LLLL

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}\viewkind1\viewscale100\margl0\margr0\margt0\margb0\deftab80\dntblnsbdb\expshrt
n\paperw11900\paperh16820\pard\sb0\sl-240{\bkmkstart Pg1}{\bkmkend Pg1}\par\pard
\ql \li5917\sb0\sl-276\slmult0 \par\pard\ql\li5917\sb0\sl-276\slmult0 \par\pard\
ql\li5917\sb0\sl-276\slmult0 \par\pard\ql\li5917\sb0\sl-276\slmult0 \par\pard\ql
\li5917\sb0\sl-276\slmult0 \par\pard\ql\li5917\sb0\sl-276\slmult0 \par\pard\ql\l
i5917\sb0\sl-276\slmult0 \par\pard\ql\li5917\sb80\sl-276\slmult0 \up0 \expndtw-3
\charscalex100 \ul0\nosupersub\cf2\f3\fs24 BAB I \par\pard\li2268\sb256\sl-276\s
lmult0\fi3033 \up0 \expndtw-3\charscalex100 PENDAHULUAN\par\pard\li2268\sb129\sl
-276\slmult0\fi0 \up0 \expndtw-3\charscalex100 A.\ul0\nosupersub\cf4\f5\fs24 \u
l0\nosupersub\cf2\f3\fs24 Latar Belakang\par\pard\qj \li2268\ri1439\sb13\sl-41
5\slmult0\fi720 \up0 \expndtw0\charscalex100 \ul0\nosupersub\cf5\f6\fs24 Manajem
en jalan napas merupakan salah satu keterampilan yang paling \line \up0 \expndtw
-3\charscalex100 penting yang harus dimiliki ahli anestesi. Ketidakmampuan men
jaga jalan napas \line \up0 \expndtw-2\charscalex100 dapat menimbulkan kondisi y
ang mengancam jiwa pada pasien\ul0\nosupersub\cf6\f7\fs19 . \ul0\nosupersub\cf7
\f8\fs24 Laryngeal mask \line \up0 \expndtw-4\charscalex100 airway \up0 \expndt
w0\charscalex100 \ul0\nosupersub\cf5\f6\fs24 (LMA) merupakan salah satu tipe ala
t jalan napas \ul0\nosupersub\cf7\f8\fs24 supraglottic \ul0\nosupersub\cf5\f6\fs
24 dengan \line \up0 \expndtw0\charscalex105 keamanan dan kemudahannya sebaga
i alternatif \ul0\nosupersub\cf7\f8\fs24 face mask\ul0\nosupersub\cf5\f6\fs24
dan intubasi \line \up0 \expndtw0\charscalex100 endotrakheal. Pemasangan L
MA ke dalam hipofaring membentuk sekat kedap \line \up0 \expndtw0\charscalex100
udara di sekeliling laring untuk memberikan ventilasi tekanan positif
a
tau \line \up0 \expndtw-2\charscalex100 pernapasan spontan, tanpa memerlukan int
ubasi di laring. LMA\ul0\nosupersub\cf7\f8\fs24 \ul0\nosupersub\cf5\f6\fs24
telah diterima \line \up0 \expndtw-2\charscalex100 secara luas untuk manajemen
jalan napas rutin, kondisi kesulitan jalan napas dan \line \up0 \expndtw-4\chars
calex100 keadaan emergensi (Suzanna \ul0\nosupersub\cf7\f8\fs24 et al \ul0\nosup
ersub\cf5\f6\fs24 2011; Monem & Khan, 2007 ). \par\pard\qj \li2268\ri1496\sb10\s
l-410\slmult0\fi720 \up0 \expndtw-1\charscalex100 American Society of Anesthesio

logist (ASA) tahun 2003 memasukkan \line \up0 \expndtw0\charscalex100 LMA dala
m algoritma penatalaksanaan jalan napas sulit, dimana LMA sangat \line \up0 \e
xpndtw-3\charscalex100 berguna pada kondisi \ul0\nosupersub\cf7\f8\fs24 \u822
0?cannot ventilate \ul0\nosupersub\cf5\f6\fs24 dan \ul0\nosupersub\cf7\f8\fs24
cannot intubate\u8221? \up0 \expndtw-5\charscalex100 \ul0\nosupersub\cf5\f6\f
s24 (ASA, 2003). \par\pard\qj \li2268\ri1499\sb19\sl-400\slmult0 \up0 \expndtw3\charscalex100 Panduan\ul0\nosupersub\cf7\f8\fs24 \ul0\nosupersub\cf5\f6\fs24
resusitasi jantung paru dan kegawatan kardiovaskular American Heart \line \u
p0 \expndtw-4\charscalex100 Association sejak tahun \up0 \expndtw-4\charscalex
100 2000 menggunakan LMA sebagai alat ventilasi pada \par\pard\ql \li2268\ri1436
\sb8\sl-415\slmult0\tx2988\tx2988 \up0 \expndtw0\charscalex104 pasien anak
at
au dewasa yang mengalami kesulitan atau kegagalan dalam \line \up0 \expndtw-3\
charscalex100 melakukan \ul0\nosupersub\cf7\f8\fs24 facemask\ul0\nosupersub\cf5\
f6\fs24 atau intubasi endotrakheal (AHA, 2000). \line \tab \up0 \expndtw-1\char
scalex100 LMA didesain dan dikembangkan pertama kali pada tahun 1981 oleh Dr \li
ne \up0 \expndtw-1\charscalex100 Archie Brain di Inggris, dikenal sebagai LMA kl
asik, dan mulai digunakan pada \line \up0 \expndtw-4\charscalex100 praktek klini
s pada tahun 1988. LMA klasik memiliki kemampuan menjaga jalan \line \up0 \exp
ndtw-4\charscalex100 napas secara adekuat serta insidensi yang rendah terjadinya
komplikasi mayor dan \line \up0 \expndtw-1\charscalex100 morbiditas \ul0\nosupe
rsub\cf7\f8\fs24 pharyngolaryngeal\ul0\nosupersub\cf5\f6\fs24 . Konsekuensinya
, sejak diperkenalkan, alat ini \line \up0 \expndtw0\charscalex103 telah digun
akan untuk anestesi secara rutin lebih
dari 200 juta pasien serta \line \up
0 \expndtw0\charscalex100 didukung lebih dari 2500 publikasi
ilmiah.
Sei
ring dengan kesuksesan dan \line \up0 \expndtw-1\charscalex100 popularitas LMA k
lasik maka telah dikembangkan dan dipasarkan LMA dengan \line \up0 \expndtw-6\ch
arscalex100 berbagai desain dan variant (Cook & Howes , 2011; Cook, 2006). \
line \tab \up0 \expndtw0\charscalex101 Suatu metode pemasangan LMA klasi
k dengan teknik standar \line \up0 \expndtw-4\charscalex100 direkomendasik
an oleh Dr Archie Brain. Setelah deflasi \ul0\nosupersub\cf7\f8\fs24 cuff\ul0
\nosupersub\cf5\f6\fs24 secara penuh, LMA \par\pard\ql \li10107\sb0\sl-253\slmu
lt0 \par\pard\ql\li10107\sb0\sl-253\slmult0 \par\pard\ql\li10107\sb213\sl-253\sl
mult0 \up0 \expndtw-10\charscalex97 \ul0\nosupersub\cf1\f2\fs22 1 \par\pard\sect
\sectd\fs24\paperw11900\paperh16820\pard\sb0\sl-240{\bkmkstart Pg2}{\bkmkend Pg2
}\par\pard\qj \li2268\sb0\sl-414\slmult0 \par\pard\qj\li2268\sb0\sl-414\slmult0
\par\pard\qj\li2268\sb0\sl-414\slmult0 \par\pard\qj\li2268\sb0\sl-414\slmult0 \p
ar\pard\qj\li2268\ri1479\sb242\sl-414\slmult0 \up0 \expndtw0\charscalex100 \ul0\
nosupersub\cf5\f6\fs24 dimasukkan dengan bantuan indek jari menekan masker keara
h \ul0\nosupersub\cf7\f8\fs24 cranioposterior \line \up0 \expndtw-1\charscalex10
0 \ul0\nosupersub\cf5\f6\fs24 melewati kurva palatofaringeal, dilanjutkan
kearah \ul0\nosupersub\cf7\f8\fs24 caudal\ul0\nosupersub\cf5\f6\fs24 sampai dir
asakan \line \up0 \expndtw0\charscalex100 adanya tahanan di mana ujung masker
memasuki \ul0\nosupersub\cf7\f8\fs24 upper esophageal sphincter \line \up0 \expn
dtw0\charscalex100 \ul0\nosupersub\cf5\f6\fs24 (Monem & Khan, 2007). Beberapa
modifikasi baik induksi, relaksasi maupun \line \up0 \expndtw0\charscalex100 tek
nik pemasangan LMA klasik telah dilakukan pada tahun-tahun berikutnya, \line \
up0 \expndtw0\charscalex105 merefleksikan fakta bahwa pemasangan LMA tidak
selalu sukses pada \line \up0 \expndtw0\charscalex102 kesempatan pertama deng
an tingkat kesuksesan yang bervariasi. Tidak jarang \line \up0 \expndtw0\charsc
alex100 dijumpai adanya darah pada ujung LMA saat inserinya yang diakibatkan usa
ha \line \up0 \expndtw0\charscalex102 berlebihan untuk memasukkan LMA ke posisi
yang tepat. Adanya darah pada \line \up0 \expndtw0\charscalex100 LMA saat pelepa
san dan nyeri tenggorokan paska operasi
mengindikasikan \line \up0 \expndtw
-2\charscalex100 adanya trauma pada mukosa faring. (Wakeling \ul0\nosupersub\cf7
\f8\fs24 et al\ul0\nosupersub\cf5\f6\fs24 , 1997, Yodfat, 1999; Kovacs \line \up
0 \expndtw-3\charscalex100 & Law, 2008). \par\pard\qj \li2268\ri1483\sb0\sl-420\
slmult0\fi720 \up0 \expndtw0\charscalex100 Kelemahan utama dari teknik standar i
ni adalah bahwa jari-jari operator \line \up0 \expndtw-3\charscalex100 mungkin a
kan terhalang oleh gigi dan pembukaan mulut pasien. Pasien dengan \line \up0
\expndtw0\charscalex102 pembukaan mulut yang minimal dan kondisi jalur orofa

