1.1
Excess oxygen release,
Air inlet,
1.2
Expiration,
Manometer port,
Pressure-limiting valve.
1.7
1.6
4.2. Inspection and preparation
The resuscitator must be unpacked and prepared (including performing a functionality
test) for immediate use in emergency situations.
4.2.1. Preparation
•
Prepare the resuscitator according to the assembly guide and place all items in
the carrying bag supplied with the resuscitator.
•
If a face mask is supplied with the resuscitator, ensure to remove the protective
pouch (if any) before use.
•
Before use on the patient make a brief functionality test as described in section 4.2.2.
4.2.2. Test of function
Resuscitator
Close the pressure-limiting valve with the override cap (this only applies to Ambu Mark
IV Baby) and close the patient connector with the thumb
The resuscitator shall be resisting the squeeze.
Open the pressure-limiting valve by opening the override cap
procedure. The pressure-limiting valve should now be activated, and it should be possible
to hear the exhaust air flow from the valve.
Remove the finger from the patient connector and squeeze and release the resuscitator a few
times to ensure that air is moving through the valve system and out of the patient valve
NOTE: A slight sound may appear from the moving valve disks during operation. This does
not compromise the functionality of the resuscitator.
10
Oxygen inlet,
Patient connector,
1.4
1.3
. Briskly squeeze the bag.
3.2 7.1
3.1
and repeating the
Oxygen reservoir bag
1.5
Supply a gas flow of 10 l/min at the oxygen inlet connector. Facilitate the unfolding of the
oxygen reservoir bag. Check that the oxygen reservoir bag fills. If not, check the integrity
of the two valve shutters
the supplied gas flow according to medical indication.
Oxygen reservoir tube
Supply a gas flow of 10 l/min at the oxygen inlet connector. Check that the oxygen flows out
at the end of the oxygen reservoir tube. If not, check for a blocked oxygen reservoir tube.
Subsequently, adjust the supplied gas flow according to medical indication.
4.3. Operating the resuscitator
•
Use recommended techniques to clear the patient's mouth and airway and to
position the patient correctly, to secure an open airway.
•
Hold the face mask firmly against the patient's face.
•
Slide your hand (Ambu Mark IV Adult) under the handle (The Ambu Mark IV Baby
does not have a support handle).
Ventilation of the patient: During insufflation observe for chest rise. Release the hand
holding the compressible bag abruptly and listen for the expiratory flow from the
patient valve and as well for the visual lowering of the chest.
•
If continued resistance to insufflation is encountered, check the airway for
obstruction and re-position the patient, to ensure an open airway.
•
If the patient vomits during ventilation; immediately remove the resuscitator to clear
the patient's airway and expel the vomit from the resuscitator by shaking and
compressing it forcefully and fast several times before resuming ventilation.
In the case of excessive amount of vomitus obstructing the air flow, the patient valve
.
7.2
may be disassembled and cleaned. For details on dis- and reassembly of the patient
valve refer to illustrations
•
If connecting external devices to the resuscitator, make sure to test for functionality
and consult the Instructions for use accompanying these external devices.
or for a torn in the oxygen reservoir bag. Subsequently, adjust
6.3
2
and
.
5.5
6.1