Product Manual

SECTION 3
58
For accurate V-lead placement and monitoring, it is important to locate the 4
th
intercostal space. The 4
th
intercostal space is determined by first locating the 1
st
intercostal space. Because patients vary with respect to
body shape, it is difficult to palpate the 1
st
intercostal space with accuracy. Thus, locate the 2
nd
intercostal space
by first palpating the little bony prominence called the Angle of Louis, where the body of the sternum joins
the manubrium. This rise in the sternum identifies where the second rib is attached, and the space just below it
is the 2
nd
intercostal space.
Palpate and count down the chest until you locate the 4
th
intercostal space.
Patient Hookup Summary Table
AAMI
Lead
IEC
Lead
Electrode Position
Red
Red
On the 4
th
intercostal
space at the right
sternal border.
Yellow
Yellow
On the 4
th
intercostal spac
e
at the left sternal border.
Green Green
Midway between
V2/C2 and V4/C4
electrodes.
Blue
Brown
On the 5
th
intercostal
space at the left
midclavicular line.
Orange
Black
Midway between V4
and V6 electrodes.
Violet
Violet
On the left midaxillary
line, horizontal with V4
electrode.
Black
White
Yellow
Red
On the deltoid,
forearm, or wrist.
Red
Green
Green
Black
On the thigh or ankle.