Electrocardiogram Interference: A Thing of the Past?

Melendez, Luis; Pino, Richard M.

doi:10.2345/0899-8205-46.6.470

Cited by 3 publications

(3 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…435,447 Alcohol should not be used because it dries the skin and may diminish electric flow. 447 Melendez and Pino 446 showed that interference was reduced with proper skin preparation as one of their interventions. However, they did not specifically identify their mode of skin preparation.…”

Section: Skin Preparationmentioning

confidence: 99%

“…444,445 The purpose of skin preparation is to cleanse the area to optimize signal transfer. Research, 446 QI projects, 435,437 and expert opinion 445,447 have identified proper skin preparation before electrocardiographic electrode ap plication to optimize conductivity. The skin is prepared by cleansing the area and wiping it with a dry wash cloth.…”

Section: Skin Preparationmentioning

confidence: 99%

See 1 more Smart Citation

Update to Practice Standards for Electrocardiographic Monitoring in Hospital Settings: A Scientific Statement From the American Heart Association

Sandau¹,

Funk²,

Auerbach³

et al. 2017

Circulation

206

214

View full text Add to dashboard Cite

Background and Purpose: This scientific statement provides an interprofessional, comprehensive review of evidence and recommendations for indications, duration, and implementation of continuous electro cardiographic monitoring of hospitalized patients. Since the original practice standards were published in 2004, new issues have emerged that need to be addressed: overuse of arrhythmia monitoring among a variety of patient populations, appropriate use of ischemia and QT-interval monitoring among select populations, alarm management, and documentation in electronic health records. Methods: Authors were commissioned by the American Heart Association and included experts from general cardiology, electrophysiology (adult and pediatric), and interventional cardiology, as well as a hospitalist and experts in alarm management. Strict adherence to the American Heart Association conflict of interest policy was maintained throughout the consensus process. Authors were assigned topics relevant to their areas of expertise, reviewed the literature with an emphasis on publications since the prior practice standards, and drafted recommendations on indications and duration for electrocardiographic monitoring in accordance with the American Heart Association Level of Evidence grading algorithm that was in place at the time of commissioning. Results: The comprehensive document is grouped into 5 sections: (1) Overview of Arrhythmia, Ischemia, and QTc Monitoring; (2) Recommendations for Indication and Duration of Electrocardiographic Monitoring presented by patient population; (3) Organizational Aspects: Alarm Management, Education of Staff, and Documentation; (4) Implementation of Practice Standards; and (5) Call for Research. Conclusions: Many of the recommendations are based on limited data, so authors conclude with specific questions for further research.

show abstract

Section: Skin Preparationmentioning

confidence: 99%

Section: Skin Preparationmentioning

confidence: 99%

Update to Practice Standards for Electrocardiographic Monitoring in Hospital Settings: A Scientific Statement From the American Heart Association

Sandau¹,

Funk²,

Auerbach³

et al. 2017

Circulation

206

214

View full text Add to dashboard Cite

show abstract

“…Good skin preparation decreased impedance, which in turn resulted in less ECG interference. 49 Although there is evidence to support proper skin preparation on individuals, only 1 study examined its effect on telemetry patients. Cvach 20 examined the effect of daily electrode change using proper skin preparation on a medical progressive care unit for 8 days before and after a daily electrode change policy was implemented.…”

Section: Literature Reviewmentioning

confidence: 99%