User's Manual

Panorama™ Operating Instructions 0070-00-0575-50 4 - 13
Lead Placement Lead Placement
Neonatal Electrode Placement
Using a 3-wire lead set, ECG lead placement on a neonate is usually directed towards
obtaining the best possible respiration data through the ECG thoracic impedance technique.
Thoracic impedance is usually measured between the Right Arm and Left Arm electrode
patches. These patches should be placed on the chest directly across from each other to
optimize the measuring of the neonate’s chest movement.
Using a Transcutaneous Electrical Nerve Stimulator (TENS)
Since a TENS unit transmits electrical impulses, avoid placing ECG electrode patches near
the TENS electrodes. ECG electrode patches may need to be repositioned and the ECG lead
viewed may need to be adjusted until the optimum ECG tracing is obtained.
FIGURE 4-11 Neonatal 3-wire Lead
Placement (AHA)
FIGURE 4-12 Neonatal 3-wire Lead
Placement (IEC)
• Place RA (white) electrode under patient
right clavicle, mid-clavicular line within the
rib cage frame.
• Place LA (black) electrode under patient left
clavicle, mid-clavicular line within the rib
cage frame.
• Place LL (red) electrode on the patient’s
lower left abdomen within the rib cage
frame.
• Place R (red) electrode under patient right
clavicle, mid-clavicular line within the rib
cage frame.
• Place L (yellow) electrode under patient
left clavicle, mid-clavicular line within the
rib cage frame.
• Place F (green) electrode on the patient’s
lower left abdomen within the rib cage
frame.
RA
LA
LL
Re
d
Black
White
R
L
F
Gree
n
Yellow
Red