ring yang sulit akan \line \up0 \expndtw0\charscalex100 memerlukan usaha dan pe
rcobaan yang berlebih untuk mencapai posisi LMA \line \up0 \expndtw-3\charscal
ex100 yang sesuai \up0 \expndtw-4\charscalex100 (Brock-Utne, \up0 \expndtw-1\ch
arscalex100 2008). Selain itu problem yang
sering dijumpai \par\pard\qj
\li2268\ri1484\sb0\sl-415\slmult0 \up0 \expndtw0\charscalex100 dikarenakan flek
sibilitas dari pipa,
di mana pemasangan LMA memerlukan \up0 \expndtw-3\cha
rscalex100 tekanan secara langsung melewati lengkungan aksis yang berbeda dari j
alan napas \up0 \expndtw0\charscalex100 terutama pangkal lidah dan posterior far
ing. Hal ini dipersulit jika LMA klasik \up0 \expndtw0\charscalex100 kehilangan
kelengkungan normal dikarenakan proses \ul0\nosupersub\cf7\f8\fs24 autoclave\ul0
\nosupersub\cf5\f6\fs24 yang berulang \up0 \expndtw-4\charscalex100 (Jeong, 20
09). \par\pard\qj \li2268\ri1496\sb0\sl-420\slmult0\fi720 \up0 \expndtw-1\charsc
alex100 Dilaporkan bahwa keberhasilan pemasangan LMA klasik dengan teknik \line
\up0 \expndtw-1\charscalex100 standar pada usaha pertama berkisar antara 57 % h
ingga 95,5% \up0 \expndtw-1\charscalex100 (Matta \ul0\nosupersub\cf7\f8\fs24 et
al\ul0\nosupersub\cf5\f6\fs24 , \par\pard\qj \li2268\ri1496\sb0\sl-410\slmult0 \
up0 \expndtw0\charscalex102 1995; Brimacombe, 1996, Wakeling \ul0\nosupersub\cf
7\f8\fs24 et al, \ul0\nosupersub\cf5\f6\fs24 1997, Amemiya N\ul0\nosupersub\cf7
\f8\fs24 . et al\ul0\nosupersub\cf5\f6\fs24 ., (2004), \line \up0 \expndtw0\cha
rscalex100 Sudhir \ul0\nosupersub\cf7\f8\fs24 et al\ul0\nosupersub\cf5\f6\fs24 ,
2007, Haghighi \ul0\nosupersub\cf7\f8\fs24 et al,\ul0\nosupersub\cf5\f6\fs24 20
10,\ul0\nosupersub\cf7\f8\fs24 \ul0\nosupersub\cf5\f6\fs24 Suzanna \ul0\nosup
ersub\cf7\f8\fs24 et al, \ul0\nosupersub\cf5\f6\fs24 2011). Berbagai variasi \li
ne \up0 \expndtw-3\charscalex100 teknik meliputi rotasi 180 (teknik \ul0\nosupers
ub\cf7\f8\fs24 reverse\ul0\nosupersub\cf5\f6\fs24 ), pengembangan \ul0\nosupersu
b\cf7\f8\fs24 cuff \ul0\nosupersub\cf5\f6\fs24 secara penuh atau \line \up0 \exp
ndtw-1\charscalex100 parsial, penggunakan laringoskopi, manuver \ul0\nosupersub\
cf7\f8\fs24 jaw thrust\ul0\nosupersub\cf5\f6\fs24 , blok nervus supraglotic, \li
ne \up0 \expndtw-2\charscalex100 penggunaan relaksan otot \up0 \expndtw-2\char
scalex100 ,penggunaan \ul0\nosupersub\cf7\f8\fs24 rigid\ul0\nosupersub\cf5\f6\f
s24 \ul0\nosupersub\cf7\f8\fs24 stylet \up0 \expndtw-2\charscalex100 \ul0\nosu
persub\cf5\f6\fs24 (teknik Yodfat), dan \par\pard\qj \li2268\ri1497\sb0\sl-400
\slmult0 \up0 \expndtw-3\charscalex100 penggunaan fiberoptik bronkoskopi. Di
antara teknik modifikasi tersebut belum \line \up0 \expndtw-3\charscalex100 ada
yang benar-benar dipertimbangkan sebagai teknik yang definitif, tetapi semua \pa
r\pard\ql \li10107\sb0\sl-253\slmult0 \par\pard\ql\li10107\sb0\sl-253\slmult0 \p
ar\pard\ql\li10107\sb0\sl-253\slmult0 \par\pard\ql\li10107\sb79\sl-253\slmult0 \
up0 \expndtw-10\charscalex97 \ul0\nosupersub\cf1\f2\fs22 2 \par\pard\sect\sectd\
fs24\paperw11900\paperh16820\pard\sb0\sl-240{\bkmkstart Pg3}{\bkmkend Pg3}\par\p
ard\qj \li2268\sb0\sl-410\slmult0 \par\pard\qj\li2268\sb0\sl-410\slmult0 \par\pa
rd\qj\li2268\sb0\sl-410\slmult0 \par\pard\qj\li2268\sb0\sl-410\slmult0 \par\pard
\qj\li2268\ri1500\sb262\sl-410\slmult0 \up0 \expndtw0\charscalex100 \ul0\nosuper
sub\cf5\f6\fs24 dilakukan dengan tujuan meningkatkan keberhasilan dan mengurangi
komplikasi \line \up0 \expndtw0\charscalex102 yang terjadi seperti aspirasi, br
onkospasme, laringospasme, desaturasi oksigen, \line \up0 \expndtw-2\charscalex
100 dan trauma mukosa jalan napas (Monem & Khan 2007; Haghighi \ul0\nosupersub\c
f7\f8\fs24 et al,\ul0\nosupersub\cf5\f6\fs24 2010). \par\pard\qj \li2268\ri1485
\sb8\sl-413\slmult0\fi720 \up0 \expndtw0\charscalex100 Matta \ul0\nosupersub\cf7
\f8\fs24 et al \ul0\nosupersub\cf5\f6\fs24 (1995) pada studi 350 pasien menunjuk
kan data keberhasilan \line \up0 \expndtw-1\charscalex100 pemasangan pada usaha
pertama LMA klasik sebesar 75% dan meningkat hingga \line \up0 \expndtw0\charsca
lex100 92% setelah lebih dari 2 kali usaha. Suatu modifikasi pemasangan
dengan \line \up0 \expndtw0\charscalex100 pengembangan \ul0\nosupersub\cf7\f8\
fs24 cuff\ul0\nosupersub\cf5\f6\fs24 LMA secara parsial meningkatkan keberhasil
an pemasangan \line \up0 \expndtw0\charscalex106 pada usaha pertama sebesar 88%
dan 97.7 % setelah lebih dari 2 kali usaha. \line \up0 \expndtw-4\charscalex100
Brimacombe \up0 \expndtw0\charscalex106 (1996) melakukan kritisi pada hasil
penelitian Matta \ul0\nosupersub\cf7\f8\fs24 et al \line \up0 \expndtw0\cha
rscalex103 \ul0\nosupersub\cf5\f6\fs24 dikarenakan keberhasilan yang rendah pada
insersi pertama LMA disebabkan \line \up0 \expndtw0\charscalex103 problem tek

nik yang tidak optimal, tetapi Matta mengkonfirmasi bahwa semua \line \up0 \expn
dtw0\charscalex100 pelaksana yang terlibat telah berpengalaman melakukan LMA pad
a penelitian ini \line \up0 \expndtw-4\charscalex100 (Matta, 1996) \par\pard\ql
\li2988\sb121\sl-276\slmult0\tx4400 \up0 \expndtw-4\charscalex100 Brimacombe \ta
b \up0 \expndtw0\charscalex102 (1996) menyatakan bahwa apabila pendekatan s
tandar \par\pard\qj \li2268\ri1497\sb26\sl-420\slmult0 \up0 \expndtw0\charscalex
100 dilakukan secara benar, maka keberhasilan pemasangan LMA klasik pada usaha \
line \up0 \expndtw-1\charscalex100 pertama dapat mencapai 95,5 % dalam waktu k
urang dari 20 detik. Suatu survey \line \up0 \expndtw-2\charscalex100 pada prakt
ek anestesi di Wales \up0 \expndtw-2\charscalex100 (Dingley & Asai, 1996) menunj
ukkan hanya 30-\par\pard\qj \li2268\ri1482\sb0\sl-413\slmult0 \up0 \expndtw0\cha
rscalex103 40% dari ahli anestesia menggunakan teknik standar untuk pemasangan L
MA. \up0 \expndtw0\charscalex102 Jika pendekatan standar begitu mudah dan
efektif seperti yang dilaporkan \up0 \expndtw0\charscalex103 Brimacombe, mest
inya teknik ini akan lebih populer dari yang dilaporkan oleh \up0 \expndtw-4\cha
rscalex100 Dingley dan Asai. \par\pard\li3048\sb122\sl-276\slmult0\fi0\tx4295\tx
5241\tx8929 \up0 \expndtw0\charscalex102 Haghighi,\tab \up0 \expndtw0\charscalex
102 (2010)\tab \up0 \expndtw0\charscalex102 melakukan penelitian terhadap\ta
b \up0 \expndtw0\charscalex102 120 pasien\par\pard\qj \li2268\ri1473\sb16\sl-4
13\slmult0 \up0 \expndtw0\charscalex100 membandingkan teknik standar
insersi
LMA dengan teknik\ul0\nosupersub\cf7\f8\fs24 \u8221? Airway\u8221?(\ul0\nosupe
rsub\cf5\f6\fs24 rotasi \up0 \expndtw-2\charscalex100 180), dengan hasil keber
hasilan pada usaha pertama dengan teknik \ul0\nosupersub\cf7\f8\fs24 Airwa
y \up0 \expndtw-2\charscalex100 \ul0\nosupersub\cf5\f6\fs24 sebesar 86% dibandin
gkan dengan teknik standar sebesar 80%. Amemiya \ul0\nosupersub\cf7\f8\fs24
et al \up0 \expndtw-1\charscalex100 \ul0\nosupersub\cf5\f6\fs24 (2004) telah m
elakukan penelitian deskriptif pada pemasangan LMA klasik \up0 \expndtw0\c
harscalex100 dengan tehnik \ul0\nosupersub\cf7\f8\fs24 jaw thrust \ul0\nosupersu
b\cf5\f6\fs24 yang dilakukan oleh ahli anestesi dan pemasangannya \up0 \expndtw0
\charscalex100 oleh perawat kamar operasi yang menunjukkan keberhasilan pemasang
an pada \up0 \expndtw-4\charscalex100 usaha pertama sebesar 90%. \par\pard\qj \l
i2268\ri1510\sb18\sl-400\slmult0\fi720 \up0 \expndtw-2\charscalex100 Penggunaan
pelumpuh otot suksinilkholin dosis kecil, setelah induksi \line \up0 \expn
dtw-2\charscalex100 propofol 2,5 mg/kgBB dapat meningkatkan keberhasilan pemasan
gan LMA pada \par\pard\ql \li10107\sb0\sl-253\slmult0 \par\pard\ql\li10107\sb0\s
l-253\slmult0 \par\pard\ql\li10107\sb0\sl-253\slmult0 \par\pard\ql\li10107\sb83\
sl-253\slmult0 \up0 \expndtw-10\charscalex97 \ul0\nosupersub\cf1\f2\fs22 3 \par\
pard\sect\sectd\fs24\paperw11900\paperh16820\pard\sb0\sl-240{\bkmkstart Pg4}{\bk
mkend Pg4}\par\pard\qj \li2268\sb0\sl-413\slmult0 \par\pard\qj\li2268\sb0\sl-413
\slmult0 \par\pard\qj\li2268\sb0\sl-413\slmult0 \par\pard\qj\li2268\sb0\sl-413\s
lmult0 \par\pard\qj\li2268\ri1489\sb247\sl-413\slmult0 \up0 \expndtw0\charscalex
103 \ul0\nosupersub\cf5\f6\fs24 usaha pertama sebesar 93% dibandingkan 67 % bi
la propofol diberikan tanpa \up0 \expndtw0\charscalex103 pelumpuh otot, keuntu
ngan lain dari pemberian pelumpuh otot ini bahwa \up0 \expndtw0\charscale
x102 penggunaan total dosis propofol dan kejadian hipotensi yang lebih rendah pa
da \up0 \expndtw-3\charscalex100 kelompok suksinilkholin (Ho & Chui, 1999). \par
\pard\ql \li2988\sb121\sl-276\slmult0\tx5255 \up0 \expndtw0\charscalex106 Yodfat
pada tahun \tab \up0 \expndtw0\charscalex105 1999 melakukan observasi dan
pertama kali \par\pard\qj \li2268\ri1496\sb6\sl-420\slmult0 \up0 \expndtw0\ch
arscalex102 menemukan manfaat penggunaan \ul0\nosupersub\cf7\f8\fs24 rigid\ul0
\nosupersub\cf5\f6\fs24 (kaku) \ul0\nosupersub\cf7\f8\fs24 stylet\ul0\nosupersu
b\cf5\f6\fs24
pada pemasangan LMA. \line \up0 \expndtw-2\charscalex100 LMA kl
asik dikembangkan sebagian dan dibengkokkan dengan sudut \up0 \expndtw0\charscal
ex102 90 , pada \par\pard\qj \li2268\ri1483\sb6\sl-413\slmult0 \up0 \expndtw-2\ch
arscalex100 titik antara masker dan pipa (titik pertama lengkungan) dan pada per
tengahan pipa \up0 \expndtw0\charscalex100 (titik kedua lengkungan) secara s
ignifikan dapat meningkatkan keberhasilan \up0 \expndtw-2\charscalex100 pemas
angan LMA pada semua praktisi. Sudut yang dibentuk akan mempermudah \up0 \expnd
tw0\charscalex105 pemasangan LMA dengan gerakan pergelangan tangan mengay
un yang \up0 \expndtw0\charscalex100 sederhana, seperti penempatan laringosko

