Philips MP60/70/80/90 Manuel d'utilisateur Page 118
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6 ECG, Arrhythmia, and ST Monitoring ECG Lead Placements
98
Standard 3-Lead Placement
Standard 5-Lead Placement
RA placement: directly below the clavicle and
near the right shoulder
LA placement: directly below the clavicle and
near the left shoulder
LL placement: on the left lower abdomen
RA
LA
LL
RA placement: directly below the clavicle and
near the right shoulder
LA placement: directly below the clavicle and
near the left shoulder
RL placement: on the right lower abdomen
LL placement: on the left lower abdomen
V placement: on the chest, the position depends
on your required lead selection
LA
LL
RA
V
RL
I
I
I
I
I
I
a
V
R
a
V
L
a
V
F
- IntelliVue Patient Monitor 1
- *M8000-9001G* 2
- Table Of Contents 3
- 2 What’s New? 35 4
- 3 Alarms 41 5
- 4 Patient Alarms and INOPs 53 5
- 5 Managing Patients 77 5
- 7 Monitoring Pulse Rate 127 8
- 9 Monitoring SpO 9
- 10 Monitoring NBP 143 9
- 11 Monitoring Temperature 149 9
- 16 Monitoring tcGas 195 12
- 17 Monitoring SvO 12
- 18 Monitoring EEG 207 12
- 19 Monitoring BIS 215 13
- 20 Trends 223 13
- 21 Calculations 233 14
- 23 Event Surveillance 241 14
- 24 Recording 257 15
- 27 VueLink Modules 281 16
- 28 Using Timers 285 16
- 29 Respiratory Loops 289 17
- 30 Care and Cleaning 293 17
- 31 Using the Batteries 297 17
- 33 Accessories 309 18
- Basic Operation 21
- IntelliVue MP20/MP30 22
- IntelliVue MP40/MP50 24
- IntelliVue MP60/MP70 25
- IntelliVue MP80/MP90 26
- D80 Intelligent Display 27
- Remote Alarm Device 27
- Related Products 28
- Measurement Modules 29
- Operating and Navigating 34
- Selecting Screen Elements 35
- Using the Setup Menu 35
- Using the Touchscreen 35
- Using the SpeedPoint 36
- Using the Navigation Point 37
- Using a Mouse or Trackball 37
- Using Keys 37
- SmartKeys 38
- Hardkeys 39
- Pop-Up Keys 39
- Using the On-Screen Keyboard 40
- Operating Modes 41
- Understanding Screens 42
- Using Additional Displays 43
- Understanding Profiles 44
- Swapping a Complete Profile 45
- Understanding Settings 46
- Changing Wave Speeds 47
- Freezing Waves 48
- Using Labels 49
- Resolving Label Conflicts 50
- Changing Monitor Settings 51
- Getting Started 52
- Disconnecting from Power 53
- Networked Monitoring 53
- Using Remote Applications 53
- Remote Application Popup Keys 54
- What’s New? 55
- What’s New in Release C.0? 56
- What’s New in Release B.1? 57
- What’s New in Release B.0? 58
- What’s New in Release A.2? 59
- Visual Alarm Indicators 62
- Audible Alarm Indicators 62
- Acknowledging Alarms 64
- To Pause All Alarms 65
- To Switch All Alarms Off 65
- Alarm Limits 66
- Viewing All Alarm Limits 67
- Changing Alarm Limits 68
- Documenting Alarm Limits 69
- Reviewing Alarms 70
- Understanding Alarm Messages 71
- Latching Alarms 71
- Testing Alarms 72
- Alarm Behavior at On/Off 72
- Patient Alarms and INOPs 73
- , anesthetic agent, and 79
- (M4605A) 79
- CO2 OCCLUSION is 85
- Lead Setup 87
- Setup SVR menu 94
- Setup TCGas menu 94
- ∆Temp> CHK SOURCES 95
- ∆Temp> CHK UNITS 95
- °C, or greater than 45°C.] 95
- Managing Patients 97
- Quick Admitting a Patient 98
- Editing Patient Information 99
- Discharging a Patient 99
- Transferring Patients 100
- Data Upload from an MMS 101
- Care Groups 104
- Bed 12 Bed 13 105
- Other Patients SmartKey, if 106
- Viewing the Other Bed Window 107
- Care Group Alarms 108
- Telemetry Data Overview 109
- Suspending Telemetry Alarms 110
- Using Standby 110
- ECG, Arrhythmia, and ST 111
- Monitoring 111
- Checking Paced Status 112
- Understanding the ECG Display 113
- Monitoring Paced Patients 113
- Paced is set to Yes: 114
- About ECG Leads 116
- ECG Lead Fallback 117
- ECG Lead Placements 117
- Standard 3-Lead Placement 118
- Standard 5-Lead Placement 118
- Chest Electrode Placement 119
- 10-Lead Placement 120
- Conventional 12-Lead ECG 120
- Labelling 12-Lead ECG Reports 121
- Capture 12-Lead 122
- EASI ECG Lead Placement 122
