Philips Efficia DFM100 - Fixed Mode Pacing

8: Pacing Fixed Mode Pacing
96
Fixed Mode Pacing
 To pace in Fixed Mode:
1 Turn the Therapy knob to the Pacer position.
The message
 appears in the Pacing Bar and indicates the pacing function is
enabled but pace pulses are not being delivered. Demand pacing is the default pacer mode.
2 Change to Fixed Mode pacing.
a Press the Smart Select knob.
b Turn the Smart Select knob to highlight
 and press the Smart Select knob.
c Select
 and press the Smart Select knob. (See Figure 55.)
3 Use the Lead Select button to select the desired lead for viewing, if one is available.
NOTE: If you want to see the ECG waveform and related parameters while pacing, you must have ECG
electrodes on the patient with pads. Viewing Pads in Wave Sector 1 while pacing may give you an
incorrect heart rate and inappropriate alarms.
4 Select the Pacer Rate by pressing the
 soft key and then selecting  from
the menu to bring up the Pacer Rate window. Use the Smart Select knob to adjust the rate then
press the Smart Select knob to select the rate. Repeat and select
 to adjust the Pacer
Output. See Figure 54.
5 Press
.  appears in the Pacing Bar.
6 If you have an ECG waveform, verify white pacing markers appear.
7 Verify the presence of a peripheral pulse and increase output if required.
8 Press the
 soft key and then select . Use the Smart Select knob to
increase the output until cardiac capture occurs. Capture is indicated by the appearance of a
QRS complex after each pacing marker. Decrease the output to the lowest level that still
maintains capture.
9 Assess the patient for a peripheral pulse. (Pulse alarms are automatically turned on.)
 To stop pacing:
•Press the
 soft key. A prompt message asks you to confirm your action. Using the
Smart Select knob, select
 to pause pacing; select  to continue pacing. Once paused, press
the flashing
 soft key to resume pacing.
OR
• Move the Therapy knob away from the Pacer position.
Figure 55 Changing Pacing Modes