p dibelakang pangkal lidah. Setelah \up0 \expndtw0\charscalex103 pemasangan d
an \ul0\nosupersub\cf7\f8\fs24 stylet\ul0\nosupersub\cf5\f6\fs24 dikeluarkan,
maka LMA akan kembali fleksibel dan \up0 \expndtw-3\charscalex100 menyesuaik
an dengan anatomi pasien. \par\pard\qj \li2268\ri1488\sb6\sl-415\slmult0\fi720 \
up0 \expndtw0\charscalex101 Brock-Utne (2008) melaporkan keberhasilan pemasang
an LMA klasik \line \up0 \expndtw0\charscalex104 dengan modifikasi teknik mengg
unakan \ul0\nosupersub\cf7\f8\fs24 stylet\ul0\nosupersub\cf5\f6\fs24 pada wanit
a 40 th ASA 1, berat \line \up0 \expndtw0\charscalex105 badan 80 kg dan tinggi 1
65 cm yang menjalani prosedur sitoskopi dan biopsy \line \up0 \expndtw0\charscal
ex100 pada kandung kemih setelah sebelumnya gagal dengan metode standard d
an \line \up0 \expndtw-1\charscalex100 teknik rotasi 180. Jeong (2009) sangat mer
ekomendasikan teknik ini dikarenakan \line \up0 \expndtw0\charscalex106 kemudaha
nnya dan tidak menyebabkan kerusakan pada posterior faring. \line \up0 \e
xpndtw-1\charscalex100 Diharapkan dengan teknik ini kelemahan pemasangan LMA kla
sik dengan teknik \line \up0 \expndtw0\charscalex100 standar dapat teratasi,
LMA menjadi lebih kaku, lengkung pipa lebih sesuai \line \up0 \expndtw0\cha
rscalex100 dengan anatomi jalan napas, dan tidak memerlukan ruang yang lebih d
i rongga \line \up0 \expndtw-3\charscalex100 mulut serta dapat menghindarkan kon
tak operator dengan mulut pasien. \par\pard\qj \li2268\ri1497\sb10\sl-410\slmult
0\fi720 \up0 \expndtw0\charscalex108 Dari data-data yang disampaikan di ata
s ternyata masih timbul \line \up0 \expndtw0\charscalex103 permasalahan berka
itan dengan pemasangan LMA klasik, angka keberhasilan \line \up0 \expndtw-1\ch
arscalex100 pada usaha pertama masih rendah dan bervariasi dari penelitian satu
ke penelitian \line \up0 \expndtw0\charscalex100 lainnya.
Beberapa
penelit
ian tentang
alternatif pemasangan LMA klasik \line \up0 \expndtw0\charsca
lex107 dilakukan untuk meningkatkan keberhasilan dan mengurangi efek yang
\line \up0 \expndtw0\charscalex103 merugikan.
Salah satu modifikasi teknik
pemasangan LMA adalah dengan \line \up0 \expndtw0\charscalex100 menggunakan \
ul0\nosupersub\cf7\f8\fs24 rigid stylet.\ul0\nosupersub\cf5\f6\fs24 Mengingat d
ata yang disampaikan sebelumnya hanya \par\pard\ql \li10107\sb0\sl-253\slmult0 \
par\pard\ql\li10107\sb0\sl-253\slmult0 \par\pard\ql\li10107\sb0\sl-253\slmult0 \
par\pard\ql\li10107\sb81\sl-253\slmult0 \up0 \expndtw-10\charscalex97 \ul0\nosup
ersub\cf1\f2\fs22 4 \par\pard\sect\sectd\fs24\paperw11900\paperh16820{\shp
{\*\shpinst\shpleft0\shptop0\shpright11900\shpbottom16820\shpwr3\shpfblwtxt0\shp
z-10000\shplid4
{\sp{\sn shapeType}{\sv 75}}
{\sp{\sn fBehindDocument}{\sv 1}}
{\sp{\sn pib}{\sv {\pict\jpegblip
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8\sb0\sl-413\slmult0 \par\pard\qj\li2268\sb0\sl-413\slmult0 \par\pard\qj\li2268\
sb0\sl-413\slmult0 \par\pard\qj\li2268\sb0\sl-413\slmult0 \par\pard\qj\li2268\ri
1487\sb247\sl-413\slmult0 \up0 \expndtw0\charscalex102 \ul0\nosupersub\cf5\f6\fs