- Using ECG Alarms 125
- ECG Safety Information 125
- About Arrhythmia Monitoring 127
- Aberrantly-Conducted Beats 128
- Viewing Arrhythmia Waves 129
- Arrhythmia Beat Labels 129
- Arrhythmia Status Messages 130
- Arrhythmia Relearning 131
- Arrhythmia Alarms 132
- What is a Timeout Period? 134
- Resetting the Timeout Period 134
- Arrhythmia Alarm Chaining 135
- but ≤ 12 136
- About ST Monitoring 137
- Switching ST On and Off 137
- Understanding the ST Display 138
- Updating ST Baseline Snippets 139
- Recording ST Segments 139
- ST Alarms 142
- Viewing ST Maps 142
- Trend View 143
- Viewing an ST Map 144
- Printing an ST Map Report 145
- Monitoring Pulse Rate 147
- Switching Pulse On and Off 148
- Using Pulse Alarms 148
- Extreme Alarm Limits 149
- QRS Tone 149
- Monitoring Respiration Rate 151
- Changing Resp Detection Modes 152
- Manual Detection Mode 153
- Using Resp Alarms 154
- Resp Safety Information 154
- Monitoring SpO 157
- Connecting SpO 158
- Measuring SpO 158
- Assessing a Suspicious SpO 159
- Reading 159
- Understanding SpO 160
- Pleth Wave 160
- Setup menu, select First SpO 162
- Second SpO 162
- Monitoring NBP 163
- Preparing to Measure NBP 164
- Choosing the NBP Alarm Source 167
- Assisting Venous Puncture 167
- Calibrating NBP 167
- Monitoring Temperature 169
- Calculating Temp Difference 170
- Monitoring Invasive Pressure 171
- Extended Pressure Label Set 172
- Zeroing ICP (or IC1/IC2) 173
- Using the Zero Hardkey 173
- Troubleshooting the Zero 174
- Optimizing the Waveform 175
- Editing the Wedge 179
- (module M1006B 180
- Monitoring Cardiac Output 181
- Hemodynamic Parameters 182
- Entering the HemoCalc Window 184
- Save C.O. and Cal CCO 187
- Save C.O. & Cal CCO 187
- Thermodilution Method 188
- Documenting C.O. Measurements 189
- C.O. Injectate Guidelines 190
- C.O./CCO Curve Alert Messages 191
- C.O./CCO Prompt Messages 192
- C.O./CCO Warning Messages 193
- C.O./CCO Safety Information 193
- Monitoring Carbon Dioxide 195
- Start Zero 197
- Zero done at <date 197
- Start Zero Cal 198
- Using the Mainstream CO 199
- Extension (M3016A) 199
- Calibrating the Transducer 200
- Attaching and Removing the CO 200
- Transducer 200
- Using the Microstream CO 201
- Extension (M3015A) 201
- Suppressing Zero Calibration 203
- Adjusting the CO 203
- Wave Scale 203
- Setting up CO 203
- Corrections 203
- 14 Monitoring Carbon Dioxide 205
- Monitoring Airway Flow 207
- Volume and Pressure 207
- Attaching the Flow Sensor 208
- Pediatric/adult sensor 209
- Zero Calibration 210
- Automatic Purging 210
- Manual Purging 211
- Gas Compensation 211
- Setting up Spirometry 212
- and the Inspired Agents 213
- Monitoring tcGas 215
- Using the tcGas Site Timer 216
- New/Dried Out Transducers 218
- Storing tcGas Transducers 218
- Calibration Failure 220
- Applying the tcGas Transducer 221
- Finishing tcGas Monitoring 222
- TcGas Corrections 222
- Monitoring SvO 223
- Preparing to Monitor SvO 224
- Inserting the Catheter 225
- Calculating Oxygen Extraction 226
- Monitoring EEG 227
- EEG Monitoring Setup 228
- Changing the Impedance Limit 229
- Impedance Indicators 230
- Changing EEG Settings 232
- EEG Reports 233
- EEG Safety Information 234
- Monitoring BIS 235
- BIS Monitoring Setup 236
- Monitoring BIS using the BISx 237
- BIS Cyclic Impedance Check 238
- BIS Window 239
- BIS Safety Information 241
- Viewing Trends 243
- Viewing Graphic Trends 244
- Viewing Vital Signs Trends 244
- Setting Up Trends 245
- Making Segment Settings 246
- Trend Groups 247
- Trend Interval 247
- Trend Priority 247
- Trend Parameter Scales 247
- Documenting Trends 248
- Trends Databases 249
- Screen Trends 249
- Setting the Screen Trend Time 250
- Tabular View 251
- Horizon View 252
- Setting the Horizon 252
- Calculations 253
- Calculations Windows 254
- Calculations Pop-Up Keys 254
- Reviewing Calculations 255
- Performing Calculations 255
- Automatic Value Substitution 256
- Automatic Unit Conversion 256
