Bagging

Bagging

General

• Signs that you are bagging correctly
  • Good chest rise
  • Increased SaO2
  • Improving color

• The head should be in a sniffing position with the ears aligned with shoulders to prevent the falling of the tongue, thus preventing obstruction of the upper airway

• If having a difficult time getting good chest rise or a good seal
  • Get help from someone to hold the mask
  • Reposition the head
  • Suction
  • Place OPA/NPA
  • Place LMA

• Complications of bagging
  • Hypo/hyperventilation
  • Inflated air in the stomach
  • Pneumothorax

Flow Inflating Bags

• Advantages
  • Can hold peep
  • Give blow-by oxygen
  • Easier to feel lung compliance and respiratory effort
  • Alerts you of a bad mask seal

• Disadvantages
  • Needs constant flow
  • Needs a good seal and mask fit or bag will not properly inflate
  • More challenging to beginners

• Ensure you are bagging with peep by restricting expiratory flow and watch the monometer.

AMBU Bag

• Advantages
  • Easy for beginner use
  • Does not need flow because bag refills on its own

• Disadvantages
  • Will not alert you of mask fit
  • Does not hold peep
  • More difficult to feel lung compliance and respiratory effort
  • Cannot give blow-by through the mask

Choosing Bag Size

Disclaimer: the following are guidelines we came up with

• 0.5 Liter Bag
  • 0-25kg
• 1 liter bag
  • 26-59kg
• 2 Liter bag
  • anyone above 60 kg