DOI: https://doi.org/10.14710/jai.v10i3.20666

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

1Departemen/ SMF Anestesiologi dan Reanimasi; Fakultas KEdokteran; Universitas Airlangga/ RSUD Dr. Soetomo; Surabaya, Indonesia

2Departemen/ SMF Anestesiologi dan Reanimasi; Fakultas Kedokteran; Universitas Airlangga/ RSUD Dr. Soetomo; Surabaya, Indonesia

Published: 1 Nov 2018.
Open Access Copyright 2018 JAI (Jurnal Anestesiologi Indonesia)

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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.

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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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Keywords: imobilisasi cervical neck; intubasi; maneken; video laryngoscope

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Language : ID
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  1. Jain Divya, Dhankar Mandeep, Wig Jyotsna, Jain Amit. Comparison of the conventional CMAC and the D-blade CMAC with the direct laryngoscopes in simulated cervical spine injury-a manikin study. Rev. Bras. Anestesiol. 2014 Aug; 64( 4 ): 269-274
  2. Stroumpoulis K, Pagoulatou A, Violari M, et al. Videolaryngoscopy in the management of the difficult airway: acomparison with the Macintosh blade. Euro J Anaesthesiol.2009;26:218-22
  3. Jordan,G et al. Evaluation of four manikins as simulators for teaching airway management procedures specified in the Difficult Airway Society guidelines, and other advanced airway skills. Department of Anaesthesia, Royal United Hospital, Combe Park,2007. Available at: https://www.ncbi.nlm.nih.gov/pubmed/17567347
  4. Byhahn C, Iber T, Zacharowski K, et al. Tracheal intubation usingthe mobile C-MAC video laryngoscope for patients with a simulated difficult airway. Minerva Anestesiol. 2010;76:577-83
  5. Media R. Perbandingan efektivitas antara penggunaan video laryngoscope modifikasi anestesia, video laryngoscope C- MAC dan Direct Laryngoscope Macintosh pada intubasi rutin pasien elektif di RSUD Dr. Soetomo. [Thesis] Surabaya: Departemen Anestesi dan Reanimasi: Universitas Airlangga; 2017
  6. Benumof JL. Preoxygenation: best method for both efficacy andefficiency. Anesthesiology. 1999;91:603-5
  7. McElwain, J. , Malik, M. , Harte, B. , Flynn, N. and Laffey, J. 2010, Comparison of the C‐MAC® videolaryngoscope with the Macintosh, Glidescope®, and Airtraq® laryngoscopes in easy and difficult laryngoscopy scenarios in manikins. Anaesthesia, 2010; 65: 483-489. doi: 10.1111/j.1365-2044.2010.06307.x
  8. Wijaya et al. First Clinical Evaluation of Airlangga University Self Made Video Laryngoscope During Routine and Emergency Intubation: A Preliminary Study. Poster. 2016
  9. Kılıçaslan A, Topal A, Erol A, Uzun ST. Comparison of the C-MAC D-Blade, Conventional C-MAC, and Macintosh Laryngoscopes in Simulated Easy and Difficult Airways. Turk J Anaesthesiol Reanim. 2014 Aug; 42(4): 182–189
  10. Ong JR, et al. Comparing the performance of traditional direct laryngoscope with three indirect laryngoscopes: A prospective manikin study in normal and difficult airway scenarios. Emerg 1. Med Australas 2011;23:606 14
  11. Arslan ZI, et al. Tracheal intubation in patients with rigid collar immobilisation of the cervical spine: A comparison of Airtraq and LMA CTrach devices. Anaesthesia 2009;64:1332 6
  12. Langeron O, Cuvillon P, Ibanez-Esteve C, Lenfant F, Riou B, Le Manach Y. Prediction of Difficult Tracheal Intubation: Time for a Paradigm Change. Anesthesiology: The Journal of the American Society of Anesthesiologists. 2012 Dec 1;117(6):1223–33
  13. Gupta, Sunanda. Airway assessment : predictors of difficult airway. Indian.J.Anaesth.49(4): 257-262. 2005
  14. American Society of Anesthesiologists, Inc. Lippincott Williams & Wilkins, Inc Practice Guidelines for Management of the Difficult Airway.Anesthesiology; 98:1269 –77.2003
  15. Soni, Semedi, Pesta. Derajat Cormack-Lehane antara penggunaan video laryngoscope modifikasi anestesi,video laryngoscope C-MAC dan direct laryngoscope Macintosh pada intubasi rutin pasien elektif di RSUD dr.Soetomo. [Thesis] Surabaya: Departemen Anestesi dan Reanimasi: Universitas Airlangga; 2016
  16. Sakles J, et al. A comparison of C-MAC video laryngoscope to the Macintosh Direct Laryngoscope for Intubation in Emergency Departement. Emerg Med. 2012; 60(6):739-748.doi: 10.1016/j.annermergmed.2012.03.031
  17. Noppen, et al. Endotracheal Intubation Using the C-MAC video laryngoscope or the Macintosh Laryngoscope: A prospective, comparative study in the ICU.Department of Anesthesiology, University Medical Center of the Johannes Gutenberg-University. Critical Care Research, 2012. Available at: http://ccforum.com/content/16/3/R103
  18. Sakles, John C. et al. The C-MAC® Video Laryngoscope Is Superior to the Direct Laryngoscope for the Rescue of Failed First-Attempt Intubations in the Emergency Department. Journal of Emergency Medicine. 2015; 48(3): 280-6
  19. Kamel, Atef. C-MAC Video Laryngoscopy Versus Flexible Fiberoptic Laryngoscopy in Patients with Anticipated Difficult Airway: A Randomized Controlled Trial. journal of anesthesia and patient care. 2015; 1: 101
  20. Karalapillai D, Darvall J, Mandeville J, Ellard L, Graham J, Weinberg L. A review of video laryngoscopes relevant to the intensive care unit. Indian J Crit Care Med. 2014;18(7):442–452. doi: 10.4103/0972-5229.136073
  21. Hurford, William. The video revolution: A new view of laryngoscopy. Respiratory care 2010; 55: 1036-45
  22. Healy D, et al. Comparison of the Glidescope, CMAC, Stor DCI with the Macintosh Laryngoscope 1. During Simulated Difficult Laryngoscope: a Manikin Study. BMC Anesthesiology. 2012, 12:11. Available at: http://www.biomedcentral.com/1471-2253/12/11
  23. Henderson JJ, Popat MT, Latto IP, Pearce AC. Difficult Airway Society guidelines for management of the unanticipated difficult intubation. Anaesthesia 2004; 59: 675-694. doi: 10.1111/j.1365-2044.2004.03831.x
  24. Goto, Yukari. Emergency Airway Management by Resident Physicians in Japan: an Analysis of Multicentre Prospective Observational Study. Acute Medicine and Surgery. 2014. 214-221

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