard paddle set (refer to page 5-7 ).
Pediatric Paddle Placement
Pediatric paddles should be used for patients weighing less than 10 kg (22 lb) or for patients
whose chest size cannot accommodate the adult therapy electrodes.
Adult paddles are recommended if the paddles will fit completely on the patient’s chest. Allow at
least 2.5 cm (1 in.) of space between the paddles.
For neonates with very small chests, pediatric paddles may be too large to place in the anterior-
lateral position. In this situation, place paddles in the anterior-posterior position. Holding the
paddles against the chest and back will support the patient on his/her side.
Do not use the pediatric paddles on adults or older children. Delivery of recommended adult
energies through this relatively small electrode surface increases the possibility of skin burns.
Anterior-Lateral
The following is the standard pediatric paddle placement (refer to Figure 4-3 ):
• Sternum paddle to the patient’s right upper torso, lateral to the sternum and below the clavicle.
• Apex paddle lateral to the patient’s left nipple in the midaxillary line, with the center of the
paddle in the midaxillary line if possible.
Figure 4-3 Anterior-lateral Paddle Position
Anterior-Posterior
Place the sternum paddle anteriorly over the left precordium and the apex paddle posteriorly
behind the heart in the infrascapular area (refer to
Figure 4-4 )
Figure 4-4 Anterior-posterior Paddle Position
Sternum
Apex
Sternum
Apex