M4735A Heartstream XL Defibrillator/Monitor 7-1
7
7 Performing Synchronized Cardioversion
Synchronized cardioversion is a Manual Mode function that allows you to
synchronize the defibrillator shock with the R-wave of the ECG being moni-
tored.
There are three ways to monitor ECG for synchronized cardioversion:
l
multifunction defib electrode pads,
l
3- or 5-lead monitoring electrodes, or
l
external paddles attached to the M4735A Heartstream XL
You may also use an external Agilent or Hewlett Packard ECG monitor while
performing synchronized cardioversion.
When selecting a lead, choose the best lead that displays a large QRS com-
plex. The synchronized shock is delivered through the mulifunction defib
electrode pads, or external paddles regardless of the lead being monitored.
This chapter describes how to perform synchronized cardioversion with the
Heartstream XL.
127( See chapter 4, “Monitoring the ECG” for information on how to apply elec-
trodes and select a lead.
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