Prediksi Intubasi

Evaluasi Kesulitan Ventilasi Kriteria ventilasi sulit (Langeron et al) 2 dari:OBESEObese (BMI>26 kg/m2)BeardedElderly (>55 th)SnorersEdentulous

Evaluasi Kesulitan IntubasiKriteria :Skala LEMON atau MELONLM MAP4 DWilson Risk ScaleMagboul 4M

Skala LEMON atau MELONLook externallyEvaluate 3-3-2 ruleMallampatiObstructionNeck mobility

Tabel Skala LEMON

LM-MAPLook for external face deformitiesMallampatiMeasure 3-3-2-1 fingersAtlanto-occipital extensionPathological obstructive conditions

4 DDentition(prominent upper incisor, receding chin)Distortion(edema, blood, vomits, tumor, infection)Disproportion(short chin, bull neck, large tongue, small mouth)Dysmobility(TMJ, cervical spine)

Wilson Risk ScoreWeight (0=110kg)Head and neck movement (0=>90,1=90,2=5cm,SL>0, 1=IG

Magboul 4 MSMallampatiMeasurementMovementMalformation of STOP (Skull,Teeth,Obstruction,Pathology)

Persiapan Dasar Intubasi SulitLaringoskop berbagai ukuranETT berbagai ukuranIntroducer (stylet, elastic bougie)Oral dan nasal airwaySet krikotirotomiSuctionAssistant yang terlatihLMA berbagai ukuran