Perbandingan Visualisasi Laring dan Glotis pada Maneken Intubasi Sulit menggunakan Video Laryngoscope C-MAC dan VL-Scope

*Abdul Kadir Munsy -  Departemen/ SMF Anestesiologi dan Reanimasi, Fakultas KEdokteran, Universitas Airlangga/ RSUD Dr. Soetomo Surabaya, Indonesia
Nancy Margarita Rehatta -  Departemen/ SMF Anestesiologi dan Reanimasi, Fakultas KEdokteran, Universitas Airlangga/ RSUD Dr. Soetomo Surabaya, Indonesia
Maulydia Maulydia -  Departemen/ SMF Anestesiologi dan Reanimasi, Fakultas KEdokteran, Universitas Airlangga/ RSUD Dr. Soetomo Surabaya, Indonesia
Agustina Salinding -  Departemen/ SMF Anestesiologi dan Reanimasi, Fakultas KEdokteran, Universitas Airlangga/ RSUD Dr. Soetomo Surabaya, Indonesia
Arie Utariani -  Departemen/ SMF Anestesiologi dan Reanimasi, Fakultas KEdokteran, Universitas Airlangga/ RSUD Dr. Soetomo Surabaya, Indonesia
Teguh Sylvaranto -  Departemen/ SMF Anestesiologi dan Reanimasi, Fakultas KEdokteran, Universitas Airlangga/ RSUD Dr. Soetomo Surabaya, Indonesia
Elizeus Hanindito -  Departemen/ SMF Anestesiologi dan Reanimasi, Fakultas KEdokteran, Universitas Airlangga/ RSUD Dr. Soetomo Surabaya, Indonesia
Published: 1 Nov 2018.
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Perbandingan Visualisasi Larynx dan Glotis pada Manikin Intubasi Sulit menggunakan Video Laryngoscope C-MAC dan VL-Scope oleh Peserta Pendidikan Dokter Spesialis Tahap 3 Departemen Anestesi di RSUD Dr.Soetomo
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Abstract

Latar Belakang: Video laryngoscope C-MAC terbukti sangat membantu dalam tindakan intubasi terutama pada pasien kasus dengan difficult airway. Departemen Anestesiologi dan Reanimasi Rumah Sakit Dokter Soetomo Surabaya telah menciptakan video laryngoscope VL-Scope dengan fitur perekam audiovisual dengan harga yang jauh lebih murah.

Tujuan: Membandingkan waktu yang dibutuhkan oleh video laryngoscope C-MAC dan VL-Scope pada simulasi maneken imobilisasi cervical spine dengan rigid collar neck.

Metode: Penelitian dengan desain eksperimental acak ini melibatkan residen untuk melakukan intubasi dengan 2 video laringoskop yaitu C-MAC dan VL-Scope pada simulasi maneken imobilisasi cervical spine dengan rigid collar neck. Penelitian dilakukan dengan cara mengobservasi perbedaan waktu yang diperlukan untuk melihat plica vocalis, lama intubasi dan penekanan pada gigi menggunakan  laringoskop C-MAC dan video laringoskop VL-Scope

Hasil: Video laryngoscope C-MAC mempersingkat waktu rata-rata untuk menilai derajat Cormarck and Lehane (8.57 ± 2,64 ) dan intubasi (17.89 ± 5,92) dibandingkan dengan video laringoskop VL-Scope (12.24±5,83) dan (20,68±5,83) detik. Namun frekuensi kejadian penekanan terhadap gigi saat tindakan laringoskopi adalah sama menggunakan kedua alat tersebut 2/37(5,4%)

Kesimpulan: Intubasi menggunakan video laryngoscope C-MAC lebih efektif pada maneken imobilisasi cervical spine dengan rigid collar neck namun angka kejadian penekanan gigi pada tindakan tersebut adalah sama.

Note: This article has supplementary file(s).

Keywords
imobilisasi cervical neck; intubasi; maneken; video laryngoscope

Article Metrics:

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