Physio-Control LIFEPAK 15 - Manual (Page 120)

5-6
LIFEPAK 15 Monitor/Defibrillator Operating Instructions
Therapy Electrode and Standard Paddle Placement
Figure 5-2 Anterior-Posterior Placement
Special Situations for Electrode or Paddle Placement
When placing therapy electrodes or standard paddles, be aware of the special requirements in the
following possible situations.
Synchronized Cardioversion
Alternative placements for cardioversion of atrial fibrillation include a) place the ♥ therapy
electrode over the left precordium and the other electrode on the patient’s right posterior
infrascapular area; or b) place the ♥ therapy electrode to the right of the sternum and the other
electrode on the patient’s posterior left infrascapular area.
Obese Patients or Patients with Large Breasts
Apply therapy electrodes or standard paddles to a flat area on the chest, if possible. If skin folds
or breast tissue prevent good adhesion, it may be necessary to spread skin folds apart to create
a flat surface.
Thin Patients
Follow the contour of the ribs and spaces when pressing therapy electrodes onto the torso. This
action limits air spaces or gaps under the electrodes and promotes good skin contact.
Patients with Implanted Devices
Implanted devices such as cardiac defibrillators, pacemakers, or other devices may absorb
energy from a LIFEPAK 15 defibrillator shock or be damaged by the shock. If possible, place
therapy electrodes or standard paddles in the standard placements but away from the implanted
device. Treat the patient like any other patient who requires care. If defibrillation is
unsuccessful, it may be necessary to try alternate electrode placement (anterior-posterior).
QUIK-COMBO Therapy Electrodes
Posterior Anterior