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10.8.2 Electrode Placement
Since the same electrodes are used for ECG and respiration monitoring, the electrode placement
is very important. Some patients, due to their clinical condition, expand their chest laterally,
causing a negative intrathoracic pressure. In these cases it is better to place the two electrodes
used for respiration monitoring laterally in the right axillary and left lateral chest areas, at the
maximum point of the breathing movement, to optimize the respiratory waveform.
NOTE
z To optimize the respiration waveform, place the RA and LA electrodes
horizontally when the ECG Lead I is selected, and place the RA and LL
electrodes diagonally when the ECG lead II is selected.
z Try to avoid placing the electrodes so the liver area and the ventricles of the
heart are in path between the electrodes used for respiration, to avoid cardiac
artifact to overlay on the ECG. This is particularly important when monitoring
neonate patients.
Electrode Placement of ECG Lead I Electrode Placement of ECG Lead II
Figure 10-24 Electrode Placement
- DPM 5 Patient Monitor 1
- Operator’s Manual 1
- Revision History 3
- Warranty 5
- Exemptions 5
- Return Policy 6
- Contact Information 7
- Preface 8
- Contents 9
- 1 Safety 15
- 1.1.1 Dangers 16
- 1.1.2 Warnings 16
- 1.1.3 Cautions 17
- 1.1.4 Notes 18
- 1.2 Equipment Symbols 19
- 2 The Basics 21
- 2.1.4 Functions 22
- 2.2 External Appearance 23
- 2.2.2 Left Side Panel 24
- 2.2.3 Right Side Panel 25
- 2.2.4 Rear Panel 26
- 2.3 Control Panel 27
- 2.4 Display 28
- 2.5 Batteries 30
- 2.5.1 Battery Guidelines 31
- 2.5.2 Battery Maintenance 32
- 2.6 Wireless Network Card 33
- 3 Installation 35
- 3.1 Unpacking and Checking 36
- 3.4 Installation Method 37
- 3.4.3 Installing the Battery 38
- 3.4.6 Auxiliary Output Port 39
- 3.5 Powering on the Monitor 40
- 3.6 Powering off the Monitor 40
- 4 System Menu 41
- 4.2 Patient Setup 42
- 4.2.1 Admit Patient 43
- Setting Patient Information 44
- 4.2.2 Quick Admit Patient 45
- 4.2.3 Modify Patient 45
- 4.2.4 Clear Patient Data 45
- 4.2.5 Discharge Patient 45
- 4.3 Configuration Setup 46
- 4.4 System Setup 47
- 4.4.1 Face Select 48
- 4.4.2 Alarm Setup 48
- 4.4.3 Time Setup 50
- 4.4.4 Recorder Setup 51
- 4.4.5 Data Output 52
- 4.4.6 Analog Output 53
- 4.4.7 Module Setup 54
- 4.4.8 Trace Setup 55
- 4.4.9 Mark Event 56
- 4.5 Selection Setup 57
- 4.6 Monitor Version 58
- 4.7 Maintenance 59
- 4.7.1 Alarm Setup 62
- 4.7.2 IP Address Setup 63
- 4.7.4 Nurse Call Setup 65
- 4.7.6 CO 66
- User Maintain 66
- 4.7.7 Gas Calibrate 66
- 4.7.8 Monitor Status 67
- 4.8 DEMO Function 68
- 5 Face Selection 69
- 5.2 Trend Screen 70
- 5.3 OxyCRG Screen 71
- 5.4 Viewbed Screen 72
- Automatic Selection 73
- 5.5 Large Font Screen 74
- 5.6 Standby Mode 75
- 6 Alarms 77
- 6.2 Alarm Modes 78
- 6.2.2 Audible alarms 79
- 6.2.3 Alarm Messages 79
- 6.3 Alarm Statuses 80
- 6.3.2 Alarms Paused 81
- 6.3.3 System Silenced 81
- 6.3.4 Alarm Sound Off 81
- 6.4 Latching Alarms 82
- 6.5 Clearing Alarms 83
- 6.6 Testing Alarms 84
- 6.7 When an Alarm Occurs 84
- 7 Freezing Waveforms 85
- 7.3 FROZEN Menu 86
- 7.4 Waveform Recall 87
- 8 Recording 89
- Alarm recording 90
