Mode Of Application - Progetti Rescue Life 9 Instructions For Use Manual

In paediatric applications the Guidelines for cardiopulmonary resuscitation recommend a supply of energy
of 2-4J / kg; the recommended starting level is of 2 J / kg and it is preferable not to exceed 100J in order to
avoid burns.
ATTENTION PROGETTI disposable multifunction electrodes can withstand up to 50 defibrillation shocks.
ATTENTION Do not supply a shock with manual metal paddle above the disposable electrode pads or ECG
electrodes.
Non-invasive transthoracic pacing: PROGETTI disposable multifunction electrodes can be used for non-
invasive transthoracic pacing. To minimize the threshold of pacing it is appropriate to apply the adhesive
plates in the manner described above. It is also necessary to have a good understanding of the equipment
you want to use and follow the manufacturer's instructions.
ATTENTION It is good practice to replace PROGETTI disposable multifunction electrodes after 8 hours,
checking, in case of prolonged pacing (greater than 30 minutes), the skin of the patient for signs of
irritation.
ATTENTION Replace PROGETTI disposable multifunction electrodes after 30 minutes if the supplied
pulses are monophasic and longer than 20ms.
ECG monitoring: PROGETTI disposable multifunction electrodes can also be used for ECG monitoring.
ATTENTION If the tracing is not sufficiently clear, use an ECG patient cable, if it is present, and a separate
set of ECG electrodes.

MODE OF APPLICATION

• The multifunction electrodes can be applied to the patient even in the mere suspicion that a severe
arrhythmic disease may develop.
• The points where it is possible to apply the adhesive electrodes are listed in "PLACEMENT AND
POLARITY".
• Uncover the chest and prepare the skin. Remove excessive hair. Slightly abrade the skin surface to reduce
the contact impedance. Avoid applying the adhesive pad on the nipple or breast tissue.
• Remove any debris (dirty, greasy and debris), using non-flammable cleaners. Finally, make sure the
application sites are clean and dry.
• Open the package and remove multifunction electrodes.
• Gently remove the protective liner, starting from the tab to expose the adhesive and conduction areas.
• In case of multifunctional electrodes with clips remove the protective support.
• Apply the adhesive pads one-to-one starting with one side and pressing progressively over the entire
surface to avoid the formation of air bubbles and ensure complete adhesion to the skin. Keep the
adhesive pads well separated one from the other and be careful not to overlap them with other objects
(ECG electrodes, cables, transdermal patches, clothing etc.).
• Do not replace the adhesive pads once applied. If the position must be changed, remove and replace with
new multifunction electrodes.
• To remove the adhesive plate without irritating the patient's skin, lift an edge and gently pull back. Hold
at the same time the skin with the other hand.
• For multifunctional electrodes without clip: connect the electrodes to the defibrillator or the adapter
cable by following the instructions for use of the defibrillator.
• For multifunctional electrodes with clips: connect the clip to the cable of the defibrillator for the correct
polarity, observing the instructions for use of the defibrillator.
• For on demand pacing, separately connect ECG monitoring electrodes.
9
Rescue Life – Instruction For Use
9-2
Rev.0.5 – 30/03/2022