Choosing Easi or Standard Lead Placement

6 ECG, Arrhythmia, and ST Monitoring

Choosing EASI or Standard Lead Placement

–Diag (Diagnostic): Use when diagnostic quality is required. The unfiltered ECG wave is displayed so that changes such as R-wave notching or discrete elevation or depression of the ST segments are visible.

The setting Diag selects the highest available ECG bandwidth which is 0.05 to 150 Hz for the Adult and 0.5 to 150 Hz for the Pedi and Neo patient category. The term “diagnostic” relates only to the ECG bandwidth requirements for diagnostic electrocardiographic devices as outlined in the ANSI/AAMI standard EC11-1991.

If EASI™ monitoring is available on your monitor, you must enable either standard lead placement or EASI lead placement.

♦In the Setup ECG menu, select Lead Placement and then Standard or EASI.

EASI is shown beside the 1mV calibration bar on the ECG wave on the display, and EASI is marked on any recorder strips and printouts.

See the section on EASI ECG Lead Placement for electrode placement diagrams.

About ECG Leads

To make it possible to compare measured ECG signals, the electrodes (or lead sets) are placed in standardized positions, forming so-called “leads.” To obtain ECG signals optimized for use in diagnosis and patient management in different care environments, different lead sets in varying lead placements can be used. You can use either standard lead placements or EASI lead placements with this monitor.

When placing electrodes, choose a flat, non-muscular site where the signal will not be interfered with by either movement or bones. Correct lead placement is always important for accurate diagnosis. Especially in the precordial leads, which are close to the heart, QRS morphology can be greatly altered if an electrode is moved away from its correct location.

ECG Leads Monitored

If you are using	these leads are available:	Resp is measured
		between electrodes:

a 3-electrode set	I, II, III	RA and LL

a 5-electrode set	I, II, III, aVR, aVL, aVF, V and MCL	RA and LL

a 10-electrode set	I, II, III, aVR, aVL, aVF, V1, V2, V3, V4, V5, V6	RA and LL

an EASI 5-electrode set	I, II, III, aVR, aVL, aVF, V1, V2, V3, V4, V5, V6	I and A

Changing Lead Sets

To change the ECG lead set,

1Remove the electrodes and then replace them as required.

2If the new lead set has more leads than the previous, the monitor automatically recognizes the new lead placement. If the new lead set has fewer leads, then you must select New Lead Setup in the Setup ECG menu. If you remove electrodes and do not select New Lead Setup, the monitor

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Philips MP40/50 Choosing Easi or Standard Lead Placement, About ECG Leads, ECG Leads Monitored

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