Ambu SPUR II Instrucciones De Uso página 7

Preperation
- If the resuscitator is packed in a compressed state, unfold by pulling on the patient
valve and the inlet valve.
- If the facemask supplied with the resuscitator is wrapped in a protective pouch,
the pouch should be remove before use.
- Fit the facemask and place all items in the plastic bag supplied with the resuscitator.
- The integrity of the kits issued for storage ready for use should be inspected at the
interval established in the local protocol.
- Before use on the patient make a brief functional test as described in section 7.
Patient use
- Clear the patient's mouth and airway using recommended techniques. Use recom-
mended techniques to position the patient correctly to open the airway and to
hold the mask firmly against the face. (2.1)
- Slide you hand (Adult Version) or ring and middle finger (Paediatric version) under
the support strap. The infant version does not have a support strap. Ventilation
without using the support strap can be achieved by turning the bag. (2.2)
- Ventilate the patient. During insufflation observe the rise of the patient's chest.
Release the bag abruptly and listen for the expiratory flow from the patient valve
and observe lowering of the chest.
- If continued resistance to insufflation is encountered, check the airway for obstruc-
tion or correct the backward tilt of the head.
- If the patient vomits during mask ventilation, immediately clear the patient's airway
and then freely compress the bag a few times before resuming ventilation. If nec-
essary wipe off the product with a swab containing alcohol and clean the splash
guard with tap water.
5.2 Manometer port 
Warning
Use only for monitoring pressure. The cap must always be put on the connector
when pressure is not being monitored.
A pressure gauge can be connected to the manometer port on the top of the
patient valve. (This only applies to the version with manometer port).
Remove the cap (3.1) and connect pressure manometer or the tube for the pressure
gauge (3.2).
5.3 Pressure limitation system 
Warning
Never override the pressure-limiting valve (if available) unless medical and profes-
sional assessment indicates the necessity. High ventilation pressures may cause lung
rupture to certain patients. If the pressure-limiting valve is overridden in patients
with a bodyweight less than 10 kg (22 lbs.), a manometer must be used to monitor
the ventilation pressure to avoid the possibility of a lung rupture.
If the resuscitator is equipped with a pressure limiting valve, the valve is set to open
at 40 cm H O (4.0kPa) (4.1).
2
If medical and professional assessment indicates a pressure above 40 cm H
required pressure limiting valve can be overwritten by pressing the override clip
onto the valve (4.2). Alternatively the pressure limiting valve can be overwritten by
placing the index finger on the red button while squeezing the bag.
O is
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