24 berupa data observasional dan laporan kasus , hal ini mendorong penulis untu
k \up0 \expndtw0\charscalex100 melakukan penelitian tentang keberhasilan pemasan
gan LMA dengan modifikasi \up0 \expndtw0\charscalex102 teknik menggunakan \ul0\
nosupersub\cf7\f8\fs24 rigid stylet\ul0\nosupersub\cf5\f6\fs24 untuk membukt
ikan keberhasilan teknik ini \up0 \expndtw-3\charscalex100 dibandingkan dengan
teknik standar. \par\pard\ql \li2268\sb0\sl-276\slmult0 \par\pard\ql\li2268\sb24
5\sl-276\slmult0 \up0 \expndtw-5\charscalex100 \ul0\nosupersub\cf2\f3\fs24 B. Ma
salah Penelitian \par\pard\qj \li2268\ri1473\sb29\sl-416\slmult0\fi720 \up0 \exp
ndtw0\charscalex101 \ul0\nosupersub\cf5\f6\fs24 Berdasarkan latar belakang terse
but di atas maka dapat dibuat rumusan \up0 \expndtw-4\charscalex100 masalah seba
gai berikut: Angka keberhasilan pemasangan LMA klasik pada usaha \up0 \expndtw-3
\charscalex100 pertama dengan teknik standar masih rendah dan bervariasi dari pe
nelitian satu ke \up0 \expndtw-4\charscalex100 penelitian yang lainnya. Modifi
kasi teknik menggunakan \ul0\nosupersub\cf7\f8\fs24 rigid stylet \ul0\nosupers
ub\cf5\f6\fs24 diharapkan \up0 \expndtw0\charscalex103 dapat meningkatkan angk
a keberhasilan pemasangannya dan mengurangi \up0 \expndtw-4\charscalex100 ko
mplikasi akibat pemasangannya. \par\pard\ql \li2268\sb0\sl-276\slmult0 \par\pard
\ql\li2268\sb244\sl-276\slmult0 \up0 \expndtw-3\charscalex100 \ul0\nosupersub\cf
2\f3\fs24 C. Pertanyaan Penelitian \par\pard\qj \li2268\ri1489\sb26\sl-420\slmul
t0\fi720 \up0 \expndtw-4\charscalex100 \ul0\nosupersub\cf5\f6\fs24 Pertanyaan pe
nelitiannya adalah: Apakah angka keberhasilan pemasangan \up0 \expndtw-1\charsca
lex100 LMA Klasik pada usaha pertama akan meningkat dengan modifikasi tek
nik \up0 \expndtw-3\charscalex100 menggunakan \ul0\nosupersub\cf7\f8\fs24 rigid\
ul0\nosupersub\cf5\f6\fs24 \ul0\nosupersub\cf7\f8\fs24 stylet \ul0\nosupersub\c
f5\f6\fs24 dibandingkan dengan teknik standar? \par\pard\ql \li2268\sb0\sl-276\s
lmult0 \par\pard\ql\li2268\sb243\sl-276\slmult0 \up0 \expndtw-5\charscalex100 \u
l0\nosupersub\cf2\f3\fs24 D.Tujuan Penelitian \par\pard\qj \li2268\ri1456\sb34\s
l-410\slmult0\fi720 \up0 \expndtw-2\charscalex100 \ul0\nosupersub\cf5\f6\fs24 Un
tuk mengetahui angka keberhasilan pemasangan LMA klasik pada \up0 \expndtw
-2\charscalex100 usaha pertama dengan modifikasi teknik menggunakan \ul0\nosu
persub\cf7\f8\fs24 rigid\ul0\nosupersub\cf5\f6\fs24 \ul0\nosupersub\cf7\f8\fs2
4 stylet \ul0\nosupersub\cf5\f6\fs24 dibandingkan \up0 \expndtw-3\charscalex100
dengan metode standar. \par\pard\ql \li2268\sb0\sl-420\slmult0 \par\pard\ql\li22
68\ri3584\sb2\sl-420\slmult0\tx2988 \up0 \expndtw-3\charscalex100 \ul0\nosupersu
b\cf2\f3\fs24 E. Manfaat Penelitian \line\tab \up0 \expndtw-5\charscalex100 Manf
aat khusus: \par\pard\qj \li2268\ri1486\sb9\sl-410\slmult0\fi720 \up0 \expndtw-4
\charscalex100 \ul0\nosupersub\cf5\f6\fs24 Diharapkan modifikasi teknik mengguna
kan \ul0\nosupersub\cf7\f8\fs24 rigid stylet \ul0\nosupersub\cf5\f6\fs24 pada pe
masangan \up0 \expndtw-4\charscalex100 LMA klasik dapat meningkatkan angka keber
hasilan pemasangan dan mengurangi \up0 \expndtw-5\charscalex100 komplikasi akiba
t pemasangan LMA. \par\pard\ql \li2988\sb141\sl-276\slmult0 \up0 \expndtw-3\char
scalex100 \ul0\nosupersub\cf2\f3\fs24 Manfaat secara umum: \par\pard\ql \li10107
\sb0\sl-253\slmult0 \par\pard\ql\li10107\sb0\sl-253\slmult0 \par\pard\ql\li10107
\sb125\sl-253\slmult0 \up0 \expndtw-10\charscalex97 \ul0\nosupersub\cf1\f2\fs22
5 \par\pard\sect\sectd\fs24\paperw11900\paperh16820{\shp
z-10000\shplid5
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78ad3f66afdaaf579bc6b1fc16fd98b54f00fc4a69fc33a27c11d4bc5de11ff8477c59710e9712f8
df41f0db6bc8e752f0d8d634a47be5fd76ff008892ff00e08cdff475be30ff00c440fdb77ffa1c28
03f73a8afc31ff008892ff00e08cdff475be30ff00c440fdb77ffa1c28ff008892ff00e08cdff475
be30ff00c440fdb77ffa1c2803f73a8afc31ff008892ff00e08cdff475be30ff00c440fdb77ffa1c
28ff008892ff00e08cdff475be30ff00c440fdb77ffa1c2803f73a8afc31ff008892ff00e08cdff4
75be30ff00c440fdb77ffa1c28ff008892ff00e08cdff475be30ff00c440fdb77ffa1c2803f73a8a
fc31ff008892ff00e08cdff475be30ff00c440fdb77ffa1c28ff008892ff00e08cdff475be30ff00
c440fdb77ffa1c2803f73a8afc31ff008892ff00e08cdff475be30ff00c440fdb77ffa1c28ff0088
92ff00e08cdff475be30ff00c440fdb77ffa1c2803f73a8afc31ff008892ff00e08cdff475be30ff
00c440fdb77ffa1c28ff008892ff00e08cdff475be30ff00c440fdb77ffa1c2803f73a8afc31ff00
8892ff00e08cdff475be30ff00c440fdb77ffa1c28ff008892ff00e08cdff475be30ff00c440fdb7
7ffa1c2803f73a8afc31ff008892ff00e08cdff475be30ff00c440fdb77ffa1c28ff008892ff00e0
8cdff475be30ff00c440fdb77ffa1c2803f73a8afc31ff008892ff00e08cdff475be30ff00c440fd
b77ffa1c28ff008892ff00e08cdff475be30ff00c440fdb77ffa1c2803f73a8afc31ff008892ff00
e08cdff475be30ff00c440fdb77ffa1c28ff008892ff00e08cdff475be30ff00c440fdb77ffa1c28
03f73a8afc31ff008892ff00e08cdff475be30ff00c440fdb77ffa1c28ff008892ff00e08cdff475
be30ff00c440fdb77ffa1c2803f73a8afc31ff008892ff00e08cdff475be30ff00c440fdb77ffa1c
28ff008892ff00e08cdff475be30ff00c440fdb77ffa1c2803f73a8afc31ff008892ff00e08cdff4
75be30ff00c440fdb77ffa1c28ff008892ff00e08cdff475be30ff00c440fdb77ffa1c28030e1ff9
5a0350ff00b40ae8ff00faf09d72bf7aabf968fd8e3f6dbfd9a3f6f5ff00838d3c57f187f654f1ee
aff127e1cf873fe089e9f0d359f10ea7f0cbe2bfc30367e35d17f6eab2f146a3a28d1fe2e781fc09
af5c88b42f19f876fa1d4ed34b9f48bc379716b657f717ba56af6f61fd4bd0014514500145145001
45145001451450014514500145145001451450014514500145145001451450014514500145145001
45145001451450014514500145145001451450014514500145145001451450014514500145145001
45145001451450014514500145145001451450014514500145145001451450014514500145145001
45145001451450014514500145145001451450014514500145145001451450014514500145145001
45145001451450014514500145145001451450014514500145145001451450014514500145145001
45145001451450014514500145145001451450014514500145145001451450014514500145145001
45145001451450014514500145145001451450014514500145145001451450014514500145145001
45145001451450014514500145145001451450014514500145145001451450014514500145145001
45145001451450014514500145145001451450014514500145145001451450014514500145145001
45145001451450014514500145145001451450014514500145145001451450014514500145145001
45145001451450014514500145145001451450014514500145145001451450014514500145145001
45145001451450014514500145145001451450014514500145145001451450014514500145145001
45145001451450014514500145145001451450014514500145145001451450014514500145145001
45145001451450014514500145145001451450014514500145145001451450014514500145145001
45145001451450014514500145145001451450014514500145145001451450014514500145145001
45145001451450014514500145145001451450014514500145145001451450014514500145145001
45145001451450014514500145145001451450014514500145145001451450014514500145145001
45145001451450014514500145145001451450014514500145145001451450014514500145145001
45145001451450014514500145145001451450014514500145145001451450014514500145145001
45145001451450014514500145145001451450014514500145145001451450014514500145145001
45145001451450014514500145145001451450014514500145145001451450014514500145145001
45145001451450014514500145145001451450014514500145145001451450014514500145145001
45145001451450014514500145145001451450014514500145145001451450014514500145145001
45145001451450014514500145145001451450014514500145145001451450014514500145145001
45145001451450014514500145145001451450014514500145145001451450014514500145145001
45145001451450014514500145145001451450014514500145145001451450014514500145145001
45145001451450014514500145145001451450014514500145145001451450014514500145145001
45145001451450014514500145145001451450014514500145145001451450014514500145145001
45145001451450014514500145145001451450014514500145145001451450014514500145145001
45145001451450014514500145145001451450014514500145145001451450014514500145145001
45145001451450014514500145145001451450014514500145145001451450014514500145145001
451450014514500145145001451450014514500145145007ffd9}}}}}\pard\sb0\sl-240{\bkmks
tart Pg6}{\bkmkend Pg6}\par\pard\qj \li2268\sb0\sl-410\slmult0 \par\pard\qj\li22
68\sb0\sl-410\slmult0 \par\pard\qj\li2268\sb0\sl-410\slmult0 \par\pard\qj\li2268
\sb0\sl-410\slmult0 \par\pard\qj\li2268\ri1487\sb262\sl-410\slmult0\fi720 \up0 \
expndtw0\charscalex104 \ul0\nosupersub\cf5\f6\fs24 Diharapkan hasil penelitian
dapat menjadi
pedoman klinisi dalam \up0 \expndtw0\charscalex103 melakuk
an pemilihan teknik pemasangan LMA yang mudah, efektif dan cepat \up0 \expndtw-3
\charscalex100 dengan komplikasi yang minimal. \par\pard\ql \li2268\sb0\sl-276\s
lmult0 \par\pard\ql\li2268\sb265\sl-276\slmult0 \up0 \expndtw-5\charscalex100 \u
l0\nosupersub\cf2\f3\fs24 F. Keaslian Penelitian \par\pard\qj \li2268\ri1480\sb1
0\sl-414\slmult0\fi660 \up0 \expndtw-4\charscalex100 \ul0\nosupersub\cf5\f6\fs24
Penelitian mengenai perbandingan keberhasilan pemasangan LMA dengan \up0 \expnd
tw-1\charscalex100 modifikasi teknik menggunakan \ul0\nosupersub\cf7\f8\fs24 rig
id stylet \ul0\nosupersub\cf5\f6\fs24 dibandingkan dengan teknik standar \up0 \e
xpndtw0\charscalex100 sepengetahuan penulis belum pernah dilakukan. Data yang
diperoleh penulis \up0 \expndtw0\charscalex100 hanya berupa data observasional
keberhasilan pemasangan LMA klasik dengan \up0 \expndtw-3\charscalex100 mengguna
kan \ul0\nosupersub\cf7\f8\fs24 rigid stylet\ul0\nosupersub\cf5\f6\fs24 yang
dilakukan oleh Yodfat (1999) dan Jeoung (2009) \up0 \expndtw-3\charscalex100 dan
laporan kasus (Brock-Utne, 2002) mengenai keberhasilan teknik pemasangan \up0 \
expndtw-3\charscalex100 LMA klasik dengan penggunaan \ul0\nosupersub\cf7\f8\fs24
rigid stylet \ul0\nosupersub\cf5\f6\fs24 sebagai alternatif karena pemasangan \
up0 \expndtw-4\charscalex100 dengan teknik standar gagal. \par\pard\qj \li2268\s
b0\sl-270\slmult0 \par\pard\qj\li2268\sb0\sl-270\slmult0 \par\pard\qj\li2268\ri1
488\sb5\sl-270\slmult0 \up0 \expndtw0\charscalex100 \ul0\nosupersub\cf2\f3\fs24
Tabel 1: Penelitian tentang keberhasilan pemasangan LMA klasik dengan \up0 \expn
dtw0\charscalex103 teknik standar dibandingkan dengan teknik modifikas
i lain atau \up0 \expndtw-3\charscalex100 dibandingkan alat \ul0\nosupersub\
cf10\f11\fs24 supraglottic \ul0\nosupersub\cf2\f3\fs24 yang lain.\par\pard\sect\
sectd\sbknone\cols2\colno1\colw5997\colsr160\colno2\colw5603\colsr160\ql \li1486
\sb0\sl-230\slmult0 \par\pard\ql \li1486\sb92\sl-230\slmult0\tx3990 \up0 \expndt
w-1\charscalex100 \ul0\nosupersub\cf11\f12\fs19 Peneliti/tahun\tab \up0 \expndtw
-1\charscalex100 Intervensi\par\pard\ql \li1381\sb0\sl-230\slmult0 \par\pard\ql

