Physio-Control LIFEPAK 20e - Manual (Page 90)

Therapy
4-20 LIFEPAK 20e Defibrillator/Monitor Operating Instructions
Remote Synchronization Procedure
The LIFEPAK 20e defibrillator/monitor can be configured to receive an ECG source from a
remote monitor (such as a bedside ECG monitoring system) by means of the ECG/Sync
connector on the back of the defibrillator/monitor. Refer to
"Manual Mode Setup Menu,"
page 8-5 . The remote monitor must have a sync out connector and a cable must be provided to
make this connection. Refer to the LIFEPAK 20e Defibrillator/Monitor Service Manual for more
details.
Note: The LIFEPAK 20e defibrillator/monitor can be configured to remain in synchronous
mode or to return to asynchronous mode after discharge. It is important that you know how
your defibrillator is configured. Refer to
"Manual Mode Setup Menu," page 8-5 .
To perform the synchronized cardioversion using a remote monitoring ECG source:
1 Ensure defibrillator/monitor is connected to AC power.
2 Connect the sync cable to the defibrillator/monitor ECG/Sync connector and the remote
monitor.
3 Press ON .
4 Attach the ECG cable from the remote monitor to the patient.
5 Press SYNC on the defibrillator/monitor.
6 Select REMOTE SYNC from the menu.
Note: The screen on the defibrillator/monitor will display the message REMOTE SYNC in
place of any waveforms.
7 Observe the ECG rhythm on the remote monitor. Confirm that a sense marker appears above
each QRS complex.
8 Confirm that the sync LED on the defibrillator/monitor blinks with each detected QRS on the
remote monitor.
9 Follow Step 6 through Step 14 from "Synchronized Cardioversion Procedure" provided
previously.
WARNINGS!
Possible lethal arrhythmia.
Ventricular fibrillation may be induced with improper synchronization. The hospital’s biomedical
engineering staff should perform synchronization delay measurements on the system, as a
whole, to ensure that the 60 ms limit for synchronization delay is not exceeded, per requirements
as specified in AAMI DF2 (1996). Always confirm proper placement of the sense markers on the
ECG.
Possible monitor incompatibility
If the R-wave synchronization markers do not appear to be nearly simultaneous with the R-
waves on the remote monitor display or are not present, do not proceed with synchronized
cardioversion.