Pacemaker Detection; Pacemaker Detection Warnings; Pacemaker Detection Points To Note - GE CARESCAPE ONE User Manual

CARESCAPE ONE User Manual DRAFT 26 October 2017
NOTE
12RL uses a standard 6-leadwire electrode placement to acquire leads I, II, III, AVR,
AVF, AVL, 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-leadwire cable should be used.
On the monitor, reconstructed (interpolated) leads can be identified by a "d" before
the lead name: dV2, dV3, dV4, and dV6.

Pacemaker detection

Pacemaker detection warnings

WARNING
WARNING
WARNING
WARNING
WARNING
WARNING

Pacemaker detection points to note

Pacemaker detection is on by default. If you turn pacemaker detection off, you
●
should turn it back on for patients with pacemakers. Pacemaker detection must be
used whenever the monitored patient has a pacemaker.
The following leads are used for pacemaker detection:
●
5-lead mode: Leads R/RL, L/LA, F/LL, and C/V
￭
2094480-001
Reconstructed (interpolated) leads cannot be selected for
pacemaker detection or impedance respiration monitoring.
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 supplemental information provided for disclosure of the
pacemaker pulse rejection capability of this device.
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.
MONITORING PACEMAKER PATIENTS: The monitoring of
pacemaker patients can only occur with the pace program
activated.
PACEMAKER INDICATION. Pacemaker activity is indicated
on the electrocardiogram through the display of a different
colored pacemaker marker pulse. All pacemaker marker
pulses appear upright and uniform and should not be used
for diagnostic interpretation.
PATIENT HAZARD. A pacemaker pulse can be counted as a
QRS during Asystole when pacemaker detection is on. Keep
pacemaker patients under close observation.
PATIENT HAZARD. Asystole may not be detected if the patient
has a pacemaker that produces high-amplitude pacer spikes
and pacemaker detection is on. Keep pacemaker patients
under close observation.
CARESCAPE ONE
ECG
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