\li3003\sb5\sl-230\slmult0 \up0 \expndtw0\charscalex104 \ul0\nosupersub\cf6\f7\f
s19 Membandingkan teknik standar\par\pard\ql \li1381\sb1\sl-205\slmult0\tx29
98 \up0 \expndtw0\charscalex100 \ul0\nosupersub\cf11\f12\fs19 Matta \ul0\nosuper
sub\cf12\f13\fs19 et al\ul0\nosupersub\cf11\f12\fs19 1995\tab \up0 \expndtw0\ch
arscalex102 \ul0\nosupersub\cf6\f7\fs19 dengan pengembangan \ul0\nosupersub\cf13
\f14\fs19 cuff \ul0\nosupersub\cf6\f7\fs19 secara\par\pard\ql \li3003\sb31\sl-2
30\slmult0 \up0 \expndtw0\charscalex100 parsial\par\pard\ql \li1381\sb0\sl-230\s
lmult0 \par\pard\ql \li1381\sb0\sl-230\slmult0 \par\pard\ql \li1381\sb0\sl-230\s
lmult0 \par\pard\ql \li1381\sb0\sl-230\slmult0 \par\pard\ql \li1381\sb0\sl-230\s
lmult0 \par\pard\ql \li1381\sb0\sl-230\slmult0 \par\pard\ql \li3003\sb41\sl-230\
slmult0 \up0 \expndtw0\charscalex105 Analisis deskriptif pemasangan\par\pard
\ql \li1381\sb0\sl-225\slmult0\tx2998 \up0 \expndtw-4\charscalex100 {\field{\*\f
ldinst {HYPERLINK http://www.ncbi.nlm.nih.gov/pubmed?term=Brimacombe%20J%5BAutho
r%5D&cauthor=true&cauthor_uid=8669573 }}{\fldrslt {\ul0\nosupersub\cf11\f12\fs19
Brimacombe ,J}}} \tab \up0 \expndtw0\charscalex101 \ul0\nosupersub\cf6\f7\fs19
1500 LMA dengan teknik standar\par\pard\ql \li1381\sb1\sl-225\slmult0\tx2998 \
up0 \expndtw0\charscalex101 \ul0\nosupersub\cf11\f12\fs19 (1996)\tab \up0 \expnd
tw0\charscalex102 \ul0\nosupersub\cf6\f7\fs19 untuk membuktikan keberhasilan\p
ar\pard\ql \li3003\sb11\sl-230\slmult0 \up0 \expndtw0\charscalex105 pemasangan d
an komplikasi yang\par\pard\ql \li3003\sb0\sl-225\slmult0 \up0 \expndtw-3\charsc
alex100 terjadi.\par\pard\ql \li1381\sb0\sl-230\slmult0 \par\pard\ql \li1381\sb0
\sl-230\slmult0 \par\pard\ql \li3003\sb47\sl-230\slmult0 \up0 \expndtw0\charscal
ex104 Membandingkan teknik standar\par\pard\ql \li1381\sb1\sl-205\slmult0\tx
2998 \up0 \expndtw0\charscalex106 \ul0\nosupersub\cf11\f12\fs19 Wakeling \ul0\no
supersub\cf12\f13\fs19 et al\tab \up0 \expndtw0\charscalex102 \ul0\nosupersub\
cf6\f7\fs19 dengan pengembangan \ul0\nosupersub\cf13\f14\fs19 cuff \ul0\nosuper
sub\cf6\f7\fs19 secara\par\pard\ql \li1381\sb19\sl-225\slmult0\tx2998 \up0 \expn
dtw0\charscalex101 \ul0\nosupersub\cf11\f12\fs19 1997\tab \up0 \expndtw0\charsca
lex103 \ul0\nosupersub\cf6\f7\fs19 parsial, setelah induksi dengan\par\par
d\ql \li3003\sb11\sl-230\slmult0 \up0 \expndtw0\charscalex102 propofol 2,5 mg/
kgBB dan opiat\par\pard\ql \li3003\sb0\sl-225\slmult0 \up0 \expndtw0\charscalex
100 (morfin, petidin atau fentanyl)\par\pard\column \ql \li6322\sb0\sl-230\slmul
t0 \par\pard\ql \li186\sb92\sl-230\slmult0\tx2849 \up0 \expndtw-1\charscalex100
\ul0\nosupersub\cf11\f12\fs19 Desain/\tab \up0 \expndtw0\charscalex100 Hasil\par
\pard\ql \li201\sb0\sl-225\slmult0 \up0 \expndtw-3\charscalex100 sampel\par\pard
\qj \li306\ri720\sb30\sl-225\slmult0\fi1141\tx1448 \up0 \expndtw0\charscalex104
\ul0\nosupersub\cf6\f7\fs19 Keberhasilan insersi pada usaha pertama \line \up0 \
expndtw-3\charscalex100 RCT \tab \up0 \expndtw0\charscalex102 LMA klasik sebesa
r 75% dan meningkat\par\pard\ql \li66\sb1\sl-225\slmult0\tx1452 \up0 \expndtw-2\
charscalex100 350 pasien\tab \up0 \expndtw0\charscalex101 hingga \up0 \expndtw0\
charscalex104 92% setelah lebih dari \up0 \expndtw0\charscalex107 2 kali\par
\pard\ql \li1447\sb15\sl-225\slmult0 \up0 \expndtw0\charscalex100 usaha.\par\par
d\ql \li1447\sb12\sl-230\slmult0\tx2247\tx3416\tx4271 \up0 \expndtw0\charscalex1
00 Suatu\tab \up0 \expndtw-2\charscalex100 modifikasi\tab \up0 \expndtw0\charsca
lex100 insersi\tab \up0 \expndtw0\charscalex101 dengan\par\pard\ql \li1447\sb10\
sl-230\slmult0 \up0 \expndtw0\charscalex100 pengembangan\ul0\nosupersub\cf13\f14
\fs19 cuff\ul0\nosupersub\cf6\f7\fs19 LMA secara parsial\par\pard\ql \li14
47\sb0\sl-225\slmult0 \up0 \expndtw0\charscalex101 meningkatkan keberhasilan i
nsersi pada\par\pard\ql \li1447\sb0\sl-225\slmult0 \up0 \expndtw0\charscalex104
usaha pertama sebesar \up0 \expndtw0\charscalex104 88% dan \up0 \expndtw0\ch
arscalex100 97.7\par\pard\ql \li1447\sb11\sl-230\slmult0 \up0 \expndtw0\charscal
ex100 persen setelah lebih dari 2 kali usaha\par\pard\qj \li96\ri717\sb30\sl-225
\slmult0\fi1351\tx1448\tx3502 \up0 \expndtw0\charscalex103 Keberhasilan pemasa
ngan pada usaha \line \up0 \expndtw-1\charscalex100 Deskriptif \tab \up0 \exp
ndtw0\charscalex105 pertama
sebesar \tab \up0 \expndtw0\charscalex103 95.5%
dengan\par\pard\ql \li20\sb1\sl-208\slmult0\tx1452 \up0 \expndtw-1\charscalex1
00 1500 pasien\tab \up0 \expndtw0\charscalex101 keseluruhan kegagalan setela
h \up0 \expndtw0\charscalex110 3 kali\par\pard\ql \li1447\sb29\sl-230\slmult0 \
up0 \expndtw-1\charscalex100 usaha sebesar 0.4%.\par\pard\ql \li1447\sb10\sl-230
\slmult0 \up0 \expndtw0\charscalex102 Desaturasi, SpO2 di bawah 90% pada 10\par

