Recording ecgs for pediatric patients, Pediatric electrode placement, Extremity electrodes – Welch Allyn CardioPerfect Workstation Resting ECG Module - User Manual User Manual

Page 18: Pediatric precordial electrodes, Cardioperfect workstation, Resting ecg module - user manual, Aha iec

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CardioPerfect Workstation

Resting ECG Module - User Manual

DIR 80012333 Ver. E

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3. Recording ECGs for pediatric patients

Pediatric Electrode Placement

CardioPerfect supports two lead sets for the recording and interpretation of pediatric
electrocardiograms. Where anatomically feasible, the standard electrode placement described
on page 10 may be used. For very small children, an alternative arrangement is described below,
in which leads V3R and V7 replace V3 and V5.

Extremity electrodes

The electrodes may be placed on any part of the arms or the legs as long as they are below the
shoulders in the former and below the inguinal fold anteriorly and the gluteal fold posteriorly in the
latter. Any other placement necessary by deformed or missing extremities must be noted on the
record.

Pediatric Precordial electrodes

Place the electrodes on the anatomical positions V3R, V1, V2, V4, V6 and V7, then attach
precordial lead wires 1 through 6 from left to right.

Connect the precordial electrodes in the following positions:

AHA

IEC

V1

Fourth intercostal space at the right border of the sternum (V3R).

C1

V2

Fourth intercostal space, at the right sternal margin (V1).

C2

V3

Fourth intercostal space, at the left sternal margin (V2).

C3

V4

Fifth intercostal space, on the left mid-clavicular line (V4).

C4

V5

Left midaxillary line, at the horizontal level of V4 (V6).

C5

V6

Left posterior axillary line, at the horizontal level of V4 (V7).

C6

RA

Right arm

R

LA

Left arm

L

RL

Right leg

N

LL

Left leg

F






To select the pediatric lead set:

1. Place electrodes on the patient.

2. In Welch Allyn CardioPerfect, select or create a patient.

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