4Therapy
Therapy
LIFEPAK 20 Defibrillator/Monitor Operating Instructions 4-3
©2002–2013 Physio-Control, Inc.
THERAPY ELECTRODE AND STANDARD PADDLE PLACEMENT
The following paragraphs describe therapy electrodes and standard paddles placement, including
special placement situations.
Anterior-lateral Placement
Anterior-lateral placement allows for ECG monitoring, defibrillation, synchronized cardioversion, and
noninvasive pacing.
1 Place either the ♥ or + therapy electrode, or apex paddle lateral to the patient's left nipple in the
midaxillary line, with the center of the electrode in the midaxillary line, if possible. Refer to
Figure 4-1.
Figure 4-1 Anterior-lateral Placement
2 Place the other therapy electrode or sternum paddle on the patient’s upper right torso, lateral to the
sternum, and below the clavicle as shown in Figure 4-1.
Anterior-posterior Placement
Anterior-posterior is an alternative position for noninvasive pacing, manual defibrillation, and
synchronized cardioversion, but not for ECG monitoring or automated defibrillation. The ECG signal
obtained through electrodes in this position is not a standard lead.
1 Place either the ♥ or + therapy electrode over the left precordium as shown in Figure 4-2. The
upper edge of the electrode should be below the nipple. Avoid placement over the nipple, the
diaphragm, or the bony prominence of the sternum if possible.
2 Place the other electrode behind the heart in the infrascapular area as shown in Figure 4-2. For
patient comfort, place the cable connection away from the spine. Do not place the electrode over
the bony prominences of the spine or scapula.
FAST-PATCH
Electrodes
Standard
Paddles
QUIK-COMBO
Electrodes
Anterior
Lateral
Apex
Sternum
Anterior
Lateral
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