Translasi Kondilus Mandibula sebagai Prediktor Tingkat Kesulitan Visualisasi Tindakan Laringoskopi
DOI:
https://doi.org/10.28932/jmh.v6i2.8475Keywords:
translasi kondilus mandibula, ultrasonografi, skor Cormack-Lehane, prediktor, sulit laringoskopiAbstract
Kegagalan mengelola patensi jalan napas yang disebabkan oleh sulitnya laringoskopi dan intubasi dapat menyebabkan gangguan ventilasi, desaturasi, aritmia, kerusakan otak permanen hingga kematian. Salah satu anatomi yang berperan selama proses laringoskopi adalah sendi temporomandibular. Penilaian ultrasonografi sendi temporomandibular terutama fungsi translasi kondilus mandibula memberikan hasil yang dapat diandalkan. Tujuan penelitian ini adalah membuktikan korelasi antara jarak translasi kondilus mandibula dengan skor Cormack Lehane. Populasi penelitian observasional analitik prospektif ini adalah pasien berumur 18-65 tahun yang menjalani operasi dengan anestesi umum pipa orotrakeal di RSUP Prof IGNG. Ngoerah pada periode Februari 2024 dengan jumlah perhitungan 114 subjek. Kriteria inklusi meliputi pasien usia 18-65 tahun, status fisik ASA I - III dan IMT kurang dari 30 kg/m2. Analisis data menggunakan bantuan SPSS versi 26 yang meliputi analisis korelasi dan perhitungan titik potong jarak translasi kondilus mandibula dengan kurva ROC. Hasil didapatkan korelasi negatif kuat r=0,631 dan nilai p<0,001 dengan titik potong jarak translasi kondilus mandibula dengan skor Cormack-Lehane ≥2b adalah 11,25 mm dengan sensitivitas 94,6%, spesifisitas 95,5%. Simpulan penelitian ini adalah translasi kondilus mandibula yang diukur ultrasonografi berkorelasi negatif kuat terhadap skor Cormack-Lehane sebagai prediktor tingkat kesulitan visualisasi laringoskopi.Downloads
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Copyright (c) 2024 Tommy M Tanuwijaya, I PP Suarjaya, I MK Sucandra, Tjokorda GA Senapathi, Made Wiryana, I MG Widnyana, I PAS Panji, I P Kurniyanta
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