- Frozen waveform recording 90
- Trend graph/table recording 90
- OxyCRG recording 90
- 8.3 Recorder Operations 91
- Trend table recording 92
- NIBP measurement recording 92
- Alarm event recording 92
- Removing the Paper Jam 94
- 9 Recall 95
- 9.2 Trend Graph Recall 96
- 9.3 Trend Table Recall 98
- 9.4 NIBP Recall 100
- 9.5 Alarm Event Recall 101
- FOR YOUR NOTES 104
- 10 ECG/RESP Monitoring 105
- 10.2.2 Electrode Placement 106
- WARNING 106
- 10.3 ECG Display 112
- 10.3.2 ECG Parameters 113
- 10.4 ECG Setup Menu 114
- Other Setup 117
- 10.5 ST Analysis 122
- Mortara algorithm package 125
- 10.6 Arrhythmia Analysis 126
- 10.6.2 Arrhythimia Options 127
- 10.6.4 Arrhythimia Relearn 129
- 10.6.6 Arr Threshold 131
- 10.6.7 Arrhythmia Recall 132
- 10.7 12-Lead 134
- 10.8 RESP Monitoring 137
- 10.8.2 Electrode Placement 138
- 10.8.3 Respiration Setup 139
- Monitoring 143
- 11.2 Mindray DS SpO 144
- Module 144
- 11.2.2 Precautions 145
- 11.2.3 Monitoring Procedure 145
- Neonate Sensor Placement 146
- 11.2.5 SpO 149
- Setup Menu 149
- 11.3 Nellcor SpO 151
- 11.3.2 Precautions 153
- 11.3.3 Monitoring Procedure 153
- 11.3.5 SpO 155
- 11.3.6 Accessories 157
- 11.3.7 Nellcor Information 157
- FORYOURNOTES 158
- 12 NIBP Monitoring 159
- 12.2 Monitoring Procedure 160
- 12.2.2 Operation Guides 161
- 12.3 Measurement Limitations 162
- 12.4 NIBP Setup Menu 163
- 12.4.1 Calibration 165
- CAUTION 168
- 13 TEMP Monitoring 169
- 13.2 Measurement Procedure 170
- 13.3 TEMP Setup Menu 171
- 14 IBP Monitoring 173
- 14.2 Precautions 174
- 14.3 Monitoring Procedure 175
- 14.4 IBP Menu 176
- Sterilization 183
- 15.2 Mindray DS CO 186
- 15.2.2 Preparations for CO 187
- Measurement 187
- 15.2.3 CO 188
- 15.2.4 CO 193
- User Maintain Menu 193
- Calibration Procedure 194
- 15.3 Oridion CO 195
- 15.3.2 Preparations for CO 196
- 15.3.3 CO 197
- 15.3.4 CO 200
- 15.3.6 Oridion Information 202
- 16 Anesthesia Gas Monitoring 203
- Measurement principle of AGs 205
- Measurement principle of O 205
- 4.0% 0.5% 50% 207
- 7.3% 0.77% 105% 207
- MAC =+ + = 207
- 16.4 AG Setup Menu 208
- Alarm Setup Menu 209
- Adjust Wave Amplitude Menu 211
- Configuration Menu 211
- 16.5 Calibrating AG 212
- 16.6.1 Occlusion handling 213
- 17 Maintenance 215
- 17.2 Cleaning 216
- 18 Accessories 219
- 18.1 ECG Accessories 220
- 18.2 SpO 221
- Accessories 221
- 18.3 NIBP Accessories 222
- 18.4 TEMP Accessories 223
- 18.5 IBP Accessories 223
- 18.7 AG Accessories 225
- 18.8 Others 226
- A Product Specifications 227
- A.4 Hardware Specifications 229
- A.5 Data Storage 230
- A.6 Wireless Network 230
- A.8 ECG Specifications 231
- A.9 RESP Specifications 236
- A.10 SpO 237
- Specifications 237
- A.10.2 Nellcor SpO 238
- A.11 NIBP Specifications 239
- A.12 TEMP Specifications 240
- A.13 IBP Specifications 240
- A.14.2 Oridion CO 242
- A.15 AG Specifications 243
- P 80 MHz to 800 MHz 249
- Pd 2.1= 250
- Pd 3.2= 250
- C.2 Technical Alarm Messages 252
- C.2.6 Mindray DS SpO 255
- Module Alarm Messages 255
- C.2.7 Nellcor SpO 256
- C.2.10 Mindray DS CO 257
- C.2.11 Oridion CO 259
- C.2.14 System Alarm Messages 263
- C.3 Prompt Messages 264
- D Symbols and Abbreviations 267
- D.2 Abbreviations 269
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