ambu bag

AMBU BAG

Manual respiratory bypass is an essential A hand-held device used to provide

emergency skill.
A basic airway management technique
allows for oxygenation and ventilation of
patients until a more definitive airway can
be established
positive pressure ventilation to a patient
who is not breathing or who is breathing
inadequately.
Is a normal part of a resuscitation kit for
trained professionals such as ambulance
crew.

 Additional oxygen may be administered by  Acute respiratory distress or arrest

means of tubing from an oxygen source to requiring assistance to reach adequate

the bag. ventilation.

 It is used as part of CPR when breathing is  No respirations or brief irregular ‘gasping’

absent or inadequate. breaths.

 It is also used to temporarily increase  Unconsciousness

oxygen supply as part of routine respiratory  Transfer the patient one unit to another

care for a patient on a ventilator or with a unit.

tracheostomy care.
 Manually ventilate client when off BVM SIZES
ventilator and unable to breath  500 cc bag if weight less than 60
independently. pounds
 800 cc bag if weight less than 100
REMEMBER: pounds
 1200 cc bag if weight over 100 pounds
 For an adequate respiratory rate:
o Squeezing the bag once every 5
seconds for an adult
o Once every 3 seconds for an
infant or child.
o 12 respirations per minute in an
adult.
o 20 per minutes in a child or
infant.

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 EQUIPMENTS COMPLICATIONS
 A tray containing o Oxygen tubing  Apprehension/anxiety in the
o Hand held Ambu bag o Gloves conscious patient.
 Gastric inflation
o Cuffed face mask or o Mask
 Barotrauma
tracheostomy adapter o Gauze  Undesirable cardiovascular
o Oxygen source, if needed o gown effect such as hypotension

Procedure
1. Check for responsiveness and adequacy of breathing
a. If unresponsive or not breathing, instruct someone to call EMS and begin CPR.
b. Call for assistance or instruct someone to bring emergency equipment including AED and oxygen (if
available) and a manual resuscitation bag and mask.
2. Position head to open airway using the head tilt – chin lift method. (Use the jaw thrust only in neck injury is
suspected)
a. Do mouth-to-mouth resuscitation while awaiting arrival of the resuscitation bag and mask.
3. As soon as the bag and mask arrive, place the mask with attached over the mouth and nose to make a tight seal.
a. Attach oxygen tubing if available.
4. Compress the bag at the prescribed rate with slow even motions. Allow the bag to reinflate between
compressions.
5. It is helpful to have two people, one to position the head and hold the mask firmly in place to keep a tight seal,
the other person to compress the bag with two hands.
a. If only one person is available to provide breaths he/she may hold the mask in place with one hand and
compress the bag with the other, steadying the bag against the leg if necessary.
b. Or he/she may hold the mask with two hands if necessary and hold the bag and compress it against the
body with the upper arm. It is important to maintain a tight seal with the mask at all times.
6. Watch to see if the chest rises with each breath. If not, reposition the head and assure there is a good seal of the
mask over the mouth and nose.
7. Rate for breaths:
a. Under 8 years of age: one breath every three (3) seconds
b. 8 years of age and older: one breath every five (5) seconds
c. Breathing rate per minute
i. 20 – 24 for infants
ii. 16 – 20 for children
iii. 12 – 16 for adolescents
8. Continue use f resuscitator until individual is able to adequately breath on his/her own or until EMS arrives to
take over.
9. Document the incident including all pertinent information.

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