Dräger Infinity M300 series - Page 35

Instructions for use – Infinity
®
M300 and M300+ series – VG3.0 35
Contents
Arrhythmia parameter ranges and
defaults . . . . . . . . . . . . . . . . . . . . . . . . . . . .135
ECG, arrhythmia, and ST segment
monitoring with M300. . . . . . . . . . . . . . . . . . .137
Overview of telemetry defaults . . . . . . . . . . . . . 138
ECG signal processing and display . . . . . . 138
Supported parameters . . . . . . . . . . . . . . . . 139
Patient preparation for ECG monitoring . . . . . . 139
ECG precautions . . . . . . . . . . . . . . . . . . . . . . . 140
ECG display . . . . . . . . . . . . . . . . . . . . . . . . . . .140
ECG parameter box in a viewport of the
ICS Main screen . . . . . . . . . . . . . . . . . . . . . 140
ECG parameter box in the ICS BedView . . .141
ECG parameter box on the M300. . . . . . . . 141
ECG waveform in a viewport of the ICS
Main screen . . . . . . . . . . . . . . . . . . . . . . . .141
ECG waveform on a BedView page of
the ICS . . . . . . . . . . . . . . . . . . . . . . . . . . . .142
ECG waveform on the M300 . . . . . . . . . . . 142
ECG electrode colors . . . . . . . . . . . . . . . . . . . .143
Electrode placement. . . . . . . . . . . . . . . . . . . . . 144
Accessing the ECG setup page . . . . . . . . . . . . 147
ECG parameter setup functions . . . . . . . . . . . . 148
Monitoring paced patients . . . . . . . . . . . . . . . .149
Pacemaker precautions . . . . . . . . . . . . . . . . . . 149
Pacemaker considerations . . . . . . . . . . . . . 149
Pacer Fusion mode. . . . . . . . . . . . . . . . . . . 151
Device interference with pacemaker
monitoring . . . . . . . . . . . . . . . . . . . . . . . . . . 151
Overview of arrhythmia monitoring. . . . . . . . . .152
M300/M300+ Arrhythmia processing . . . . . . . . 153
Selecting arrhythmia leads . . . . . . . . . . . . . . . . 154
Recommended remedies for lead-off
notifications. . . . . . . . . . . . . . . . . . . . . . . . . 157
Arrhythmia modes . . . . . . . . . . . . . . . . . . . . . .157
Arrhythmia display . . . . . . . . . . . . . . . . . . . . . .158
Arrhythmia parameter box on an ICS
BedView . . . . . . . . . . . . . . . . . . . . . . . . . . . 158
Accessing the Arrhythmia setup page . . . . . . . 159
Arrhythmia parameter setup function . . . . . . . . 159
Overview of ST monitoring . . . . . . . . . . . . . . . . 159
Connecting lead wire sets for ST monitoring . . . 161
Standard ST monitoring . . . . . . . . . . . . . . . . . . 161
12-lead TruST monitoring. . . . . . . . . . . . . . . . . 162
ST display. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 163
ST parameter box on an ICS BedView . . . . 163
ST complex pages . . . . . . . . . . . . . . . . . . . . . .163
Viewing all ST complexes . . . . . . . . . . . . . 164
Zooming in on an ST complex . . . . . . . . . . 166
ST measuring and ISO points . . . . . . . . . . 167
Adjusting ST measuring and ISO points . . . 167
ST reference . . . . . . . . . . . . . . . . . . . . . . . 168
Saving ST reference . . . . . . . . . . . . . . . . . 168
Accessing the ST setup page . . . . . . . . . . . . . 168
ST parameter setup functions . . . . . . . . . . . . . 169
Learning/relearning QRS pattern . . . . . . . . . . 169
SpO
2 and pulse rate monitoring with
Masimo and M300 . . . . . . . . . . . . . . . . . . . . . 171
Overview of SpO
2 monitoring with Masimo. . . 172
Supported parameters. . . . . . . . . . . . . . . . 172
SpO
2 precautions . . . . . . . . . . . . . . . . . . . . . . 173
Starting SpO
2 monitoring on a patient. . . . . . . 174
Connecting the SpO2 cable to the M300. . . . . 175
Patient preparation for SpO
2 monitoring . . . . . 175
Applying the sensor . . . . . . . . . . . . . . . . . . 176
Turning SpO
2 monitoring on/off. . . . . . . . . . . . 177
SpO
2 display . . . . . . . . . . . . . . . . . . . . . . . . . . 177
SpO2 parameter box in the ICS BedView . . . 178
SpO2 parameter box on an M300 . . . . . . . 178
Accessing the SpO2 page. . . . . . . . . . . . . . . . 179
SpO
2 parameter setup functions . . . . . . . . . . . 179
SpO
2 and pulse rate monitoring with
Nellcor and M300. . . . . . . . . . . . . . . . . . . . . . 181
Overview of SpO
2 monitoring with Nellcor . . . 182
Supported parameters. . . . . . . . . . . . . . . . 182
SpO
2 precautions . . . . . . . . . . . . . . . . . . . . . . 183
Starting SpO
2 monitoring on a patient. . . . . . . 184
Connecting the SpO
2 cable to the M300. . . . . 185
Patient preparation for SpO2 monitoring . . . . . 186
Applying the sensor . . . . . . . . . . . . . . . . . . 186
Turning SpO
2 monitoring on/off. . . . . . . . . . . . 187
SpO2 display . . . . . . . . . . . . . . . . . . . . . . . . . . 188
SpO
2 parameter box on an ICS BedView . . . 188
SpO
2 parameter box on an M300 . . . . . . . 189
Accessing the SpO2 setup page . . . . . . . . . . . 190
SpO
2 parameter setup functions . . . . . . . . . . . 190
Recordings/reports . . . . . . . . . . . . . . . . . . . . 191
Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 192
R50N recorder. . . . . . . . . . . . . . . . . . . . . . . . . 193
Recorder setup . . . . . . . . . . . . . . . . . . . . . 193
Initiating manual recordings. . . . . . . . . . . . 194