GE CARESCAPE - NMT alternative connections

Neuromusculartransmission
5.ConnectthesensorcabletotheMechanoSensororElectroSensorleadwireset.
PreparingtheElectroSensorsetup
1.Placetwoelectrodesforwhiteandbrownleadconnectionalongtheulnarnerve.
Preventtheelectrodesfrommakingcontactwitheachother.
2.Placetheelectrodesforredandgreenleadconnectionasindicatedinthe
illustrationabove.
3.Placetheelectrodeforblackleadconnectionwhereconvenient,preferably
betweenthestimulatingandrecordingleadconnectionelectrodes.
PreparingtheMechanoSensorsetup
1.Placethetwoelectrodesalongtheulnarnerve.Preventtheelectrodesfrom
makingcontactwitheachother.Palpatingtheulnararterynearthewristarea
maybehelpfulinidentifyingtheulnarnerve.
2.Attachthesensorinthegroovebetweenthumbandindexnger.Ifnecessary,
securewithnarrowtapeonly.
3.Makesurethatthesensorsetstightlyinthegrooveandthatthethumbcanmove
freely.Donotimmobilizethehand.
Ulnarnerveandcorrespondingmuscles
1.m.adductorpollicis
2.m.abductordigitiminimi(hypothenar)
3.m.exorpollicisbrevis(thenar)
4.n.ulnaris
5.medialepicondyle
NMTalternativeconnections
Ifthepatient'sarmand/orhandcannotbeusedforNMTmeasurement,thefootmay
beanalternativemeasurementsite.Placetheelectrodesforwhiteandbrownlead
connectionalongtheposteriortibialnerve(causingplantarreexionofthegreat
toeandfoot)orperonealnerve(stimulatedbehindtheheadofbula).Placethe
electrodesforredandgreenleadconnectionsiteonthem.exorhallucisbrevis,and
theelectrodeforblackleadconnection(ground)asindicatedinthegure.
364CARESCAPEModularMonitors2062971-001