11.6.2 Lead Placement
Since the same leads are used for ECG and respiration monitoring, the lead placement is very
important. Some patients, due to their clinical condition, expand their chest laterally, causing
a negative intrathoracic pressure. In these cases it is better to place the two crocodile clips
used for respiration monitoring laterally in the right axillary and left lateral chest areas, at the
maximum point of the breathing movement, to optimize the respiratory waveform.
NOTE
•
Please select the ECG cable with no resistance for RESP monitoring.
•
To optimize the respiration waveform, place the RA and LA electrodes
horizontally when the ECG Lead I is selected, and place the RA and LL
electrodes diagonally when the ECG lead II is selected.
•
Try to avoid placing the electrodes so the liver area and the ventricles of the
heart are in path between the electrodes used for respiration, to avoid cardiac
artifact to overlay on the ECG.
Figure 11-17 Lead placement (5-lead)
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