User's Manual

Ultraview Digital Telemetry
15
NIBP measurements: systolic/diastolic (mean) at hours:minutes; SpO
2
measurement at hours:minutes (90343 only; hh:mm not seen on continuous
SpO
2
). Depending on the patient monitors display size, the title NIBP may
not appear.
SpO
2
SensorWatch bar: shaded area (waveform index) expands up
proportionally to signal strength; horizontal line is minimum signal level.
Waveform Index (WFI) is used for displaying signal strength in SensorWatch.
Large size bell indicates ECG alarms enabled.
Equal sign becomes a bell when SpO
2
alarms enabled.
Equal sign becomes a bell when NIBP alarms enabled.
* Only appears with the MultiView I or II option in the adult mode with Arrhythmia
detection enabled.
** Only appears in adult mode with the ST segment analysis option.
Monitoring Paced ECG Patients
When monitoring pacemaker patients, use the paced feature to automatically
enhance pacemaker spikes for display and eliminate them from the heart rate
counter. The last YES/NO setting of the paced feature you select is retained as
the default.
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.
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.
!
The optimal leads for monitoring paced patients may vary. In
telemetry monitoring, pacemaker spikes are detected on lead II.
If pacemaker spikes are not detected, change the electrode
position.
WARNING:
ECG detection circuitry may continue to count the
pacemaker rate during occurrences of cardiac arrest or
some arrhythmias. Do not rely entirely upon ECG rate
alarms. Keep pacemaker patients under close surveillance.
The system may insert pacemaker flags into the ECG signal
in response to signals that are not pacemaker pulses.
Therefore, if you use a Spacelabs Medical monitor to
observe pacemaker performance, you must take into
account all possible sources of pacemaker flags.
Use the pacemaker manufacturer's performance analyzer
as the primary means of evaluating pacemaker operation.
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To monitor paced patients:
1 Touch ECG
2 Touch SETUP
3 Select PACED YES