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Chapter 7 Cardioversion; Overview - Philips HeartStart XL Plus 861290 Instructions For Use Manual

Defibrillator monitor.
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This chapter explains how to prepare for and perform synchronous cardioversion on the HeartStart XL+.
See
Chapter 6 "Manual Defibrillation"

Overview

The HeartStart XL+ provides synchronized cardioversion therapy by delivering a biphasic pulse of
current to the heart immediately following an R-Wave detected in the ECG waveform. The waveform
utilized in the HeartStart XL+ has undergone clinical testing demonstrating its effectiveness for
cardioversion of atrial fibrillation.
You can perform synchronized cardioversion with:
Multifunction electrode pads or external paddles and 3 or 5-Lead set monitoring electrodes
directly connected to the HeartStart XL+.
Only the multifunction electrode pads directly connected to the HeartStart XL+.
Multifunction electrode pads directly connected to the HeartStart XL+ and an ECG signal
coming from a Philips bedside monitor into the HeartStart XL+.
NOTE: The best quality source for cardioversion is a 3 or 5-Lead set connected to the HeartStart XL+.
No matter what your monitoring source is, cardioversion is still delivered through pads or paddles.
Cardioversion
on page 73 for information on asynchronized cardioversion.
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