GE CARESCAPE ONE - Page 121

ECG
ProblemSolution
switchtosingleleadanalysissoallarrhythmia
interpretationsarebasedonthissingleECGlead.
HowdoestheIntelliRatealgorithmimpactan
AsystolealarmwithaQRSwaveform?
IntelliRatewillreportAsystolewhenthefollowing
conditionsaremet:
●TheECGHRhasbeenvalidandstableduringthe
previous30seconds.
●Theinvasivepressurepulseratewasvalidearlier,
butdoesnotindicatebeatdetectionsinthe
previous30seconds.
●Themeanarterialbloodpressureofthe
invasivepressurepulseratesourceisbelowthe
user-selectedlimit.
●TheSpO
2
parameterifavailabledoesnotindicate
beatdetectionsintheprevious30seconds.
NOTE
IntelliRateperformsthis
analysisonlywhen
pacemakerdetectionis
conguredon.
WhyisthemonitorcallingVTachwhenthepatientis
notinVTach?
Themonitoringsystemmaybedetectingawider
QRScomplexorartifactinsomeoftheanalyzedECG
waveforms.Inaddition,theVleadsmaybeexhibiting
polaritychanges,whichmayoccasionallycausean
inaccuratecall.
1.Assessthepatient.
2.ChecktheECGsignalacquiredfromthepatient.
●VieweachECGleadtoassessthewidthofthe
QRScomplexesintheanalyzedleads.
●Ifartifactexistsinanyoftheanalyzedleads,
reprepthepatient’sskin,replaceelectrodes,
andadjusttheelectrodeplacement.
●ItmaybebenecialtomoveVleadelectrodes
(chestlead)toalternateprecordialelectrode
placementstoimprovedetection.
3.RelearntheECGrhythm.Itisimportanttorelearn
thepatient’sECGpatternanytimetheelectrode
congurationisadjusted.
Iftheproblemcontinues,determinetheleadwith
thenarrowestQRScomplex,displaythatlead,then
switchtosingleleadanalysissoallarrhythmia
interpretationsarebasedonthissingleECGlead.
2094480-001CARESCAPEONE121
CARESCAPE ONE User Manual DRAFT 26 October 2017