Passport V Operating Instructions 0070- 0-0704-02 4 - 21
ECG Monitoring Preparation and Lead Placement
4.5.3.7 Lead Placement: Neonates
Using a 3-wire lead set, ECG lead placement on a neonate is usually directed towards 
obtaining the best possible respiration data through the ECG thoracic impedance technique. 
Thoracic impedance is usually measured between the Right Arm and Left Arm electrode 
patches. These patches should be placed on the chest directly across from each other to 
optimize the measuring of the neonate’s chest movement. The recommended lead placement 
for neonate monitoring is as follows.
 
FIGURE 4-19 Neonatal 3-wire Lead 
Placement (AHA)
FIGURE 4-20 Neonatal 3-wire Lead 
Placement (IEC)
• Place the RA (white) electrode under the 
patient’s right clavicle, at the mid-
clavicular line within the rib cage frame.
• Place the LA (black) electrode under the 
patient’s left clavicle, at the mid-
clavicular line within the rib cage frame.
• Place the LL (red) electrode on the 
patient’s lower left abdomen within the 
rib cage frame.
• Place the R (red) electrode under the 
patient’s right clavicle, at the mid-
clavicular line within the rib cage frame.
• Place the L (yellow) electrode under the 
patient’s left clavicle, at the mid-
clavicular line within the rib cage frame.
• Place the F (green) electrode on the 
patient’s lower left abdomen within the 
rib cage frame.
RA
LA
LL
Red
Black
White
R
L
F
Red
Yellow
Green
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