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DUOLTER - TRIOLTER Preparing for the Procedure 6.6.2. Placing the ECG electrodes on the patient When ECG recording, or blood pressure alone with ECG correlation, is programmed, follow the instructions below for placing the ECG electrodes on the patient. 6.6.2.1. Preparation The reliability of ECG recording means that quality of recorded signal mainly depends on each part of the recording elements: electrode-skin contact, type of electrodes, condition of contacts and connectors. The patient’s skin must be perfectly dry and cleaned (preferably dry cleaned with special scraper) before putting the electrodes in place. Long term monitoring electrodes, generally specified for Holter monitoring, must be used and manufacturer recommendations must be carefully followed. Diagrams collected with inappropriate electrodes: The impedance between electrode and skin decreases a few minutes after the electrodes are placed on the patient. So it is recommended to place the electrodes on the patient before preparing the Vista, because the lower the impedance the better the signal quality. The following sketch shows a possible way to place the electrodes on the patient. The colours given to the electrodes are those of the connectors of the 5 wire ECG cable supplied by Novacor. User Manuel 12 GB – 17 December 2003 page 36