Passport® - Mindray

ECG Monitoring Preparation and Lead Placement
4.5.3.7 Lead Placement: Neonates
Using a 3-wire lead set, ECG lead placement on a neonate is usually directed towards
obtaining the best possible respiration data through the ECG thoracic impedance technique.
Thoracic impedance is usually measured between the Right Arm and Left Arm electrode
patches. These patches should be placed on the chest directly across from each other to
optimize the measuring of the neonate’s chest movement. The recommended lead placement
for neonate monitoring is as follows.
White
RA
LA
LL
Black
Red
FIGURE 4-19 Neonatal 3-wire Lead
Placement (AHA)
Place the RA (white) electrode under the
patient’s right clavicle, at the midclavicular
line within the rib cage frame.
Place the LA (black) electrode under the
patient’s left clavicle, at the midclavicular
line within the rib cage frame.
Place the LL (red) electrode on the
patient’s lower left abdomen within the
rib cage frame.
FIGURE 4-20 Neonatal 3-wire Lead
Placement (IEC)
Place the R (red) electrode under the
patient’s right clavicle, at the midclavicular
line within the rib cage frame.
Place the L (yellow) electrode under the
patient’s left clavicle, at the midclavicular
line within the rib cage frame.
Place the F (green) electrode on the
patient’s lower left abdomen within the
rib cage frame.
Passport V Operating Instructions 0070-10-0704-02 4 - 21
Red
R
L
F
Yellow
Green