AMBU BAG by hcj

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									                                      AMBU™ BAG



CONTENT
Who needs an ambu bag
Using the ambu bag
Care of the ambu bag




WHO NEEDS AN AMBU BAG
1. Some babies need to be discharged with an ambu bag and face mask. These are
   babies who still have breathing problems. They may have:
    Severe apnea (stop breathing)
    BPD (bronchopulmonary dysplasia—a chronic lung disease) with home oxygen
    Stridor (noisy breathing) due to either softening and narrowing (tracheomalacia)
      of the windpipe
    Problems with the vocal cords.
2. The type of bag you will use is a self-inflating bag. It does not need to be connected
   to oxygen but can be used with oxygen.
3. The Medical Equipment Company will give you a bag and mask before the baby is
   discharged.
4. Always keep the bag and mask close to the baby. The bag and mask should always
   be kept assembled.



USING THE AMBU BAG
1. The ambu bag is used to breathe (bag) for the baby if he/she is not breathing, is
   having difficulty breathing or when suctioning the baby.

2. The baby’s airway should be clear of mucus and formula before bagging.
    Suction the baby’s mouth and nose with a bulb syringe or with a catheter.



                                                                           Ambu Bag 1
3. If the baby is not breathing, stimulate the baby to breathe by either flicking the
   sole of the foot or rubbing the baby’s back or chest vigorously a few seconds. If the
   baby does not breathe, proceed with bagging the baby.

4. Place the baby so the tip of his nose is pointed straight up in the air. A small towel
   or roll under the shoulders may help to keep the baby in this position.

5. Connect the oxygen tubing to the bag.
   a. Be sure the tubing is connected to the regulator on the oxygen tank
   b. Turn the oxygen on
   c. Set the regulator on a flow of 5-8 liters per minute or a flow ordered by your
      baby’s doctor.

6. Place the mask over the baby’s mouth and nose using your hand to hold the mask
   snugly against the face.
   a. Place the bag at a 900 angle to the baby’s face as illustrated
   b. It should not extend over the chin or rest over the baby’s eyes.




7. Squeeze the bag briskly using your thumb to exert pressure on the bag and fill the
   baby’s lungs with air/oxygen. You should squeeze the bag hard enough to see the
   chest rise as if the baby were taking an easy breath.




                                                                            Ambu Bag 2
8.      The rate and length of time to bag the baby depends on the reason for the
        bagging.
         Generally, the rate should be about 20 breaths per minute.

              COUNT:
              Breathe                  1                  2            Breathe
                                                                         
              Squeeze                Pause              Pause          Squeeze

9. If the baby is having difficulty breathing, bagging can be continued until the baby
   begins to breathe normally or until emergency help arrives.

10. If the baby’s chest does not rise and you have already suctioned the baby, try to
    exert slightly more pressure on the bag or reposition the face mask on the baby’s
    face. If the baby’s chest still does not rise:
     Turn the baby face down across your arm or face down on your lap, with his head
       lower than his bottom.




      Give 5 brisk back blows with the heel of your hand between the shoulder blades.
      Turn the baby onto his back and give 5 chest thrusts (position your fingers like
        for chest compression).




                                                                           Ambu Bag 3
    Look in the baby’s mouth. If you see the object, remove it with your finger. Do
     not put your finger in his mouth unless you see the object.
    Place the baby on his back. Try to give him 2 more slow puffs with the ambu bag
     or with your mouth to check if the object has moved so that it no longer blocks
     the airway.
    If you still cannot get air into the baby’s lungs, repeat the back blows, chest
     presses (thrusts), and, again, try to give the baby 2 breaths. (See section on
     Choking Baby).
    Use the bulb syringe to remove any visible mucus or formula. This must be done
     quickly without panicking!!!

11. Once the object has been removed, bagging can be continued until the baby begins to
    breathe normally or until emergency help arrives.



CARE OF THE AMBU BAG
1. Ambu bags should be taken apart and cleaned with the solution recommended by your
   home equipment company or soaked in a white distilled vinegar mixture.
2. Bags should be cleaned
   a. Twice a week if the bag is used daily
   b. Once a week if it is out of the package and lying in the crib or near the baby
   c. After every use in an emergency.

To clean with Vinegar
   a. Mix 64 ounces of tap water and 64 ounces of white distilled vinegar in a covered
      plastic container at room temperature
   b. Bottle water is best, but tap water may be used. If using tap water, allow the hot
      water to run for 3-5 minutes before mixing
   c. Wash bag and mask with mild liquid soap and warm water. Do not use bar soap.
   d. Rinse well with warm water
   e. Place disassembled (taken apart) bag and mask in the solution
   f. Soak for at least 3 hours or overnight
   g. Remove equipment, rinse with water and let air dry
   h. Throw away vinegar solution after each use



To clean with the Control III (usually recommended by your home equipment
company)
   a. Follow the directions on the package for mixing solution


                                                                          Ambu Bag 4
   b. Bottle water is best, but tap water may be used. If using tap water, allow the
      hot water to run for 3-5 minutes before mixing
   c. Store the mixture in a covered container at room temperature
   d. Wash bag and mask with mild liquid soap and warm water. Do not use bar soap
   e. Rinse well with warm water
   f. Place disassembled (taken apart) bag and mask in the solution
   g. Soak for 10 minutes. Do not leave it longer as it may harm the bag and mask
   h. Remove equipment, rinse with water and let air dry
   i. Throw away solution after each use




Reviewed/Revised:
07/98, 02/01, 02/03, 4/05, 4/07, 12/09




                                                                         Ambu Bag 5

								
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