Pace pulse marks
PP
Beat label
P

Understanding the Arrhythmia Display

6 ECG, Arrhythmia, and ST Monitoring

Intermittent Bundle Branch Block

Bundle branch and the other fascicular blocks create a challenge for the arrhythmia algorithm. If the QRS during the block changes considerably from the learned normal, the blocked beat may be incorrectly classified as ventricular, causing false PVC alarms. You should always select a lead where the bundle branch block beats have an R-wave that is as narrow as possible to minimize incorrect calls. Ventricular beats should look different from these ‘normal beats’. Instead of trying to select two leads with a narrow R-wave, it may be easier to just select one lead and use single lead arrhythmia monitoring. Extra vigilance is required by the clinician for this type of patient.

Understanding the Arrhythmia Display

Your monitor screen may look slightly different from the illustration.

Rhythm status message

II

M

Delayed 1mV Delayed arrhythmia wave

Paced Rhythm

Pair PVCs

Ectopic status message

PVC Numeric

PVC

2

HR Numeric

HR

75

Viewing Arrhythmia Waves

To review arrhythmia beat labels, in the Setup Arrhythmia menu, select Annotate Arrhy.

The wave showing the primary ECG lead will be delayed by six seconds and shown on a grey background. Beat labels will be annotated above the ECG wave and Delayed will be written beside it.

To return to the normal ECG primary lead display, select Annotate Arrhy again.

Arrhythmia Beat Labels

Arrhythmia beat labels tell you how the monitor is classifying beats.

N = Normal

V = Ventricular Ectopic

S= Supra-ventricular Premature

P = Paced

'= Pacer spike

L= Learning patient's ECG

A = Artifact (noisy episode)

?= Insufficient information to classify beats

I = Inoperative condition (e.g., LEADS OFF)

M = Pause or missed beat

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Philips MP60/70/80/90 Understanding the Arrhythmia Display, Intermittent Bundle Branch Block, Viewing Arrhythmia Waves

MP60/70/80/90, MP40/50, MP20/30 specifications

Philips MP20/30, MP40/50, and MP60/70/80/90 are advanced patient monitoring systems designed to enhance clinical workflows and patient care in diverse healthcare settings. These devices combine cutting-edge technologies and user-friendly interfaces, making them essential tools for hospitals and healthcare providers.

The MP20 and MP30 are notable for their compact design, making them ideal for environments where space is limited. They come equipped with a variety of monitoring parameters, including ECG, SpO2, and non-invasive blood pressure, providing a comprehensive overview of patient health. These models are particularly suited for use in general wards or recovery areas, offering reliability and ease of use.

Moving to the MP40 and MP50, these monitors incorporate more advanced functionalities, including multi-gas monitoring, which is vital for anesthetic applications. They feature a robust data storage capacity, allowing for extensive patient history tracking and improved decision-making capabilities. The intuitive touchscreen interfaces facilitate quick access to essential information, enabling healthcare professionals to respond efficiently to changes in a patient's condition.

The MP60, MP70, MP80, and MP90 series represent the pinnacle of Philips' patient monitoring technology. These monitors are equipped with advanced algorithms that enhance the precision of vital sign measurements, including advanced ECG analysis capabilities that assist in detecting arrhythmias. The MP80 and MP90 models further integrate advanced monitoring technologies such as 3D visualization for hemodynamics and deep learning algorithms for early warning systems.

Connectivity is a key feature across the Philips monitoring range, with many models offering seamless integration with hospital information systems and electronic health records. This connectivity ensures that patient data is easily accessible to clinicians, promoting informed decision-making. Moreover, alarm management features are designed to minimize false alarms, significantly improving the staff's response time by focusing on critical alerts.

In summary, Philips MP20/30, MP40/50, MP60/70/80/90 monitors deliver exceptional monitoring capabilities, combining user-friendly design with advanced technology. Their varied features allow them to cater to different clinical needs, enhancing patient care and supporting healthcare professionals in their critical roles. With these monitors, healthcare facilities can achieve a new standard in patient monitoring, ensuring quality and safety in patient management.