GAMBARAN PREDIKTOR RESTRICTED MOUTH OPENING OBSTRUCTION OR OBESITY DISRUPTED OR DISTORTED AIRWAY STIFF LUNG OR CERVICAL SPINE PADA PEMASANGAN LARYNGEAL MASK AIRWAY DENGAN GENERAL ANESTESI Kristiani Sastrini Da Lopez Fakultas Kesehatan Program Studi D IV Keperawatan Anestesiologi Institut Teknologi dan Kesehatan Bali Email: [email protected] ABSTRAK Latar Belakang: Prediktor Restricted Mouth Opening Obstruction or Obesity Disrupted or Distorted Stiff Lung or Cervical Spine merupakan penilaian pengelolaan jalan napas pada Laringeal Mask Airway. Situasi kesulitan pengelolaan jalan napas masih dialami oleh penata anestesi, ditandai dengan kegagalan pemasangan LMA maka diperlukan prediktor RODS untuk memprediksi kesulitan jalan napas sehingga meminimalisir kegagalan pemasangan LMA. Tujuan: Mengetahui gambaran prediktor RODS pada pemasangan LMA dengan general anestesi. Metode: Penelitian ini merupakan penelitian deskriptif dengan pendekatan cross sectional. Teknik pengambilan data menggunakan teknik consecutive sampling. Pengumpulan data menggunakan lembar observasi dilakukan di ruang pra anestesi. Sampel penelitian yaitu pasien anestesi umum menggunakan Laringeal Mask Airway dengan jumlah 79 responden. Analisa data menggunakan uji analisis univariat. Hasil: Prediktor Restricted Mouth Opening sebanyak 96,2% responden bisa membuka mulut ≥3 lebar jari, sebanyak 88,6% responden tidak memiliki kondisi Obstruction or Obesity, sebanyak 97,5% responden tidak memiliki kondisi Disrupted or Distorted Airway, dan sebanyak 91,1% respoden tidak memiliki kondisi Stiff Lung or Cervical Spine. Hasil penilaian RODS jalan napas bebas lebih banyak dengan jumlah 73,4% daripada jalan napas sulit dengan jumlah 26,6%. Kesimpulan: Pengkajian RODS pada pra anestesi dapat menggambarkan prediksi kesulitan pemasangan LMA pada general anestesi. Kata Kunci: Prediktor RODS, Pemasangan LMA, General Anestesi

PREDICTORS OF RESTRICTED MOUTH OPENING OBSTRUCTION OR OBESITY DISRUPTED OR DISTORTED AIRWAY STIFF LUNG OR CERVICAL SPINE IN LARYNGEAL MASK AIRWAY INSERTION UNDER GENERAL ANESTHESIA Background: The predictor of Restricted Mouth Opening Obstruction or Obesity Disrupted or Distorted Stiff Lung or Cervical Spine is an assessment of airway management in Laryngeal Mask Airway. Difficulties in airway management are experienced by nurse anesthetists, such as failure of LMA installation. Therefore, RODS predictors are necessary to predict airway difficulties to minimize LMA installation failure. Aim: To find out the predictors of RODS in LMA insertion under general anesthesia. Methods: This study was a descriptive study with a cross sectional approach. The data were collected using observation sheets in the pre-anesthesia room. The research sample was patients using Laryngeal Mask Airway under general anesthesia. The respondents of this study were selected through consecutive sampling technique, a total of 79 respondents. The collected data were then analyzed using univariate analysis test. Results: Based on the predictors of restricted mouth opening, 96.2% of respondents could open their mouth ≥3 finger widths; 88.6% of respondents did not experience obstruction or obesity; 97.5% of respondents did not have disrupted or distorted airway conditions; and 91.1% of respondents did not have stiff lung or cervical spine conditions. The results of the RODS assessment showed that the majority of respondents (73.4%) had free airway, and the rest 26.6% of respondents had a difficult airway. Conclusion: RODS assessment in pre-anesthesia can describe the prediction of difficulty in LMA insertion under general anesthesia. Keywords: RODS Predictor, LMA Insertion, General Anesthesia