V Series Operating Instructions 9 - 19
ECG – Arrhythmia Preparation and Lead Placement
9.5.3.8 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 9-17 Neonatal 3-wire Lead
Placement (AHA)
FIGURE 9-18 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.