GE CARESCAPE - 12 lead ECG analysis troubleshooting; Pacemaker detection; Pacemaker detection warnings

ECG
NOTE
Reconstructed(interpolated)leadscannotbeselectedfor
pacemakerdetectionorimpedancerespirationmonitoring.
NOTE
Interpretivestatementsarenotavailablewhena12leadECG
analysisisgeneratedusingthe12RLanalysisprogram.
The12RLanalysisprogramgeneratesa12leadECGreportfromasubsetofthe
electrodesusedtoacquireastandard12leadECG.The12leadreportincludesthe
statementLEADSV2,V3,V4,ANDV6AREINTERPOLATEDtoidentifythattheECG
measurementswereanalyzedusingreconstructed(interpolated)leads.Ifthesoftware
versionoftheMUSEdoesnotsupportthismessage,themessageSTATEMENTNOT
FOUNDisdisplayedinstead.Reconstructedleadsareidentiedonthemonitorandin
printouts(graphs)bytheletterd(forderived)beforetheleadname(e.g.,dV2)toensure
thecliniciancanidentifythereconstructedwaveformtracings.
12RLusesastandard6-leadwireelectrodeplacementtoacquireleadsI,II,III,AVR,AVF,
V1andV5.Thefourprecordialleads(V2,V3,V4,V6)arenotacquiredfromthepatient.
Thisreconstructionassumesaccurateelectrodeplacementandtypicalanatomy.
For12RLmonitoring,a6-or10-leadwirecablemaybeused.However,whenusinga
10-leadwirecable,donotprepareorconnectprecordialleads2,3,4,or6.
12leadECGanalysistroubleshooting
ProblemSolution
Transmittinga12leadreporttoaMUSEdatabase
fails.
Therearecommunicationsproblemswiththe
networkortheMUSEdatabase.
●Contactauthorizedservicepersonnel.
Printinga12leadanalysisreportfails.Thereisaprintererrororcommunicationproblems
withthenetwork.
●Checktheprinter.Ifyoucannotresolvethe
problem,contactauthorizedservicepersonnel.
Pacemakerdetection
Pacemakerdetectionwarnings
WARNING
—RATEMETERS—Keeppacemakerpatientsunderclose
observation.Ratemetersmaycontinuetocountthe
pacemakerrateduringcardiacarrestandsomearrhythmias.
Therefore,donotrelyentirelyonratemeteralarms.Seethe
CARESCAPEModularMonitorsSupplementalInformation
Manualfordisclosureofthepacemakerpulserejection
capabilityofthisdevice.
WARNING
—FALSECALLS—Falselowheartrateindicatorsorfalse
Asystolecallsmayresultwithcertainpacemakersbecause
ofpacemakerartifactsuchaselectricalovershootofthe
pacemakeroverlappingthetrueQRScomplexes.
WARNING
—MONITORINGPACEMAKERPATIENTS—PDM,TRAM,and
telemetry:themonitoringofpacemakerpatientscanonly
occurwiththepaceprogramactivated.
172CARESCAPEModularMonitors2062971-001