Artificial Manual Breathing Unit (AMBU ) Emergency Nursing BY Abdulkaadir Mohamud Omar
AMBU A bag valve mask (BVM), sometimes known by the proprietary name Ambu bag or generically as a manual resuscitator or "self-inflating bag", is a hand-held device commonly used to provide positive pressure ventilation to patients who are not breathing or not breathing adequately .
HISTORY OF AMBU BAG Discovered in the year of 1953 by Dr. Holger Hessee (a German Engineer) & his partner Mr. Henning Ruben ( Anesthestist ). The word "AMBU" came from "Ambulance "
Other Names: AMBU Bag Manual Resuscitator Self inflating bag
A. M. B. U.
TYPES
A hand held device commonly used to provide positive pressure ventilation to patients who are not breathing or not breathing adequately. Using ambu bag to ventilate the patient is called " Bagging".
INDICATIONS : Respiratory Failure Respiratory Arrest In case of Ventilator failure Transfer of critical patients between wards. In between suctions
Contra Indications: Paralysis Complete upper Airway Obstruction
Techniques to provide adequate ventilation: " EC" or "CE" technique C-Compression E- Elevation
Single Rescuer technique
Double Rescuer Technique
Parts of AMBU Bag 1. Non-rebreathing patient valve 2. Intake valve 3. Compressible self refilling ventilation bag 4. Nipple for oxygen tubing 5. Oxygen reservoir bag 6. Oxygen reservoir 7. Ambu mask 8. Oxygen extension tubing
Manual Resuscitator Bag Features
OXYGEN CONCENTRATION SUPPLIED BY BVM UNIT ????
Reported Complications: Gastric Insuflation (Vomiting, Aspiration) Barotrauma (lung injury from over pressurization ) Volutrauma (lung injury from overstretching) Mendelssohn's Syndrome Hypoventilation
How to assess the adequacy of ventilation ? Observe for chest rise Saturation level Improving from cyanosis