Manual Resuscitator Bag
A manual resuscitator bag is used to provide air by hand, if your child is not breathing. The bag
can also be used to give large breaths after suctioning, a trach change or when a ventilator circuit
is being changed.
The bag must always be near your child in case of an emergency.
Patients who use a breathing machine (ventilator) can use a resuscitator bag:
ξ If there is a need to disconnect from the ventilatory.
ξ If there is a power failure
ξ If there is a problem with the ventilator.
How to use the Bag
ξ Squeeze the bag without blocking the connection. The bag should deflate and inflate
without trouble. If it doesn’t, check again to be sure it was put together in the right way.
Replace any worn parts. Check the bag for leaks before using. Block the part that
connects to the child and squeeze the bag with one hand. If the pressure relief valve
doesn’t hold air, check all connections are tight. If there still are problems, use a
ξ If your child needs oxygen, attach tubing from the bag to the oxygen source. Turn the
flowmeter to 5-6 liters per minute.
To Bag your Child
ξ Attach the bag (and optional flex tube) to your child’s trach tube.
ξ Begin to give your child breaths by gently squeezing the bag as you watch your child’s
chest rise. How deeply and how fast you squeeze the bag depends on the size of your
child. Your health care team will talk with you about what’s best for your child. You
will have a chance to practice this on a doll, and your child.
ξ Give breaths at a rate of __________breaths per minute. If you have been taught to bag
when you suction, bag for __________breaths between passes and __________breaths
when you finish. You may increase how often or how much you squeeze the bag, if your
child is having trouble breathing.
ξ When you have finished, remove the bag from your child’s trach tube.
ξ Turn off the flow meter, if oxygen is used.
To Clean the Bag
ξ Wipe off any mucus from the bag with a clean cloth before putting it away.
ξ Disposable bags are not cleanable. They are usually changed once a month. Check with
your equipment provider.
ξ A flex tube may be used between the bag and your child’s trach tube; The flex tube must
be detached and cleaned weekly in hot soapy water, rinsed, then disinfected by soaking in
1 part vinegar to 2 parts water for 20-30 minutes. Then rinse the tube, flex, and allow to
ξ Always have the bag in the same room as the child.
ξ Always keep a disposable back-up resuscitator bag in the GO BAG.
ξ The resuscitator bag also includes a mask.
o A mask is used on the bag to provide breath to your child if the trach tube is blocked
or not able to be replaced.
o Hold gauze over the stoma, if providing a bag and mask breaths to child with a
o The mask has to cover both the mouth and nose.
o The mask size needs to be changed to a larger mask as your child grows.
o Contact your equipment provider if you thin your child may need a mask in a larger
Your health care team may have given you this information as part of your care. If so, please use it and call if you
have any questions. If this information was not given to you as part of your care, please check with your doctor. This
is not medical advice. This is not to be used for diagnosis or treatment of any medical condition. Because each
person’s health needs are different, you should talk with your doctor or others on your health care team when using
this information. If you have an emergency, please call 911. Copyright © 8/2016 University of Wisconsin Hospitals
and Clinics Authority. All rights reserved. Produced by the Department of Nursing. HF#7820