Mindray BeneHeart D3, Руководство оператора

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8-1
8
Manual Defibrillation
8.1 Overview
This chapter explains how to prepare for and perform asynchronous defibrillation and synchronous cardioversion using
multifunction electrode pads and external paddles.
In Manual Defib Mode, you must assess the ECG waveforms, decide if defibrillation or cardioversion is indicated, select
appropriate energy setting, charge the equipment, and deliver the shock. Text messages and a contact impedance
indicator on the screen provide relevant information to guide your throughout the defibrillation process.
While operating manual defibrillation, besides ECG you can select to monitor SpO
2.
.
Alarms are turned off automatically when you enter Manual Defib mode. Pressing the Alarm Pause button can turn on
the alarms.
8.2 Safety
DANGER
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Defibrillation current can cause operator or bystander severe injury or even death. Never touch the patient
or any equipment connected to the patient (including the bed or gurney) during defibrillation.
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Avoid contact between parts of the patient’s body such as exposed skin of head or limbs, conductive fluids
such as gel, blood, or saline, and metal objects such as a bed frame or a stretcher which may provide
unwanted pathways for the defibrillating current.
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Do not allow multifunction electrode pads and paddles to touch each other or to touch other ECG
monitoring electrodes, lead wires, dressings, etc. Contact with metal objects may cause electrical arcing and
patient skin burns during defibrillation and may divert current away from the heart.
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During manual defibrillation, make sure your hands are dry and free from conductive gel to avoid shock
hazard.
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Use care when operating this equipment close to oxygen sources (such as bag-valve-mask devices or
ventilator tubing). Turn off gas source or move source away from patient during defibrillation. This can
cause an explosion hazard.