Airway adjuncts & ambu bagging

This is prepared for nurses to manage airway
how to use bag mask

1. 7/14/2020
Airway Adjuncts & Ambu-
bagging/PPV
Nursing Skill Workshop.
Presented by: KhimaRudach
Nurse-
Supervisor
ProcareRiayaHospital

2. Objectives
At the end of this section you will
learn.
How to provide breaths with bag
mask.
Different technique of bag mask.
What is important in bag mask.
Different airway adjuncts.

3. BAG MASK TECHNIQUE.
Ambu-bag is a hand held
device used to provide
positive pressure ventilation
to a patient who is not
breathing or who is breathing
inadequately.

4. .

5. What is Important.?
To provide effective ventilation, the
rescuer must be able to perform a head
tilt and press the mask against the face
while lifting the jaw. When possible, use
the 2 person technique to open the
airway, create an airtight seal between
the face and mask, and deliver effective
ventilation, look for chest rise. If you
using supplementary oxygen with bag
mask, you will still deliver each breath
over 1 second.

6. Heal tilt chine left
A combination of two
movements to open the
airway by tilting the forehead
back and lifting the chin;
used for nontrauma patients.

8. To make airtight seal over face.
To select a correct size of
mask is very crucial to make
airtight seal between face
and mask, here are the
techniques to make a airtight
seal.

9. E-C TECHNIQUE

10. E-C TECHNIQUE 2 PERSON.

11. THUMB & THINNER TECHNIQUE

12. Step to use bag mask.
1. position yourself directly above
the victim’s head.
2. Place the mask on the victim’s
face, using the bridge of the nose as
a guide for correct position.
3. Use the E-C clamp technique to
hold the mask in place while you lift
the jaw to hold the airway open.
4. Squeeze the bag to give breaths
while watching chest rise.

13. Rescue breathing.
1. Give 1 breath every 5 to 6
seconds for Adult.
2. Give 1 breath every 3 to 5 second
for child/infant.
If advanced airway is inserted Give 1
breach every 6 to 8 second.
Amount of air is depend on body
weight of clients.

14. OPA
An oropharyngeal airway (also known
as an oral airway, OPAor Guedel
pattern airway) is a medical device
called an airway adjunctused to maintain
a patent (open) airway. It does this by
preventing the tonguefrom covering the
epiglottis, which could prevent the
patient from breathing. When a person
becomes unconscious, the muscles in
their jaw relax and may allow the tongue
to obstruct the airway; in fact, the
tongue is the most common cause of a
blocked airway

16. Insertion of OPA
The correct size OPA is chosen by measuring against
the patient's head (from the earlobe to the corner of
the mouth). The airway is then inserted into the
patient's mouth upside down. Once contact is made
with the back of the throat, the airway is rotated 180
degrees, allowing for easy insertion, and assuring that
the tongue is secured. Measuring is very important, as
the flared ends of the airway must rest securely against
the oral opening in order to remain secure. An
alternative method for insertion, the method that is
recommended for OPA use in children and infants,
involves holding the tongue forward with a tongue
depressorand inserting the airway right side up.
To remove the device, it is pulled out following the
curvature of the tongue; no rotation is necessary

17. Precaution in OPA
1) Ensure lower lip is not pinched
between teeth and OPA.
2) Ensure that the OPA does not push the
tongue backward and block air way.
3) Ensure you have adequate head tilt
chine lift prior to insertion of airway.
4) Don’t force the airway into the mouth,
Airway should slide in easily.

18. NPA
a NPA, also known as an Nasopharyngeal
airway or a nasal trumpetbecause of its
flared end, a type of airway adjunct, is a
tube that is designed to be inserted into
the nasal passageway to secure an open
airway. When a patient becomes
unconscious, the muscles in the jaw
commonly relax and can allow the tongue
to slide back and obstruct the airway.
The purpose of the flared end is to
prevent the device from becoming lost
inside the patient's head