\pard\ql \li1447\sb0\sl-225\slmult0 \up0 \expndtw0\charscalex102 kejadian dan
di bawah \up0 \expndtw0\charscalex101 80% pada satu\par\pard\ql \li1447\sb11\
sl-230\slmult0 \up0 \expndtw-8\charscalex100 kasus .\par\pard\qj \li306\ri720\sb
31\sl-225\slmult0\fi1141\tx1448 \up0 \expndtw0\charscalex104 Keberhasilan insers
i pada usaha pertama \line \up0 \expndtw-3\charscalex100 RCT \tab \up0 \expndtw0
\charscalex100 LMA klasik sebesar 80% dan 94% setelah\par\pard\ql \li66\sb1\sl-2
06\slmult0\tx1452\tx2486 \up0 \expndtw-2\charscalex100 200 pasien\tab \up0 \expn
dtw0\charscalex105 usaha ke\tab \up0 \expndtw0\charscalex106 2 atau lebih.
Sedangkan\par\pard\ql \li1447\sb30\sl-230\slmult0 \up0 \expndtw0\charscalex10
5 modifikasi dengan pengembangan \ul0\nosupersub\cf13\f14\fs19 cuff\par\pard\
ql \li1447\sb0\sl-225\slmult0 \up0 \expndtw0\charscalex103 \ul0\nosupersub\cf6\f
7\fs19 sebagian menunjukkan data keberhasilan\par\pard\ql \li1447\sb1\sl-225\slm
ult0 \up0 \expndtw0\charscalex101 insersi pertama \up0 \expndtw0\charscalex104
88% dan \up0 \expndtw0\charscalex102 97% setelah\par\pard\ql \li1447\sb11\sl-2
30\slmult0 \up0 \expndtw0\charscalex101 percobaan ke 2 atau lebih-tidak bermakna
\par\pard\sect\sectd\sbknone \ql \li10107\sb0\sl-253\slmult0 \par\pard\ql\li101
07\sb0\sl-253\slmult0 \par\pard\ql\li10107\sb0\sl-253\slmult0 \par\pard\ql\li101
07\sb4\sl-253\slmult0 \up0 \expndtw-10\charscalex97 \ul0\nosupersub\cf1\f2\fs22
6 \par\pard\sect\sectd\fs24\paperw11900\paperh16820{\shp
z-10000\shplid6
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01010101010101010101010101010101010101010101010101010101010101010101010101010101
010101010101010101ffdb0043010101010101010101010101010101010101010101010101010101
0101010101010101010101010101010101010101010101010101010101010101010101010101ffc0
00110803e702c303012200021101031101ffc4001f00000105010101010101000000000000000001
02030405060708090a0bffc400b5100002010303020403050504040000017d010203000411051221
31410613516107227114328191a1082342b1c11552d1f02433627282090a161718191a2526272829
2a3435363738393a434445464748494a535455565758595a636465666768696a737475767778797a
0101010101010101010000000000000102030405060708090a0bffc400b511000201020404030407
05040400010277000102031104052131061241510761711322328108144291a1b1c109233352f015
6272d10a162434e125f11718191a262728292a35363738393a434445464748494a53545556575859
5a636465666768696a737475767778797a82838485868788898a92939495969798999aa2a3a4a5a6
002bf367f6c2ff0082be7fc139bf604f8a7a07c15fdaeff696d1fe0d7c4df13fc3fb0f8a3a178675
3f00fc5af137dbbc09aa788bc45e13d3f5dfed9f037807c4fe1fb6fb5f883c27e23d3e1d32ef55b7
d61bfb26e6ebfb3c5918ae64fd26afe5d3f69fd0f44f107fc1cb7a559ebda3e97adda45ff042fd3e
ea2b5d5f4fb4d4ada3b94fdbf75e892e120bc866892748a69a25955448b1cd2a060b2383d781c2bc
6e2f0f8453f66ebd454f9dc79f96e9bbf2f346fb6dccbd4e6c5e216130d5b12e1cea8c1cf914b979
acd2b735a56df7b33ebdff0088957fe0885ff47e7e0fff00c351fb42ff00f3a3a3fe2255ff008221
7fd1f9f83fff000d47ed0bff00ce8ebd43fe15a7c38ffa27fe09ff00c25742ff00e40a3fe15a7c38
ff00a27fe09ffc25742ffe40afafff005267ff004328ff00e12bff00e683e67fd6b8ff00d00cbff0
a57ff28f5fe9e9e5ff00f112affc110bfe8fcfc1ff00f86a3f685ffe74747fc44abff0442ffa3f3f
07ff00e1a8fda17ff9d1d7a87fc2b4f871ff0044ff00c13ff84ae85ffc8147fc2b4f871ff44ffc13
ff0084ae85ff00c8147fa933ff00a1947ff095ff00f3407fad71ff00a0197fe14aff00e51ebfd3d3
cbff00e2255ff82217fd1f9f83ff00f0d47ed0bffce8e8ff0088957fe0885ff47e7e0fff00c351fb
42ff00f3a3af50ff008569f0e3fe89ff00827ff095d0bff9028ff8569f0e3fe89ff827ff00095d0b
ff009028ff005267ff004328ff00e12bff00e680ff005ae3ff004032ff00c295ff00ca3d7fa7a797
ff00c44abff0442ffa3f3f07ff00e1a8fda17ff9d1d1ff00112aff00c110bfe8fcfc1fff0086a3f6
85ff00e7475ea1ff000ad3e1c7fd13ff0004ff00e12ba17ff2051ff0ad3e1c7fd13ff04ffe12ba17
ff002051fea4cffe8651ff00c257ff00cd01feb5c7fe8065ff00852bff00947aff004f4f2fff0088
957fe0885ff47e7e0fff00c351fb42ff00f3a3a3fe2255ff0082217fd1f9f83fff000d47ed0bff00
ce8ebd43fe15a7c38ffa27fe09ff00c25742ff00e40a3fe15a7c38ff00a27fe09ffc25742ffe40a3
fd499ffd0ca3ff0084afff009a03fd6b8ffd00cbff000a57ff0028f5fe9e9e5fff00112aff00c110
bfe8fcfc1fff0086a3f685ff00e747511ff8396ffe087e26580fede3e14dee8d2061f087f68b6842
a9c10d703e0f9b747cf48de5591872aa4735eabff0ad3e1c7fd13ff04ffe12ba17ff002057e6c68f
e01f029ff8380ff634d20f82fc26749bafd81bf6a2bbb9d2cf873473a75c5d5bf8e3c1eb05ccf65f
63fb34b710ab32c334913491ab304650483c199f0bcb2dc1d5c5bc6c6b2a6e0bd9ac3ba6df3ce30f
8bdb4ed6e6bfc2efb1db80e208e3b154f0cb0ae973a93e7f6ca76e58dfe1f651bdf6dd5b7d763ed7
ff0088957fe0885ff47e7e0fff00c351fb42ff00f3a3a3fe2255ff0082217fd1f9f83fff000d47ed
0bff00ce8ebf63bfe1537c2bff00a269f0ff00ff0008df0e7ff2b68ff854df0aff00e89a7c3fff00
c237c39ffcadaf943e88fc71ff0088957fe0885ff47e7e0fff00c351fb42ff00f3a3a3fe2255ff00
82217fd1f9f83fff000d47ed0bff00ce8ebf63bfe1537c2bff00a269f0ff00ff0008df0e7ff2b68f
f854df0aff00e89a7c3fff00c237c39ffcada00fc71ff88957fe0885ff0047e7e0ff00fc351fb42f
ff003a3a3fe2255ff82217fd1f9f83ff00f0d47ed0bffce8ebf63bfe1537c2bffa269f0fff00f08d
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0fff00c351fb42ff00f3a3a3fe2255ff0082217fd1f9f83fff000d47ed0bff00ce8ebf63bfe1537c
2bff00a269f0ff00ff0008df0e7ff2b68ff854df0aff00e89a7c3fff00c237c39ffcada00fc71ff8
8957fe0885ff0047e7e0ff00fc351fb42fff003a3a3fe2255ff82217fd1f9f83ff00f0d47ed0bffc
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7ffe09e1ff0047e7fb187fe251fc0fff00e6e6b8ff00f874effc12cbfe91a7fb007fe21bfecebffc
ee68ff00874eff00c12cbfe91a7fb007fe21bfecebff00cee6803b0ff878ff00fc13c3fe8fcff630
ff00c4a3f81fff00cdcd1ff0f1ff00f82787fd1f9fec61ff008947f03fff009b9ae3ff00e1d3bff0
4b2ffa469fec01ff00886ffb3aff00f3b9a3fe1d3bff0004b2ff00a469fec01ff886ff00b3afff00
3b9a00fc77fd847f6dafd8c7c33ff0590ff82f278ffc47fb5cfecc5e1ff027c4cd4bfe098eff000d
fc6badfc7cf855a5784be202783bf646d6342f173f823c477fe2bb7d1fc56be16d71d346f11b6837
b7e343d55d74ed4cdaddb084fedc7fc3c7ff00e09e1ff47e7fb187fe251fc0ff00fe6e6b8fff0087
4f7fc12cbfe91a7fb007fe21bfecebff00cee68ff874effc12cbfe91a7fb007fe21bfecebffcee68
03b0ff00878fff00c13c3fe8fcff00630ffc4a3f81ff00fcdcd1ff000f1fff0082787fd1f9fec61f
f8947f03ff00f9b9ae3ffe1d3bff0004b2ff00a469fec01ff886ff00b3afff003b9a3fe1d3bff04b
2ffa469fec01ff00886ffb3aff00f3b9a00ec3fe1e3fff0004f0ff00a3f3fd8c3ff128fe07ff00f3
7347fc3c7ffe09e1ff0047e7fb187fe251fc0fff00e6e6b8ff00f874effc12cbfe91a7fb007fe21b
fecebffcee68ff00874eff00c12cbfe91a7fb007fe21bfecebff00cee6803b0ff878ff00fc13c3fe
8fcff630ff00c4a3f81fff00cdcd1ff0f1ff00f82787fd1f9fec61ff008947f03fff009b9ae3ff00
e1d3bff04b2ffa469fec01ff00886ffb3aff00f3b9a3fe1d3bff0004b2ff00a469fec01ff886ff00
b3afff003b9a00ec3fe1e3ff00f04f0ffa3f3fd8c3ff00128fe07fff0037347fc3c7ff00e09e1ff4
7e7fb187fe251fc0ff00fe6e6b8fff00874eff00c12cbfe91a7fb007fe21bfecebff00cee68ff874
effc12cbfe91a7fb007fe21bfecebffcee6803b0ff00878fff00c13c3fe8fcff00630ffc4a3f81ff
00fcdcd1ff000f1fff0082787fd1f9fec61ff8947f03ff00f9b9ae3ffe1d3bff0004b2ff00a469fe
c01ff886ff00b3afff003b9a3fe1d3bff04b2ffa469fec01ff00886ffb3aff00f3b9a00ec3fe1e3f
ff0004f0ff00a3f3fd8c3ff128fe07ff00f37347fc3c7ffe09e1ff0047e7fb187fe251fc0fff00e6
e6b8ff00f874effc12cbfe91a7fb007fe21bfecebffcee68ff00874eff00c12cbfe91a7fb007fe21
bfecebff00cee6803b0ff878ff00fc13c3fe8fcff630ff00c4a3f81fff00cdcd1ff0f1ff00f82787
fd1f9fec61ff008947f03fff009b9ae3ff00e1d3bff04b2ffa469fec01ff00886ffb3aff00f3b9a3
fe1d3bff0004b2ff00a469fec01ff886ff00b3afff003b9a00ec3fe1e3ff00f04f0ffa3f3fd8c3ff
00128fe07fff0037347fc3c7ff00e09e1ff47e7fb187fe251fc0ff00fe6e6b8fff00874eff00c12c
bfe91a7fb007fe21bfecebff00cee68ff874effc12cbfe91a7fb007fe21bfecebffcee6803b0ff00
878fff00c13c3fe8fcff00630ffc4a3f81ff00fcdcd1ff000f1fff0082787fd1f9fec61ff8947f03
ff00f9b9ae3ffe1d3bff0004b2ff00a469fec01ff886ff00b3afff003b9a3fe1d3bff04b2ffa469f
ec01ff00886ffb3aff00f3b9a00ec3fe1e3fff0004f0ff00a3f3fd8c3ff128fe07ff00f37347fc3c
7ffe09e1ff0047e7fb187fe251fc0fff00e6e6b8ff00f874effc12cbfe91a7fb007fe21bfecebffc
ee68ff00874eff00c12cbfe91a7fb007fe21bfecebff00cee6803b0ff878ff00fc13c3fe8fcff630
ff00c4a3f81fff00cdcd1ff0f1ff00f82787fd1f9fec61ff008947f03fff009b9ae3ff00e1d3bff0
4b2ffa469fec01ff00886ffb3aff00f3b9a3fe1d3bff0004b2ff00a469fec01ff886ff00b3afff00
3b9a00ec3fe1e3ff00f04f0ffa3f3fd8c3ff00128fe07fff0037347fc3c7ff00e09e1ff47e7fb187
fe251fc0ff00fe6e6b8fff00874eff00c12cbfe91a7fb007fe21bfecebff00cee68ff874effc12cb
fe91a7fb007fe21bfecebffcee6803b0ff00878fff00c13c3fe8fcff00630ffc4a3f81ff00fcdcd1
ff000f1fff0082787fd1f9fec61ff8947f03ff00f9b9ae3ffe1d3bff0004b2ff00a469fec01ff886
ff00b3afff003b9a3fe1d3bff04b2ffa469fec01ff00886ffb3aff00f3b9a00fcc4f847f1bfe0bfc
77ff00839875bf15fc0ef8bdf0bfe32f85ac3fe085b65e1ebef12fc29f1ff853e2268165afd87edf
971a95f68777acf84356d634eb6d62cb4ed7345bfbbd326b94bdb6b2d634bba9a048350b4926fe8e
abe60f829fb11fec61fb35f8a750f1cfece7fb227ecc1f007c6bab68175e14d57c61f053e017c29f
857e29d4fc2d7ba8e97ac5ef86b50f107817c27a0ead7ba05deada1e89aa5d68d7377269d71a8e8f
a5decb6cf73a7da4b0fd3f4005145140051451400514514005145140051451400514514005145140
05145140051451400514514005145140051451400514514005145140051451400514514005145140
05145140051451400514514005145140051451400514514005145140051451400514514005145140
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051451401fffd9}}}}}\pard\sb0\sl-240{\bkmkstart Pg7}{\bkmkend Pg7}\par\pard\ql \l
i7584\sb0\sl-218\slmult0 \par\pard\ql\li7584\sb0\sl-218\slmult0 \par\pard\ql\li7
584\sb0\sl-218\slmult0 \par\pard\ql\li7584\sb0\sl-218\slmult0 \par\pard\ql\li758
4\sb0\sl-218\slmult0 \par\pard\ql\li7584\sb0\sl-218\slmult0 \par\pard\ql\li7584\
sb0\sl-218\slmult0 \par\pard\ql\li7584\sb0\sl-218\slmult0 \par\pard\ql\li7584\sb
0\sl-218\slmult0 \par\pard\ql\li7584\sb78\sl-218\slmult0 \up0 \expndtw-1\charsca
lex100 \ul0\nosupersub\cf6\f7\fs19 di antara ke 2 grup \par\pard\qj \li7584\ri75
9\sb10\sl-233\slmult0 \up0 \expndtw-1\charscalex100 Kejadian nyeri tenggorokan
(p<0,01) dan \line \up0 \expndtw0\charscalex107 darah pada LMA paska pel
epasan \line \up0 \expndtw0\charscalex100 (p<0.01) lebih sedikit secara berm
akna \line \up0 \expndtw0\charscalex100 pada grup dengan pengembangan \ul0\nosup
ersub\cf13\f14\fs19 cuff.\par\pard\sect\sectd\sbknone\cols2\colno1\colw5907\cols
r160\colno2\colw5693\colsr160\ql \li3003\sb13\sl-230\slmult0\tx4917 \up0 \expndt
w-1\charscalex100 \ul0\nosupersub\cf6\f7\fs19 Membandingkan\tab \up0 \expndtw0\c
harscalex100 kemudahan\par\pard\ql \li1381\sb0\sl-225\slmult0\tx2998\tx3823 \up0
\expndtw0\charscalex108 \ul0\nosupersub\cf11\f12\fs19 Ho
&
Chui,\tab \up0
\expndtw0\charscalex100 \ul0\nosupersub\cf6\f7\fs19 insersi\tab \up0 \expndtw0\
charscalex108 LMA
klasik
antara\par\pard\ql \li1381\sb11\sl-230\slmult0\t
x2998\tx4497\tx5068 \up0 \expndtw0\charscalex101 \ul0\nosupersub\cf11\f12\fs19 1
999\tab \up0 \expndtw-2\charscalex100 \ul0\nosupersub\cf6\f7\fs19 suksisnilcholi
n\tab \up0 \expndtw-4\charscalex100 0,1\tab \up0 \expndtw-1\charscalex100 mg/kgB
B\par\pard\ql \li3003\sb0\sl-225\slmult0 \up0 \expndtw0\charscalex100 dibandingk
an dengan NaCl \up0 \expndtw-3\charscalex100 0,9%\par\pard\ql \li3003\sb0\sl-2
25\slmult0\tx5592 \up0 \expndtw0\charscalex104 setelah
induksi
propofol\ta
b \up0 \expndtw-1\charscalex100 2,5\par\pard\ql \li3003\sb12\sl-230\slmult0 \up0
\expndtw0\charscalex100 mg/kgBB\par\pard\ql \li1381\sb0\sl-230\slmult0 \par\par
d\ql \li1381\sb0\sl-230\slmult0 \par\pard\ql \li3003\sb30\sl-230\slmult0 \up0 \e
xpndtw0\charscalex101 pemasangan LMA klasik dengan\par\pard\ql \li1381\sb0\sl
-225\slmult0\tx2998 \up0 \expndtw0\charscalex100 \ul0\nosupersub\cf11\f12\fs19 A
memiya N\ul0\nosupersub\cf12\f13\fs19 . \up0 \expndtw0\charscalex100 et\tab \up
0 \expndtw0\charscalex100 \ul0\nosupersub\cf6\f7\fs19 tehnik \ul0\nosupersub\cf1
3\f14\fs19 jaw thrust \ul0\nosupersub\cf6\f7\fs19 yang dilakukan\par\pard\ql
\li1381\sb14\sl-210\slmult0\tx2998\tx3763\tx4483\tx5547 \up0 \expndtw0\charscal
ex102 \ul0\nosupersub\cf12\f13\fs19 al\ul0\nosupersub\cf11\f12\fs19 .\tab \up0 \
expndtw-2\charscalex100 \ul0\nosupersub\cf6\f7\fs19 oleh\tab \up0 \expndtw-2\cha
rscalex100 ahli\tab \up0 \expndtw0\charscalex101 anestesi\tab \up0 \expndtw0\cha
rscalex101 dan\par\pard\ql \li1381\sb18\sl-225\slmult0\tx2998 \up0 \expndtw0\cha
rscalex101 \ul0\nosupersub\cf11\f12\fs19 (2004)\tab \up0 \expndtw0\charscalex107
\ul0\nosupersub\cf6\f7\fs19 pemasangannya
oleh
perawat\par\pard\ql \li300
3\sb11\sl-230\slmult0\tx4048\tx5233 \up0 \expndtw-3\charscalex100 kamar\tab \up0
\expndtw0\charscalex100 operasi,\tab \up0 \expndtw0\charscalex101 Induksi\par\p
ard\ql \li3003\sb0\sl-225\slmult0 \up0 \expndtw0\charscalex101 menggunakan Propo
fol 2,5 mg/kg\par\pard\ql \li3003\sb1\sl-225\slmult0 \up0 \expndtw-1\charscalex
100 BB dan fentanyl 100 mcg.\par\pard\ql \li3003\sb11\sl-230\slmult0\tx4917 \up0
\expndtw-1\charscalex100 Membandingkan\tab \up0 \expndtw0\charscalex100 kemudah
an\par\pard\ql \li1381\sb0\sl-225\slmult0\tx2998\tx4618 \up0 \expndtw-1\charscal
ex100 \ul0\nosupersub\cf11\f12\fs19 Turan \ul0\nosupersub\cf12\f13\fs19 et al\ta
b \up0 \expndtw0\charscalex100 \ul0\nosupersub\cf6\f7\fs19 pemasangan\tab \up0 \
expndtw0\charscalex104 LMA
klasik\par\pard\ql \li1381\sb15\sl-225\slmult0\tx
2998 \up0 \expndtw0\charscalex101 \ul0\nosupersub\cf11\f12\fs19 2006\tab \up0 \e
xpndtw0\charscalex102 \ul0\nosupersub\cf6\f7\fs19 dibandingkan dengan \ul0\nos
upersub\cf13\f14\fs19 Laryngeal\par\pard\ql \li3003\sb0\sl-225\slmult0 \up0 \e
xpndtw0\charscalex102 tube\ul0\nosupersub\cf6\f7\fs19 (LT ) dan Cobra PLA sete

