MULTIPLE CASE STUDY EVALUASI PENYULIT INTUBASI PADA PASIEN OBESITAS DENGAN GENERAL ANESTESI DI RSUD KARANGASEM Maria Stefania Angelina Din Fakultas Kesehatan Program Studi D IV Keperawatan Anestesiologi Institut Teknologi dan Kesehatan Bali Email: [email protected] ABSTRAK Latar Belakang. Obesitas adalah kondisi patologis disebabkan oleh akumulasi jaringan lemak berlebihan dalam tubuh baik segmen laring maupun faring dapat menyebabkan keterbatasan pergerakan sendi temporomandibular dan atlantooksipital serta jalan nafas bagian atas menjadi sempit dan jarak antara mandibula dengan sternum menjadi pendek sehingga menjadi sulit untuk tindakan intubasi. Penilaian obesitas merupakan salah satu dari penilaian look, evaluated, malampati, obbstrutuion/obesity, neck mobility (LEMON), untuk mengidentifikasi kesulitan intubasi . Tujuan. Untuk mengidentifikasi kesulitan intubasi pada pasien obesitas dengan general anastesi teknik inhalasi di RSUD Karangasem. Metode. Penelitian ini menggunakan deskriptif kualitatif melalui pendekatan studi kasus dengan rancangan multiple case study. Alat pengumpulan data berupa instrument utama peneliti sendiri dan instrument pendukung menggunakan panduan observasi dengan jumlah 5 partisipan (P). Analisa data menggunakan case analysis dan cross-case analysis. Hasil. Gambaran prediktor LEMON pada kesulitan intubasi pada kelima partisipan dijabarkan bahwa P1 IMT 32kg/m2 dengan kesulitan 4 , P2 IMT 33,6kg/m2 dengan kesulitan 4, P3 IMT 30,7kg/m2 dengan kesulitan 2, P4 IMT 35kg/m2 dengan kesulitan 4, P5 IMT 31kg/m2 dengan kesulitan 3 Kesimpulan. Obesitas golongan terendah tingkat II dengan IMT 30,7kg/m2 sampai obesitas golongan tertinggi dengan IMT 35,7kg/m2 pada kelima partisipan merupakan salah satu prediktor sebagai penyulit intubasi pada general anestesi dengan teknik inhalasi. Kata Kunci: Obesitas, IMT, Kesulitan Intubasi, Prediktor LEMON

MULTIPLE CASE STUDY OF DIFFICULT INTUBATION EVALUATION IN OBESE PATIENTS WITH GENERAL ANESTHESIA AT KARANGASEM HOSPITAL Maria Stefania Angelina Din Faculty of Health Diploma IV Nursing Anesthesiology Institute of Technology and Health Bali Email: [email protected] ABSTRACT Background. Obesity is a pathological condition caused by excessive accumulation of fatty tissue in the body, both the laryngeal and pharyngeal segments, which can cause limitations in the movement of the temporomandibular and atlantooccipital joints, narrow upper airway, and a short distance between the mandible and sternum that leads to difficult intubation. Obesity assessment is one of the assessments to identify difficult intubation and consists of the LEMON assessments, which are look, evaluated, mallampati, obstruction/obesity, and neck mobility. The purpose of this study was to identify the case study evaluation of difficult intubation in obese patients with general anesthesia inhalation technique at Karangasem Hospital. Method. This study employed descriptive qualitative through a case study approach with multiple case study designs. Data were collected using the researcher himself as the main instrument and an observation guide as the supporting instrument for 5 participants (P). Data were analyzed using case analysis and cross-case analysis. Results. Findings indicated that the LEMON predictors for difficult intubation in the five participants were described as P1 BMI 32 kg/m2 with difficulty 4, P2 BMI 33.6 kg/m2 with difficulty 4, P3 BMI 30.7 kg/m2 with difficulty 2, P4 BMI 35 kg/m2 with difficulty 4, P5 BMI 31 kg/m2 with difficulty 3. Conclusion. Obesity in the lowest category II with a BMI of 30.7 kg/m2 to obesity in the highest group with a BMI of 35.7 kg/m2 in the five participants is a predictor of difficult intubation in general anesthesia with the inhalation technique Keywords: Obesity, BMI, Difficult Intubation, LEMON Predictor