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-- Dr Nisar Ahmed Arain -- Assistant Professor -- Anesthesia/Critical Care/ER -- RESERVOIR BAG
OTHER NAMES IN USE - AMBU Bag - Manual Resuscitator - Self inflating bag
A…M...B...U Artificial Manual Breathing Unit Air Mask Bag Unit
Adult, Pedia & Infant - TYPES
A hand held device commonly used to provide positive pressure ventilation to patients who are not breathing or not breathing adequately. u sing ambu bag to ventilate the patient is called “ Bagging”.
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 -HISTORY OF AMBU BAG
-Indications --Respiratory Failure --Respiratory arrest --In case of Ventilatory Failure --Transfer of critical patients between wards --In between suctions
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 -Parts of A M B U Bag
it is not recommended to use the AMBU bags when you are a single rescuer because it is difficult for a single rescuer to hold the mask and squeeze the bag at a time, as mouth & nose should be completely sealed by mask during bagging. If 2 rescuers there, one can hold the mask while the other can squeeze the bag. -Protocol for use
21% -OXYGEN CONCENTRATION SUPPLIED BY BVM UNIT ??? -BVM not connected to oxygen and reservoir (Room Air) -BVM connected to oxygen source of 5 – 10 L -40 – 60 % 100 % -BVM with reservoir and 15 L of oxygen concentration
-Reported Complications --Gastric Insufflation (Vomiting, Aspiration) --Barotrauma (lung injury from over pressurization) --Volutrauma (Lung injury from overstretching) --Mendelson’s syndrome --Hypoventilation
-How to asses the adequacy of ventilation -Observe for chest rise -Saturation level -Improving from cyanosis