
Airways Surgicals Resuscitator Ambu Bag (BVM Manual Resuscitator)
Pack Sizes Available
Product Description
Technical Specifications
- Device Type: Self-inflating manual resuscitator (Bag-Valve-Mask / BVM / Ambu bag)
- Available Sizes: Adult (1600ml bag), Pediatric (550ml bag), Infant (280ml bag)
- Self-Inflation Mechanism: Internal spring creates negative pressure for automatic bag re-expansion after compression
- Tidal Volume Delivered: Adult: 500-600ml typical, Pediatric: 200-300ml, Infant: 30-50ml (varies with compression force)
- Patient Valve Type: Non-rebreathing valve (single shutter or duckbill design) with unidirectional flow
- Face Mask: Transparent anatomically-molded mask with air-cushioned seal, latex-free
- Standard Connectors: Patient connector: 22mm male outer / 15mm female inner; fits ET tubes, LMAs, trach tubes
- Oxygen Reservoir Bag: Adult: 2600ml, Pediatric: 600ml (attaches to oxygen inlet for high FiO2 delivery)
- Oxygen Delivery: Without reservoir: 40-50% FiO2 at 10-15 L/min O2 flow; With reservoir: 90-100% FiO2
- Oxygen Inlet: 15mm length x 6mm OD barbed fitting for standard oxygen tubing
- PEEP Valve Compatibility: 30mm male expiratory connector allows attachment of PEEP valves (5-20 cmH2O)
- Pressure Relief Valve: Typically opens at 40-60 cmH2O to prevent excessive airway pressure
- Material: Medical-grade PVC or silicone (bag), polycarbonate (valve), latex-free construction
- Clinical Applications: Cardiac arrest, respiratory failure, anesthesia induction, emergency airway management, CPR, pre-hospital care
- Sterilization Options: Reusable models: autoclave/chemical disinfection; Disposable models: single-use only
- Package Contents: Self-inflating bag, non-rebreathing valve, face mask, oxygen reservoir bag (if included), oxygen tubing
Frequently asked questions
An Ambu bag (also called bag-valve-mask or BVM) is a self-inflating manual resuscitator used to provide positive pressure ventilation to patients with absent or inadequate breathing during cardiac arrest, respiratory failure, anesthesia induction, or emergency situations. The device consists of a self-inflating bag that automatically re-expands after compression, a non-rebreathing valve, and a face mask. When the operator squeezes the bag, it forces air or oxygen into the patient's lungs. The device works without electricity or external gas supply, though connecting it to supplemental oxygen dramatically increases delivered oxygen concentration.
Ambu bags come in three sizes: Adult (1600ml bag volume) for patients over 88 lbs / 40 kg, Pediatric (550ml bag volume) for children 10-50 kg / 22-110 lbs, and Infant (280ml bag volume) for neonates and small infants under 10 kg. Using the wrong size can cause harm—adult bags deliver excessive tidal volumes for pediatric patients, risking barotrauma, while pediatric bags cannot deliver adequate volumes for adult patients. The bag size should match the patient's body mass to deliver appropriate tidal volumes (typically 6-7 ml/kg).
Proper technique: (1) Position patient supine with head in sniffing position (ear aligned with sternal notch), (2) Open airway using head tilt-chin lift (or jaw thrust if trauma suspected), (3) Apply mask using E-C technique: form 'E' with 3rd-5th fingers along mandible, form 'C' with thumb and index finger around mask, (4) Create tight seal by pulling jaw into mask (not pushing mask down), (5) Squeeze bag smoothly over 1 second until chest rises visibly, (6) Allow complete bag re-inflation before next breath, (7) Deliver 10-12 breaths/minute for adults, 12-20 for pediatrics. Two-person technique (one seals mask, one squeezes bag) is more effective than one-person technique.
The oxygen reservoir bag (typically 2600ml for adult systems) attaches to the oxygen inlet port and fills with pure oxygen when connected to an oxygen source at 10-15 L/min flow. During bag compression, oxygen is drawn from the reservoir rather than ambient air (21% O2), allowing delivery of 90-100% oxygen concentration to the patient. Without the reservoir, even with supplemental oxygen flowing, the self-inflating bag entrains ambient air during re-inflation, diluting oxygen concentration to only 40-50%. The reservoir is critical for maximizing oxygen delivery during resuscitation.
Both reusable and disposable Ambu bags exist. Reusable models can be disassembled and sterilized via autoclave, chemical disinfection, or pasteurization between patients. However, repeated cleaning degrades materials over time and reassembly errors can cause device malfunction. Single-use disposable BVMs eliminate cross-contamination risks, are ideal for infectious disease scenarios (e.g., COVID-19, Ebola), don't require sterilization infrastructure, and prevent reassembly errors. The choice depends on setting, infection control requirements, and cost considerations. Always follow manufacturer instructions and institutional protocols regarding reuse vs. disposal.
Common errors include: Hyperventilation (squeezing too fast/forcefully, causing gastric distension and aspiration risk), Inadequate mask seal (allowing air leaks that reduce delivered volume), Poor head positioning (causing airway obstruction despite good bag technique), Using wrong-size equipment (adult bags for pediatric patients or vice versa), Failing to connect oxygen reservoir (delivering only ~50% O2 instead of near-100%), Not watching for chest rise (continuing ventilation without confirming effectiveness), Compressing soft tissues of neck (obstructing airway), and Ventilating during active chest compressions in CPR (interrupting compressions unnecessarily). Proper training and regular practice are essential for avoiding these errors.
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