User's Manual

ECG
8-11
Selecting Adult or Neonate Mode
The ECG function provides both adult and neonate operational modes. When you
select adult or infant, ECG alarm limits are adjusted based on your selection.
Monitoring Paced Patients
When you monitor pacemaker patients, use the Paced feature to automatically
enhance pacemaker spikes for display and eliminate them from the heart rate
counter.
To prevent pacemaker pulses from being counted as actual beats, specialized
circuitry removes the pacemaker pulses from the ECG signal and replaces them
with pacemaker flags.
If the interval between the pacemaker pulse and the QRS complex is greater than
150 milliseconds, the beat is considered to have originated in the atria, and is not
classified as a paced beat.
!
• If the enhanced vital sign display feature is enabled, you can
view SpO
2
, respiration rate, and non-invasive pressure in the
ECG zone on central or remote bedside monitors. However, no
alarms are active.
WARNING:
• When the system is in the neonate mode, ECG and
respiration alarm activation can be delayed from 0- to
3-minutes. The factory default setting for alarm delay is
3-minutes. Closely observe the patient during this period.
!
• The optimal leads for monitoring paced patients may vary. To
select an optimal trace, sequence through the available leads. If
pacemaker spikes are not detected or if the heart rate is
incorrectly counted, select another lead or change electrode
position.
• In telemetry monitoring, pacemaker spikes are detected on
lead II.
To specify the patient type:
1 Touch ECG.
2 Touch SETUP.
3 Touch CONFIG.
4 Select ADULT or INFANT.
To monitor paced patients:
1 Touch ECG.
2 Touch SETUP.
3 Select PACED YES.