- Manual Unit Conversion 256
- BSA Formula 256
- Documenting Calculations 257
- High Resolution Trend 259
- Hi-Res Trend Wave Recordings 260
- Event Surveillance 261
- Event Groups 262
- Event Episodes 262
- Events Pop-Up Keys 263
- Event Triggers 264
- Event Retriggering 265
- Event Notification 265
- Triggering Events Manually 266
- The Events Database 267
- Viewing Events 267
- Counting Combi-Events 268
- Event Summary Window 269
- Event Review Window 269
- Event Episode Window 270
- Annotating Events 271
- Documenting Events 271
- Documenting an Event Episode 272
- Event Recordings 272
- Event Reports 273
- Event Review Reports 274
- Event Episode Reports 275
- Event Summary Reports 275
- Recording 277
- Quickstarting Recordings 278
- Overview of Recording Types 279
- All ECG Waves Recordings 280
- Changing ECG Wave Gain 281
- Recording Priorities 282
- Sample Recording Strip 282
- Recorded Waveforms 283
- Maintaining Recording Strips 283
- Reloading Paper 284
- Recorder Status Messages 285
- Printing Patient Reports 287
- Stopping Reports Printouts 288
- Setting Up Reports 288
- Setting Up Auto Reports 289
- Checking Printer Settings 290
- Printing a Test Report 291
- Dashed Lines on Reports 291
- Printer Status Messages 292
- Sample Report Printouts 292
- Alarm Limits Report 293
- Realtime Report 294
- Cardiac Output Report 295
- ECG Reports 296
- Other Reports 296
- Using the Drug Calculator 297
- Performing Drug Calculations 298
- Drug Calculator 299
- Lidocaine 299
- Patient Category 299
- Charting Infusion Progress 300
- Using the Titration Table 300
- Documenting Drug Calculations 300
- VueLink Modules 301
- Using VueLink Screens 303
- Switching VueLink On and Off 303
- Using Timers 305
- Timer Setup Pop-up Keys 306
- Setting Up Timers 306
- Run Time 307
- Timer Counting Direction 307
- Main Screen Timer Pop-up Keys 308
- Respiratory Loops 309
- Capturing and Deleting Loops 310
- Showing/Hiding Loops 310
- Changing Loops Display Size 311
- Using the Loops Cursor 311
- Changing Loops Type 311
- Setting Up Source Device 311
- Documenting Loops 312
- Care and Cleaning 313
- Cleaning 314
- Disinfecting 314
- Sterilizing 315
- Using the Batteries 317
- 3:40 hrs 318
- Checking Battery Charge 320
- Replacing Batteries 321
- Display Brightness Setting 322
- Charging Batteries 322
- Conditioning Batteries 322
- Unequally-Charged Batteries 322
- Battery Safety Information 323
- Maintenance and 325
- Troubleshooting 325
- Disposing of the Monitor 327
- Accessories 329
- 5-Electrode Cable Sets 330
- 10-Electrode Cable Sets 330
- 3-Electrode One Piece Cables 330
- 5-Electrode One Piece Cables 330
- NBP Accessories 331
- Invasive Pressure Accessories 333
- 33 Accessories SpO 334
- Temperature Accessories 338
- Description Part No 340
- Microstream CO 341
- Spirometry Accessories 341
- EEG Accessories 342
- BIS Accessories 342
- Recorder Accessories 344
- Intended Use 345
- Indication for Use 345
- Manufacturer’s Information 346
- Trademark Acknowledgement 347
- Connectors 349
- MP20/MP30 350
- MP40/MP50 351
- MP60/MP70 352
- MP80/MP90 354
- Altitude Setting 356
- Monitor Safety Specifications 356
- Physical Specifications 357
- Environmental Specifications 359
- MP20/MP30/ 361
- Display Specifications 366
- Measurement Specifications 368
- Respiration 370
- Performance Specifications 372
- Adult: 165 ±15 mmHg 373
- Pedi: 130 ±15 mmHg 373
- Neo: 100 ±15 mmHg 373
- Invasive Pressure and Pulse 374
- Spirometry 379
- Safety and Performance Tests 385
- Electromagnetic Immunity 386
- Fast Transients/Bursts 388
- Restart time 388
- Default Settings Appendix 389
- Alarm Default Settings 390
- On Off Off 392
- Pulse Default Settings 393
- Respiration Default Settings 394
- Default Settings 394
- NBP Default Settings 395
- Temperature Default Settings 395
- Spirometry Default Settings 398
- EEG Default Settings 400
- BIS Default Settings 400
- VueLink Default Settings 401
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