Defibrillation During Pacing With Adhesive Electrodes - Primedic DefiMonitor XD Series Operating Manual

DefiMonitor XD
Operating Manual
If, during pacing, the pacer/defibrillation cable is interrupted or removed from the
device, the stimulation is ended immediately in DEMAND mode. A continuous warn-
ing signal is given and the troubleshooting information is shown in the monitor.
"Pacer electrodes open" when the cause has been remedied and after a restart, the
pacer again becomes active.
During pacing it is necessary to constantly monitor the patient EKG in order to ensure
the effectiveness of the stimulation. Check to see whether the pacer pulse is in dia-
stolic.
If the energy key is pressed during pacing, the pacing is interrupted and a continuous
warning signal sounds to indicate that pacing was interrupted.
The pacer can be reactivated by pressing the stimulation start/stop. The energy selec-
tion is reset. If the energy selection is reset by pressing the corresponding energy key
again, the alarm becomes silent. Pacing is not automatically active and must be reac-
tivated with the stimulation start/stop key.
The Patient shall be monitored by personal during the whole pacing procedure.
11.6

Defibrillation during pacing with adhesive electrodes

If a shockable rhythm occurs during pacing, this has to be terminated immediately by
defibrillation. It is possible to defibrillate via the applied Pacer- / defibrillation elec-
trodes.
Press the required energy key. A permanent warning signal will be emitted, since the
stimulation was terminated by the energy selection.
Press the charge key in the operating panel to charge the defibrillation energy. Acti-
vate the defibrillation via the adhesive electrodes by activating the trigger key on the
control panel.
To reactivate the Pacer after a successful defibrillation, the Pacer needs to be
switched on again.
It is possible to defibrillate with the paddles despite attached adhesive electrodes.
Charge the required energy by briefly pressing one of the Release keys at the paddles
and defibrillate by simultaneously pressing both Release keys.
21324 / 09.05 / 02 / GB 47