User Manual

Lead Placement Procedures Arrhythmia and ST Analysis
4 - 8 0070-10-0690-01 Panorama™ Operating Instructions
Neonatal Electrode Placement
(use only with Passport
®
and Spectrum
™
)
When 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.
The recommended lead placement for neonate monitoring is as follows.
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 left
clavicle, mid-clavicular line within the rib cage
frame.
• Place LA (black) electrode right sternal border,
fourth intercostal space 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 left
clavicle, mid-clavicular line within the rib cage
frame.
• Place L (yellow) electrode right sternal border,
fourth intercostal space within the rib cage
frame.
• Place F (green) electrode on the patient’s lower
left abdomen within the rib cage frame.