GE CARESCAPE ONE - Pacemaker detection

ECG
NOTE
Reconstructed(interpolated)leadscannotbeselectedfor
pacemakerdetectionorimpedancerespirationmonitoring.
12RLusesastandard6-leadwireelectrodeplacementtoacquireleadsI,II,III,AVR,
AVF,AVL,V1andV5.Thefourprecordialleads(V2,V3,V4,V6)arenotacquiredfrom
thepatient.Thisreconstructionassumesaccurateelectrodeplacementandtypical
anatomy.
For12RLmonitoring,a6-leadwirecableshouldbeused.
Onthemonitor,reconstructed(interpolated)leadscanbeidentiedbya“d”before
theleadname:dV2,dV3,dV4,anddV6.
Pacemakerdetection
Pacemakerdetectionwarnings
WARNING
RATEMETERS.Keeppacemakerpatientsunderclose
observation.Ratemetersmaycontinuetocountthe
pacemakerrateduringcardiacarrestandsomearrhythmias.
Therefore,donotrelyentirelyonratemeteralarms.See
thesupplementalinformationprovidedfordisclosureofthe
pacemakerpulserejectioncapabilityofthisdevice.
WARNING
FALSECALLS.Falselowheartrateindicatorsorfalse
Asystolecallsmayresultwithcertainpacemakersbecause
ofpacemakerartifactsuchaselectricalovershootofthe
pacemakeroverlappingthetrueQRScomplexes.
WARNING
MONITORINGPACEMAKERPATIENTS:Themonitoringof
pacemakerpatientscanonlyoccurwiththepaceprogram
activated.
WARNING
PACEMAKERINDICATION.Pacemakeractivityisindicated
ontheelectrocardiogramthroughthedisplayofadifferent
coloredpacemakermarkerpulse.Allpacemakermarker
pulsesappearuprightanduniformandshouldnotbeused
fordiagnosticinterpretation.
WARNING
PATIENTHAZARD.Apacemakerpulsecanbecountedasa
QRSduringAsystolewhenpacemakerdetectionison.Keep
pacemakerpatientsundercloseobservation.
WARNING
PATIENTHAZARD.Asystolemaynotbedetectedifthepatient
hasapacemakerthatproduceshigh-amplitudepacerspikes
andpacemakerdetectionison.Keeppacemakerpatients
undercloseobservation.
Pacemakerdetectionpointstonote
●Pacemakerdetectionisonbydefault.Ifyouturnpacemakerdetectionoff,you
shouldturnitbackonforpatientswithpacemakers.Pacemakerdetectionmustbe
usedwheneverthemonitoredpatienthasapacemaker.
●Thefollowingleadsareusedforpacemakerdetection:
￭5-leadmode:LeadsR/RL,L/LA,F/LL,andC/V
2094480-001CARESCAPEONE113
CARESCAPE ONE User Manual DRAFT 26 October 2017