Physio Control LIFEPAK 15, Operating Instructions Manual

Page: 118 / 284

Therapy Electrode and Standard Paddle Placement
118
LIFEPAK 15 Monitor/Defibrillator Operating Instructions
Anterior-Posterior Placement
Anterior-posterior is an alternative position for noninvasive pacing, manual defibrillation, and
synchronized cardioversion, but not for ECG monitoring or AED mode. The ECG signal obtained
through electrodes in this position is not a standard lead.
To perform anterior-posterior placement:
1. Place either the

or + therapy electrode over the left precordium as shown in the following
figure. The upper edge of the electrode should be below the nipple. Avoid placement over the
nipple, the diaphragm, or the bony prominence of the sternum, if possible.
2. Place the other electrode behind the heart in the infrascapular area as shown in the following
figure. For patient comfort, place the cable connection away from the spine. Do not place the
electrode over the bony prominences of the spine or scapula.
Figure 34
Anterior-Posterior Placement
Special Situations for Electrode or Paddle Placement
When placing therapy electrodes or standard paddles, be aware of the special requirements in
the following possible situations.
Synchronized Cardioversion
Alternative placements for cardioversion of atrial fibrillation include a) place the

therapy
electrode over the left precordium and the other electrode on the patient’s right posterior
infrascapular area; or b) place the

therapy electrode to the right of the sternum and the
other electrode on the patient’s posterior left infrascapular area.
Obese Patients or Patients with Large Breasts
Apply therapy electrodes or standard paddles to a flat area on the chest, if possible. If skin
folds or breast tissue prevent good adhesion, it may be necessary to spread skin folds apart
to create a flat surface.
Thin Patients
Follow the contour of the ribs and spaces when pressing therapy electrodes onto the torso.
This action limits air spaces or gaps under the electrodes and promotes good skin contact.