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Intermediate Technical IVT

bagging

Manual ventilation technique using a self-inflating bag and mask to provide positive pressure breaths to newborns requiring respiratory support.

Full Definition

Bagging refers to the use of a self-inflating resuscitation bag (such as an Ambu bag) with a face mask to manually deliver positive pressure ventilation to newborns who are not breathing adequately or at all. This technique is fundamental to neonatal resuscitation and is often the first intervention performed when a newborn fails to establish effective spontaneous breathing after birth. The procedure requires proper mask sizing and positioning to create an effective seal, appropriate pressure delivery (typically 20-25 cm H2O initially), and coordination with chest compressions if needed. Bagging may be used as an emergency intervention or as a bridge to mechanical ventilation.

Usage

Usage note: Informal term widely used in clinical practice; formal documentation should specify 'positive pressure ventilation' or 'bag-mask ventilation.'

In Context

  • "The delivery room team initiated bagging immediately when the infant showed no respiratory effort at birth." — Delivery note
  • "Effective bagging requires proper mask seal and appropriate ventilation rate of 40-60 breaths per minute." — Training manual

Also known as

positive pressure ventilation manual ventilation bag-mask ventilation

Contrasted with

spontaneous breathing self-ventilation

Don't confuse with

suctioning chest compressions

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