lah\par\pard\ql \li3003\sb12\sl-230\slmult0 \up0 \expndtw0\charscalex102 induksi
propofol \up0 \expndtw0\charscalex103 2.5 mg/kg dan\par\pard\ql \li3003\sb0\
sl-225\slmult0 \up0 \expndtw-1\charscalex100 mivacurium 0.2 mg/kg\par\pard\ql \l
i3003\sb11\sl-230\slmult0\tx4917 \up0 \expndtw-1\charscalex100 Membandingkan\tab
\up0 \expndtw0\charscalex100 kemudahan\par\pard\ql \li1381\sb0\sl-225\slmult0\t
x2998\tx4467 \up0 \expndtw-2\charscalex100 \ul0\nosupersub\cf11\f12\fs19 Sudhir
et al\tab \up0 \expndtw0\charscalex100 \ul0\nosupersub\cf6\f7\fs19 pemasangan\ta
b \up0 \expndtw0\charscalex108 LMA
klasik\par\pard\ql \li1381\sb11\sl-230\
slmult0\tx2998 \up0 \expndtw0\charscalex101 \ul0\nosupersub\cf11\f12\fs19 2007\t
ab \up0 \expndtw0\charscalex103 \ul0\nosupersub\cf6\f7\fs19 dibandingkan dengan
\ul0\nosupersub\cf13\f14\fs19 Disposable\par\pard\ql \li3003\sb1\sl-225\slmult
0 \up0 \expndtw-2\charscalex100 \ul0\nosupersub\cf6\f7\fs19 Ambu\par\pard\ql \li
1381\sb0\sl-230\slmult0 \par\pard\ql \li3003\sb6\sl-230\slmult0 \up0 \expndtw0\c
harscalex102 teknik standar pemasangan LMA\par\pard\ql \li1381\sb0\sl-225\slmu
lt0\tx2998 \up0 \expndtw0\charscalex102 \ul0\nosupersub\cf11\f12\fs19 Haghighi,
\ul0\nosupersub\cf12\f13\fs19 et \up0 \expndtw0\charscalex102 al\tab \up0 \expn
dtw0\charscalex104 \ul0\nosupersub\cf6\f7\fs19 dengan teknik \up0 \expndtw0\cha
rscalex100 \u8220?\ul0\nosupersub\cf13\f14\fs19 Airway\u8221? \up0 \expndtw0\cha
rscalex100 \ul0\nosupersub\cf6\f7\fs19 (rotasi\par\pard\ql \li1381\sb15\sl-225\s
lmult0\tx2998 \up0 \expndtw0\charscalex101 \ul0\nosupersub\cf11\f12\fs19 2010\ta
b \up0 \expndtw0\charscalex101 \ul0\nosupersub\cf6\f7\fs19 180), induksi dengan
Thiopental 4-\par\pard\ql \li3003\sb1\sl-225\slmult0\tx5590 \up0 \expndtw0\chars
calex105 6 mg/kgBB dan fentanyl\tab \up0 \expndtw-4\charscalex100 1-2\par\
pard\ql \li3003\sb11\sl-230\slmult0 \up0 \expndtw-1\charscalex100 mcg/kg BB\par\
pard\ql \li3003\sb11\sl-230\slmult0\tx4917 \up0 \expndtw-1\charscalex100 Memband
ingkan\tab \up0 \expndtw0\charscalex100 kemudahan\par\pard\ql \li1381\sb1\sl-205
\slmult0\tx2998\tx4467 \up0 \expndtw0\charscalex100 \ul0\nosupersub\cf11\f12\fs1
9 Susanna \ul0\nosupersub\cf12\f13\fs19 et al\tab \up0 \expndtw0\charscalex100 \
ul0\nosupersub\cf6\f7\fs19 pemasangan\tab \up0 \expndtw0\charscalex108 LMA
klasik\par\pard\ql \li1381\sb19\sl-225\slmult0\tx2998\tx4437\tx5351 \up0 \expnd
tw0\charscalex101 \ul0\nosupersub\cf11\f12\fs19 2011\tab \up0 \expndtw0\charscal
ex100 \ul0\nosupersub\cf6\f7\fs19 dibandingkan\tab \up0 \expndtw-1\charscalex100
dengan\tab \up0 \expndtw-2\charscalex100 Ambu\par\pard\ql \li3003\sb11\sl-230\s
lmult0 \up0 \expndtw0\charscalex100 Auraonce, setelah induksi Propofol\par\pard\
ql \li3003\sb0\sl-225\slmult0 \up0 \expndtw-1\charscalex100 2,5-3 mg/kg dan fent
anyl 2 mcg/kg\par\pard\column \ql \li1537\sb28\sl-230\slmult0 \up0 \expndtw0\cha
rscalex103 Keberhasilan pemasangan pada usaha\par\pard\ql \li20\sb1\sl-205\
slmult0\tx1542 \up0 \expndtw0\charscalex100 RCT \ul0\nosupersub\cf13\f14\fs19 do
uble\tab \up0 \expndtw0\charscalex101 \ul0\nosupersub\cf6\f7\fs19 pertama pada
Suksinilkholin grup \up0 \expndtw-2\charscalex100 93%\par\pard\ql \li20\sb19\s
l-225\slmult0\tx1542 \up0 \expndtw-2\charscalex100 \ul0\nosupersub\cf13\f14\fs19
blind\ul0\nosupersub\cf6\f7\fs19 60\tab \up0 \expndtw-3\charscalex100 Placebo
grup 67% p <0.02.\par\pard\ql \li20\sb13\sl-210\slmult0\tx1542 \up0 \expndtw0\c
harscalex100 pasien\tab \up0 \expndtw0\charscalex105 Total dosis propofol yan
g diperlukan\par\pard\ql \li1537\sb33\sl-225\slmult0 \up0 \expndtw0\charscalex
104 untuk pemasangan lebih rendah pada\par\pard\ql \li1537\sb12\sl-230\slm
ult0\tx3550\tx4600 \up0 \expndtw0\charscalex104 sukisinilkholin grup\tab \up0
\expndtw0\charscalex109 (2.57 vs\tab \up0 \expndtw-3\charscalex100 3.25\par\pa
rd\ql \li1537\sb0\sl-225\slmult0 \up0 \expndtw0\charscalex103 mg/kgBB, p<0.01)
dan lebih rendah\par\pard\ql \li1537\sb0\sl-225\slmult0 \up0 \expndtw-1\c
harscalex100 angka kejadian hipotensi (p<0.05)\par\pard\ql \li1537\sb26\sl-230\s
lmult0 \up0 \expndtw0\charscalex103 Keberhasilan pemasangan pada usaha\par\
pard\ql \li186\sb0\sl-225\slmult0\tx1542 \up0 \expndtw-1\charscalex100 Deskripti
f\tab \up0 \expndtw0\charscalex101 pertama sebesar \up0 \expndtw0\charscalex10
2 90%, dengan angka\par\pard\ql \li201\sb14\sl-210\slmult0\tx1542 \up0 \expn
dtw-1\charscalex100 70 pasien\tab \up0 \expndtw-1\charscalex100 kegagalan 0,04%.
\par\pard\ql \li1537\sb29\sl-230\slmult0 \up0 \expndtw0\charscalex104 Komplikasi
nyeri tenggorokan pada \up0 \expndtw-2\charscalex100 2\par\pard\ql \li1537\s
b10\sl-230\slmult0 \up0 \expndtw0\charscalex100 pasien (0,02% ) dan laringospasm
e pada 1\par\pard\ql \li1537\sb0\sl-225\slmult0 \up0 \expndtw-4\charscalex100 pa

