6 ECG, Arrhythmia, and ST Monitoring

Arrhythmia Alarms

Automatic Arrhythmia Relearn

Arrhythmia relearning is initiated automatically whenever:

ECG monitoring is switched on

The ECG Lead or Lead Label is changed manually, or when fallback occurs

A Leads Off INOP condition (that has been active for > 60 seconds) ends.

If you are monitoring multi-lead arrhythmia and there is a change in one lead only, relearning happens only in the affected lead. During this learning phase, the system will continue monitoring using the other lead. Therefore, the delayed arrhythmia wave is not labeled L and there is no LEARNING ECG rhythm status message. In addition, alarm timeout periods are maintained, stored arrhythmia templates are maintained for the operative lead, and all alarms switched on are active.

Arrhythmia Relearn and Lead Fallback

Lead fallback triggers an automatic arrhythmia relearn.

WARNING If arrhythmia learning takes place during ventricular rhythm, the ectopics may be incorrectly learned as the normal QRS complex. This may result in missed detection of subsequent events of V-Tach and V- Fib.

For this reason you should:

take care to initiate arrhythmia relearning only during periods of predominantly normal rhythm and when the ECG signal is relatively noise-free

be aware that arrhythmia relearning can happen automatically

respond to any INOP messages (for example, if you are prompted to reconnect electrodes)

be aware that a disconnected EASI electrode triggers an arrhythmia relearn on all leads

always ensure that the arrhythmia algorithm is labeling beats correctly.

Arrhythmia Alarms

Arrhythmia alarms can be switched on and off and the settings changed just like other measurement alarms, as described in the Alarms section. Special alarm features which apply only to arrhythmia are described here.

The different alarms detected and generated by the monitor depend on the level of arrhythmia analysis that is enabled. For a complete list of arrhythmia alarms and INOPs, see the Alarms chapter.

The monitor detects arrhythmia alarm conditions by comparing ECG data to a set of pre-defined criteria. An alarm can be triggered by a rate exceeding a threshold (for example, HR >xx), an abnormal rhythm (for example, Ventricular Bigeminy), or an ectopic event (for example, Pair PVCs).

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Philips MP60/70/80/90, MP20/30 manual Arrhythmia Alarms, Automatic Arrhythmia Relearn, Arrhythmia Relearn and Lead Fallback

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.