Noninvasive Temporary Pacing (Pacer Version Only); Noninvasive Temporary Pacing - ZOLL E Series Service Manual

SECTION 9

NONINVASIVE TEMPORARY PACING

(PACER VERSION ONLY)
To avoid risk of electrical shock, do not touch the gelled area of the MFE Pads while pacing.
•
• MFE Pads should be replaced after 8 hours of continuous pacing (2 hours for Radiolucent stat-padz) to ensure
maximum patient benefit.
• Pacing with CPR-D-padz is not recommended. For the most effective pacing, use MFE pads.
Prolonged pacing (in excess of 30 minutes), particularly in neonates or adults with severely restricted blood flow,
•
may cause burns. Periodic inspection of the underlying skin is recommended.
• If the unit was not turned off and less than 10 minutes have elapsed since the pacing mode was last used,
reactivating the pacer mode causes pacing to immediately resume at the previously selected mA and ppm
settings.
• Pacing must be turned off before defibrillating with a second defibrillator. Otherwise, the E Series unit may be
damaged.
Noninvasive Temporary Pacing
Some E Series products contain a VVI demand
pacemaker — a safe and effective design for
Noninvasive Temporary Pacemakers. Proper demand
pacing requires a reliable, high-quality surface ECG
signal.
Determine patient condition and provide care
following medical protocols.
Prepare Patient
Remove all clothing covering the patient's chest. Dry
chest if necessary. If the patient has excessive chest
hair, clip it to ensure proper adhesion of electrodes.
1
Apply Electrodes and/or MFE Pads
Connect the electrodes to the ECG cable leads, and the
ECG cable to the E Series unit. Apply ECG electrodes
(refer to "ECG Monitoring" on page 10-1). Adjust the
ECG size and lead for a convenient waveform display.
Verify proper R-wave detection. The heart-shaped
symbol flashes with each R-wave when proper detection
is taking place.
9650-1210-01 Rev. R
Paddles are a defibrillation-protected Type BF patient connection.
ECG leads are a defibrillation-protected Type CF patient connection.
WARNING
Attach and connect the MFE pads
This is described in "MFE Pad Application/Connection"
on page 1-9.
2
Turn Selector Switch to PACER
Set Pacer Output to 0 mA
If the unit has just been turned on, the PACER OUTPUT
is automatically set to 0 mA.
3
Set Pacer Rate
Set PACER RATE to a value 10-20 ppm higher than
patient's intrinsic rate. If no intrinsic rate exists, use
100 ppm.
9-1