Perbandingan Keberhasilan dan Waktu Intubasi Endotrakeal pada Manekin antara Bantal Intubasi Standar dan Bantal Intubasi Modifikasi

Sendy Setiawan Permana, Erwin Pradian, Dedi Fitri Yadi


Intubasi pipa endotrakeal adalah standar baku manajemen jalan napas. Direct laryngoscopy dengan memposisikan kepala dan leher secara sniffing position menggunakan bantal agar visualisasi glotis optimal merupakan kunci untuk melakukan tindakan intubasi endotrakea. Tujuan penelitian adalah membandingkan keberhasilan dan lama waktu intubasi endotrakea pada manekin menggunakan bantal intubasi standar dengan bantal intubasi modifikasi. Penelitian menggunakan metode crossover randomized study dengan teknik nonprobability sampling oleh 31 orang residen anestesi pada manekin di ruang skill lab Departemen Anestesiologi dan Terapi Intesif FK Unpad  RSUP Dr. Hasan Sadikin Bandung periode Februari 2018. Penelitian dibagi menjadi kelompok bantal intubasi standar (A) melakukan intubasi endotrakeal menggunakan bantal intubasi standar dilanjutkan menggunakan bantal intubasi modifikasi. Kelompok bantal modifikasi (B) melakukan intubasi endotrakeal dengan bantal intubasi modifikasi dilanjutkan menggunakan bantal intubasi standar, dinilai keberhasilan dan lama waktu intubasi. Data dianalisis dengan uji-t dan Uji Mann-Whitney dengan p<0,05 dianggap bermakna. Analisis data statistik menunjukkan angka keberhasilan yang sama pada kedua kelompok, sedangkan lama waktu intubasi endotrakea lebih singkat pada kelompok bantal modifikasi dibanding dengan kelompok bantal standar yang berbeda bermakna (p<0,05). Simpulan penelitian menunjukkan waktu intubasi menggunakan bantal intubasi modifikasi lebih singkat dibanding dengan menggunakan bantal standar, sedangkan keberhasilan intubasi sama pada kedua kelompok.

Kata kunci: Bantal intubasi, intubasi endotrakea, sniffing position

Comparison of Successful Intubation and Time of Intubation in Mannequin using Standard Intubation Pillow and Modified Intubation Pillow

Endothracheal intubation is the gold standard in airway management. Direct laryngoscopy by positioning the head and the neck in a sniffing position with the help of a pillow will facilitate optimal visualization of the trachea, which is the key to a successful endotracheal intubation. The purpose of this study was to assess the time needed to intubate mannequin using modified intubation pillow when compared to standard intubation pillow. This was a crossover randomized study using nonprobability sampling technique conducted inn March 2018 on of 31 anesthesia residents who were working on a mannequin in the Skill Laboratory of Anesthesiology and Intensive Therapy Department of Dr. Hasan Sadikin General Central Hospital. Subjects were divided into two groups: group A that used the standard intubation pillow, followed by the modified intubation pillow and group B that used the modified intubation pillow, followed by the standard intubation pillow. The success rate and the time needed to intubate were recorded. Data were analyzed using t-test and Mann-Whitney test with a p score of <0.05 considered to be significant. The statistical analysis showed the same success rate in both groups, while the time needed to intubate was shorter in the modified pillow group with p<0.05. Hence, the use of modified intubation pillow shorten the time needed to intubate, while the success rate is similar when compared to standard pillow.

Key words: Endotracheal intubation, intubation pillow, sniffing position



Bantal intubasi, intubasi endotrakea, sniffing position

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