sien (0,02% ).\par\pard\ql \li1537\sb222\sl-230\slmult0 \up0 \expndtw0\charscale
x103 Keberhasilan pemasangan pada usaha\par\pard\ql \li396\sb0\sl-225\slmul
t0\tx1542 \up0 \expndtw-3\charscalex100 RCT\tab \up0 \expndtw0\charscalex100 per
tama LMA Klasik 57% dan PLA 97%,\par\pard\ql \li201\sb13\sl-210\slmult0\tx1542 \
up0 \expndtw-1\charscalex100 90 pasien\tab \up0 \expndtw-1\charscalex100 (p< 0.0
5)\par\pard\ql \li1537\sb29\sl-230\slmult0 \up0 \expndtw0\charscalex102 Komplika
si perdarahan mukosan PLA\par\pard\ql \li1537\sb11\sl-230\slmult0 \up0 \exp
ndtw-3\charscalex100 50% , LMA dan LT 17%\par\pard\ql \li1537\sb220\sl-230\slmul
t0 \up0 \expndtw0\charscalex103 Keberhasilan pemasangan pada usaha\par\pard
\ql \li396\sb1\sl-205\slmult0\tx1542 \up0 \expndtw-3\charscalex100 RCT\tab \up0
\expndtw-1\charscalex100 pertama pada LMA Klasik 84% dan LMA\par\pard\ql \li201\
sb19\sl-225\slmult0\tx1542 \up0 \expndtw0\charscalex100 crossover\tab \up0 \expn
dtw0\charscalex100 Ambu 92% , p=0,22\par\pard\ql \li381\sb14\sl-210\slmult0\tx15
42 \up0 \expndtw0\charscalex101 50\ul0\nosupersub\cf14\f15\fs19 \ul0\nosupersub
\cf6\f7\fs19 pasie\tab \up0 \expndtw-1\charscalex100 Komplikasi sama di antara
2 grup\par\pard\ql \li891\sb28\sl-195\slmult0 \up0 \expndtw-2\charscalex100 n\p
ar\pard\ql \li1537\sb32\sl-230\slmult0 \up0 \expndtw0\charscalex102 Keberhasilan
pada usaha pertama dengan\par\pard\ql \li396\sb0\sl-225\slmult0\tx1542 \up0 \ex
pndtw-3\charscalex100 RCT\tab \up0 \expndtw0\charscalex102 teknik \ul0\nosupersu
b\cf13\f14\fs19 Airway\ul0\nosupersub\cf6\f7\fs19 sebesar 86% dibandingkan\par\
pard\ql \li156\sb13\sl-210\slmult0\tx1542 \up0 \expndtw-2\charscalex100 120 pasi
en\tab \up0 \expndtw-2\charscalex100 dengan teknik standar sebesar 80% .\par\par
d\ql \li6202\sb0\sl-230\slmult0 \par\pard\ql \li6202\sb0\sl-230\slmult0 \par\par
d\ql \li1537\sb36\sl-230\slmult0 \up0 \expndtw0\charscalex104 Keberhasilan pem
asangan pada usaha\par\pard\ql \li396\sb1\sl-205\slmult0\tx1542 \up0 \expndtw
-3\charscalex100 RCT\tab \up0 \expndtw0\charscalex104 pertama LMA klasik \up0
\expndtw0\charscalex105 87% dan LMA\par\pard\ql \li156\sb16\sl-210\slmult0\tx1
542\tx2276 \up0 \expndtw-2\charscalex100 118 pasien\tab \up0 \expndtw-2\charscal
ex100 Ambu\tab \up0 \expndtw0\charscalex103 83% .
Waktu
insersi secara\p
ar\pard\ql \li1537\sb29\sl-230\slmult0 \up0 \expndtw0\charscalex100 signifikan l
ebih singkat pada Ambu LMA\par\pard\ql \li1537\sb0\sl-225\slmult0 \up0 \expndtw1\charscalex100 (p=0.008)\par\pard\ql \li1537\sb11\sl-230\slmult0 \up0 \expndtw0
\charscalex103 Komplikasi perdarahan mukosa jalan\par\pard\ql \li1537\sb10
\sl-230\slmult0 \up0 \expndtw-1\charscalex100 napas sama di antara 2 grup.\par\p
ard\ql \li1537\sb11\sl-230\slmult0 \up0 \expndtw0\charscalex102 Nyeri tenggorok
an lebih sedikit pada\par\pard\ql \li1537\sb0\sl-225\slmult0 \up0 \expndtw
-1\charscalex100 LMA Ambu\ul0\nosupersub\cf11\f12\fs19 \ul0\nosupersub\cf6\f7\f
s19 (p=0.025). \par\pard\sect\sectd\sbknone \ql \li10107\sb0\sl-253\slmult0 \par
\pard\ql\li10107\sb0\sl-253\slmult0 \par\pard\ql\li10107\sb0\sl-253\slmult0 \par
\pard\ql\li10107\sb248\sl-253\slmult0 \up0 \expndtw-10\charscalex97 \ul0\nosuper
sub\cf1\f2\fs22 7 \par\pard\sect\sectd\fs24}

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{\rtf1{\fonttbl

l-410\slmult0\fi720 \up0 \expndtw-1\charscalex100 American Society of Anesthesio

\expndtw0\charscalex102 pembukaan mulut yang minimal dan kondisi jalur orofa

insersi pertama LMA disebabkan \line \up0 \expndtw0\charscalex103 problem tek

un yang \up0 \expndtw0\charscalex100 sederhana, seperti penempatan laringosko

1487\sb247\sl-413\slmult0 \up0 \expndtw0\charscalex102 \ul0\nosupersub\cf5\f6\fs

-1\charscalex100 Intervensi\par\pard\ql \li1381\sb0\sl-230\slmult0 \par\pard\ql

\slmult0 \up0 \expndtw0\charscalex102 Desaturasi, SpO2 di bawah 90% pada 10\par

xpndtw0\charscalex102 tube\ul0\nosupersub\cf6\f7\fs19 (LT ) dan Cobra PLA sete

e pada 1\par\pard\ql \li1537\sb0\sl-225\slmult0 \up0 \expndtw-4\charscalex100 pa

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