Mindray BeneHeart D3, Operator'S Manual

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8-5
NOTE
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Defibrillation is always performed through paddles or pads. However, during defibrillation you may choose
to monitor the ECG using an alternate ECG source (3- or 5-lead monitoring electrodes). If an alternate ECG
source is connected, any available lead may be displayed.
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When external paddles are used, the Shock button on the equipment’s front panel is disabled.
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For defibrillation of adult patients, recommended energy level is 200 Joules.
8.4.1 Using Pediatric Paddles
The external paddle set comes with pediatric paddles included. To use the pediatric paddle set, depress the latch at the
front of the external paddle set while pulling forward on the adult paddle electrodes.
To defibrillate, refer to the procedure as described in Section 8.4 Manual Defibrillation Procedure .
8.4.2 Using Internal Paddles
To defibrillate using internal paddles:
1. Turn on the defibrillator and enter the manual defib mode.
2. Select the appropriate paddle size.
3. Connect the paddles to the defibrillator by aligning the white pointer on the paddles cable with the arrow on the
therapy port. Push until you hear it click into place.
4. Select energy by pressing the Energy Select key on the equipment's front panel.
5. Place the conductive surface of paddle electrodes against the patient's right atrium and left ventricle, as shown in
the figure below:
6. Charge the defibrillator by pressing the Charge key on the front panel.
7. Make sure no one is touching the patient or anything connected to the patient.
8. Press the Shock key on the front panel.
Using internal paddles for synchronized cardioversion requires that the patient’s ECG be acquired through a standard
ECG cable. The patient’s ECG acquired through the internal paddles may be unreliable for synchronized cardioversion
due to excessive noise or artifact causing inappropriate R-wave detection.