Ambu Man Advanced Bedienungsanleitung Seite 7

The insertion of the laryngoscope and endotracheal tube is to be made very carefully as if
it was a real patient. It is important to grease the tongue part from the oral cavity down to
the white stripes simulating the vocal chords using the accompanying water-soluble
lubricating gel and lubricate as often as the tongue part feels dry.
Do not pour lubricating gel down the tongue parts but grease the parts with a thin layer
of lubricating gel. Furthermore, it is important also to grease the tracheal tube and
laryngoscope well with lubricating gel.
Lack of lubrication can destroy the parts, especially the tongue part, but can also make the
face piece separate from the tongue part.
Silicone oil or Silicone spray must not be used as the parts can become sticky and almost
impossible to clean. The facemask must not be removed by the user. Disassembly should
only take place during service or repair.
6.3. Compression ⑦
External chest compression can be practised, and the depth of compression will be
displayed on the monitoring instrument in millimetres. It is possible to adjust the stiffness
of the chest to simulate a patient with a soft, normal or hard chest.
To ensure that the correct point of compression is applied during chest compression, the
instrument also provides indication of incorrect hand positioning, see 7.1.
The carotid pulse can be felt on both sides of the neck during chest compression, or
simulated manually by the ECG-control, see 7.2.
6.4. Carotid Pulse
The manikin has an automatic Carotid pulse that will follow the QRS Complex that is set when
simulating a pulse using the ECG control in the software application.
Further information about the control can be found in the Directions for use for the Software
application.
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6.5. Defibrillation and ECG
Caution
Do not interchange the defibrillation electrodes and ECG electrodes on the chest of
the manikin.
When using a defibrillator, it is important to follow the manufacturer's instructions
for use, particularly the safety rules.
• Before starting the actual training, the instructor should inform the trainees
about the proper use of the defibrillator, alerting them to the hazards involved in
disregarding the safety rules.
• The manikin is sensitive to moisture. Make sure it does not get wet, as this might
cause a short-circuit.
6.5.1. Defibrillation
The manikin allows defibrillation with biphasic and monophasic, manual and -semi-
automatic defibrillator or AED's (Automatic External Defibrillators) up to 400 Joule.
6.5.2. Defibrillation electrodes
If standard paddles are used, these should be pressed against the 2 defibrillation electrodes
on the manikin's chest. The rhythm can now be read on the defibrillator screen and
defibrillation can be performed on the manikin.
Adapter for manual defibrillation is available, which makes the defibrillation electrodes
bigger and therefore ensures a better contact between the paddles and the electrodes.
If semi-automatic defibrillators or AED's with adhesive chest electrodes are used, special
adapters for the specific defibrillator (simulating the adhesive chest electrodes) should be
fitted to the chest defibrillation electrodes on the manikin making it possible to connect
the cable from the AED's.
6.5.3. ECG leads
4 ECG connectors are placed on the chest of the manikin making it possible to simulate
3-4 lead ECG and monitor the ECG on a defibrillator and a separate scope.
6.5.4. ECG-Control ⑧
The simulation of the ECG signal can be controlled in the software.
Further details can be found in the IFU of the software application.
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