User manual |
Pacemaker mode
100
Under demand stimulation
1 -
Rotate the selector switch to the pacemaker mode. The pacemaker starts in
PAUSE, without stimulation pulses.
2 -
Select the leads for viewing the ECG. Check if the “R” wave indicators mark
every “R” wave present on the screen. If not change the derivation.
3 -
Adjust the initial current values and frequency (PPM) with the e-jog. The current
value must be as low as possible.
4 -
With the e-Jog, go to “ON” to start stimulation. A message in the “Infocenter” will
warn that the pacemaker is active.
5 -
Check if the pacemaker's pulse meter appears on the screen.
6 -
Increase the stimulation current until cardiac capture occurs. The capturing is
indicated by the presence of a QRS straight after the pacemaker marker.
NOTES
There may be spontaneous beatings not related to the application
of stimulation. If the patient's heart frequency is above the pulse's
frequency, the stimulation pulses will not be applied and the stimulation
markers will not appear.
Stimulation will not start if there is a problem with the multifunction
(adhesive) paddles or contact with the patient.
The stimulated pulses will be applied in the asynchronous mode if there
is a connection problem with the ECG monitoring electrodes or if the
DualMax does not identify a valid QRS.
Defibrillation
If defibrillation is necessary, turn the switch to defibrillation mode. The DualMax
automatically inhibits the pacemaker's stimulation pulse.
