GE CARESCAPE, Руководство пользователя

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ECG
NOTE
Reconstructed (interpolated) leads cannot be selected for
pacemaker detection or impedance respiration monitoring.
NOTE
Interpretive statements are not available when a 12 lead ECG
analysis is generated using the 12RL analysis program.
The 12RL analysis program generates a 12 lead ECG report from a subset of the
electrodes used to acquire a standard 12 lead ECG. The 12 lead report includes the
statement
LEADS V2, V3, V4, AND V6 ARE INTERPOLATED to identify that the ECG
measurements were analyzed using reconstructed (interpolated) leads. If the software
version of the MUSE does not support this message, the message
STATEMENT NOT
FOUND is displayed instead. Reconstructed leads are identified on the monitor and in
printouts (graphs) by the letter d (for derived) before the lead name (e.g., dV2) to ensure
the clinician can identify the reconstructed waveform tracings.
12RL uses a standard 6-leadwire electrode placement to acquire leads I, II, III, AVR, AVF,
V1 and V5. The four precordial leads (V2, V3, V4, V6) are not acquired from the patient.
This reconstruction assumes accurate electrode placement and typical anatomy.
For 12RL monitoring, a 6- or 10-leadwire cable may be used. However, when using a
10-leadwire cable, do not prepare or connect precordial leads 2, 3, 4, or 6.
12 lead ECG analysis troubleshooting
Problem Solution
Transmitting a 12 lead report to a MUSE database
fails. There are communications problems with the
network or the MUSE database.
●
Contact authorized service personnel.
Printing a 12 lead analysis report fails. There is a printer error or communication problems
with the network.
●
Check the printer. If you cannot resolve the
problem, contact authorized service personnel.
Pacemaker detection
Pacemaker detection warnings
WARNING
— RATE METERS — Keep pacemaker patients under close
observation. Rate meters may continue to count the
pacemaker rate during cardiac arrest and some arrhythmias.
Therefore, do not rely entirely on rate meter alarms. See the
CARESCAPE Modular Monitors Supplemental Information
Manual for disclosure of the pacemaker pulse rejection
capability of this device.
WARNING
— FALSE CALLS — False low heart rate indicators or false
Asystole calls may result with certain pacemakers because
of pacemaker artifact such as electrical overshoot of the
pacemaker overlapping the true QRS complexes.
WARNING
— MONITORING PACEMAKER PATIENTS — PDM, TRAM, and
telemetry: the monitoring of pacemaker patients can only
occur with the pace program activated.
172 CARESCAPE Modular Monitors 2062971-001