Saturday , December 15 2018
Ambu Bagging Artificial Ventilation

Ambu Bagging

Purpose

  • To ventilate apneic or spontaneously breathing patients to augment ventilation.
  • To deliver supplemental oxygen.
  • To prevent hypoxia.

Scope

Patients who are in critical condition or not responding.

Definition

A flexible reservoir bag connected by tubing and a non-rebreathing valve to a face mask or endotracheal tube and used for artificial ventilation. It is self-inflating with room air or from an oxygen source.

Applicable Areas

All Departments.

Responsibility

Consultant, ICU Registrar, Staff Nurse, ANM and Head Nurse.

Requirements / Equipments

  • Ambu bag connected to an oxygen supply source –
  • Reservoir Bag.
  • Face Mask.
  • Pulse Oxymeter.
  • Disinfectant for hand Hygiene.
  • Gloves
  • Suction apparatus with connections.
  • Suction catheter.
  • Kidney Tray

Procedure

  • Check the Ambu bag for patency.
  • Explain the procedure to patient, if conscious.
  • Hand Hygiene with disinfectant.
  • Wear gloves.
  • Connect the supply tubing to supplemental oxygen source.
  • Keep the patient in supine position.
  • Fix the face mask to the chin and to the nose by putting it upwards and extending the neck with one hand (head tilt & chin lift).
  • Ventilate the patient by compressing the Ambu bag with other hand, observe chest movement.
  • Release pressure on the Ambu bag.
  • If secretions present, clear the airway by suctioning.
  • Repeat the procedures as required.
  • Artificial Ventilation for Ventilated Patient using an Ambu bag
  • Check the function of Ambu Bag.
  • Explain the procedure to the patient, if conscious.
  • Wash the hands and put on sterile gloves.
  • Connect the supply tubing to supplemental oxygen source and adjust gas flow. Oxygen to be given 100%.
  • Attach pulse Oxymeter and monitor saturation through out the procedure. It should be above 94%.
  • Disconnect the ventilator from tubing and attach Ambu bag.
  • Place the other end of the ventilator tube on a sterile towel.
  • Ventilate the patient by compressing the Ambu bag observing chest movement.
  • Release the compression on Ambu bag.
  • Check for secretions; if present clear the airway by suctioning.
  • Repeat the procedure as required.
  • Once the procedure is complete, disconnect the Ambu bag and connect the ventilator. Observe chest movements, recheck ventilator parameters

Documentation

  • ICU flow chart.
  • Nurses Observation Sheet.