GAMBARAN PENILAIAN LOOK, EVALUATE, MALLAMPATI, OBSTRUCTION, NECK PADA TINDAKAN INTUBASI ENDOTRAKEAL TUBE DENGAN GENERAL ANESTESI Erixon Ivan Bili Fakultas Kesehatan Program Studi D IV Keperawatan Anestesiologi Institut Teknologi dan Kesehatan Bali Email: [email protected] ABSTRAK Latar Belakang: Penyulit dalam pembedahan dapat ditemukan beberapa faktor seperti obesitas, lidah besar, dan lain sebagainya. Sehingga diperlukan penilaian untuk dapat mengatasi kejadian gagal intubasi. Penilaian LEMON dapat memprediksi kejadian kegagalan intubasi. Maka, keberhasilan intubasi dapat ditingkatkan dengan menerapkan penilaian LEMON pada pra anestesi sehingga dapat membantu memprediksi kemungkinan terjadinya intubasi sulit. Tujuan: Untuk mengetahui prediksi intubasi mudah atau sulit berdasarkan penilaian dari kriteria LEMON. Metode: Penelitian ini menggunakan desain deskriptif observasional dengan pendekatan cross-sectional. Jumlah sampel sebanyak 112 orang dengan teknik consecutive sampling. Pengumpulan data menggunakan lembar observasi penilaian skor LEMON dan dianalisa dengan descriptive statistics. Hasil: Kejadian sulit intubasi pada penilaian Look sebanyak 77.7% responden pada kriteria tidak ada, pada penilaian Evaluate sebanyak 51.8% responden pada kriteria dengan penilaian 2-2-1, pada penilaian Mallampati sebanyak 50.9% responden dengan score kelas III dan IV, pada penilaian Obstruction sebanyak 72.3% responden pada kriteria tidak ada dan pada penilaian Neck sebanyak 58.9% responden pada kriteria bebas. Kesimpulan: Penilaian LEMON efektif memprediksi kesulitan intubasi. Penata anestesi dapat menerapkan penilaian LEMON dalam pemeriksaan pra operatif kepada pasien yang akan menjalani intubasi sehingga menghindari terjadinya kesulitan intubasi. Kata Kunci: Penilaian LEMON, Sulit Intubasi, General Anestesi

ASSESSMENT OF LOOK, EVALUATE, MALLAMPATI, OBSTRUCTION, NECK ON ENDOTRACHEAL TUBE INTUBATION WITH GENERAL ANESTHESIA Erixon Ivan Bili Faculty of Health Diploma IV of Nursing Anesthesiology Institute of Technology and Health Bali Email: [email protected] ABSTRACT Background: Complications in surgery can be found in factors such as obesity, large tongue, and others, thus, assessment is required to prevent intubation failure. LEMON assessment can predict the incidence of intubation failure. The success of intubation can be improved by applying the LEMON assessment in pre-anesthesia, as it can help to predict the possibility of difficult intubation. Aim: To find out the intubation prediction, as to whether it would be an easy or a difficult intubation process, based on the assessment of LEMON criteria. Methods: This study employed a descriptive observational design with a cross-sectional approach. The sample size was 112 people, selected through consecutive sampling technique. The data were collected using an observation sheet of LEMON score assessment and analyzed with descriptive statistics. Results: In the Look assessment, 77% of respondents was categorized as not difficult to intubate. On the Evaluate assessment, 51.8% of respondents was under the criteria of score 2-2-1, and on the Mallampati assessment, 50.9% of respondents was scored III and IV. On the Obstruction assessment 72.3% of respondents was categorized as no obstruction, and on the Neck assessment, 58.9% of respondents was categorized as free. Conclusion: LEMON assessment effectively predicts intubation difficulty. Nurse anesthetists can apply the LEMON assessment in pre-operative examinations to patients who will undergo intubation to avoid intubation difficulties. Keywords: LEMON Assessment, Intubation Difficulty, General Anesthesia