Relationship between Mallampati Score and Success Rate of LMA Insertion at Ibnu Sina Hospital
DOI:
https://doi.org/10.52103/jahr.v4i2.1553Keywords:
Mallampati Score, LMA Insertion SuccessAbstract
Background: The most important action in successful resuscitation is to immediately open the respiratory tract. Airway management in surgical patients with general anesthesia can use tools, one of which is the Laryngeal Mask Airway. To anticipate LMA insertion failure, it is best to use a difficult intubation evaluation or what is known as the Mallampati Score.
Objective: to determine the relationship between the Mallampati Score and the success of LMA insertion.
Method: This research uses a quantitative analytical research design using a cross-sectional study approach with non-probability sampling technique. This research was conducted at Ibnu Sina Hospital in September-November 2023. Data analysis used univariate and bivariate analysis tests using cross-sectional tests.
Results: The majority of respondents had a prediction of difficult intubation, namely 23 respondents (76.7%) while those who had a prediction of easy intubation were 7 respondents (23.3%) and 30 respondents (100%) had successful LMA insertion. There was no significant relationship between the Mallampati score and the success rate of LMA I-Gel insertion in patients at Ibnu Sina Hospital with a p-value of 0.397.
Conclusion: The Mallampati score has no relationship with the success rate of LMA insertion.
References
Adiputra, S., dkk. 2021. ‘Metodologi Penelitian Kesehatan’.
Ali, Agussalim, Syafruddin Gaus, Muhammad Ramli Ahmad, Bagian Anestesiologi dan Perawatan Intensif Fakultas Kedokteran Universitas Halu Oleo, Bagian Anestesiologi, and Perawatan Intensif dan Manajemen Nyeri. 2020. ‘Perbandingan Skor Insersi LMA Antara Pemberian Petidin-Propofol Dan Fentanil-Propofol Intravena (Comparison of LMA Insertion Score between Administration Intravenous Pethidine-Propofol and Fentanyl-Propofol)’ 8.
Arianto Purba, Bernhard, Rose Mafiana, Yusni Puspita, Bagian Anestesiologi, Terapi Intensif, Fakultas Kedokteran, Universitas Jambi, and Indonesia Jambi. 2019. ‘Perbandingan Teknik Insersi Triple Airway Maneuver Dengan Teknik Laringoskopi Terhadap Keberhasilan Insersi Dan Profil Hemodinamik Pemasangan Laryngeal Mask Airway (LMA) Klasik Pada Operasi Elektif Comparison between Triple Airway Maneuver Insertion Technique and Laringoscopy Technique On the Success of Insersies and Hemodynamic Profile of Clasical Laryngeal Mask Airway (LMA) In Elective Operations’. Jurnal Anestesiologi Indonesia. Vol. 11.
Avcı, Sema. 2018. ‘Comparison of Fastrach LMA and ILMA Methods for Airway Management 1 MedDocs Publishers’. http://meddocsonline.org/.
Bacelar de Athayde, Rodolfo Augusto, Leonardo Luiz Igreja Colonna, Fabiola Schorr, Eloisa Maria Mello Santiago Gebrim, Geraldo Lorenzi-Filho, and Pedro Rodrigues Genta. 2023. ‘Tongue Size Matters: Revisiting the Mallampati Classification System in Patients with Obstructive Sleep Apnea’. Jornal Brasileiro de Pneumologia 49 (2). https://doi.org/10.36416/1806-3756/e20220402.
Castillo-Monzón, Caridad G., Tomasz Gaszyński, Hugo A. Marroquín-Valz, Javier Orozco-Montes, and Pawel Ratajczyk. 2023. ‘Supraglottic Airway Devices with Vision Guided Systems: Third Generation of Supraglottic Airway Devices’. Journal of Clinical Medicine. Multidisciplinary Digital Publishing Institute (MDPI). https://doi.org/10.3390/jcm12165197.
Dhillon, Vaninder K. 2018. ‘Intubation: Difficult Airway’. In Tracheal Intubation. InTech. https://doi.org/10.5772/intechopen.75512.
Esen, Asım, Mefkur Bakan, Ufuk Topuz, Zeynep Ertaş Dursun, and Kazım Karaaslan. 2022. ‘A New Maneuver for Classical Laryngeal Mask Airway Insertion: Prospective Randomized Study’. Journal of Surgery and Medicine 6 (8): 713–17. https://doi.org/10.28982/josam.1120640.
Hansel, Jan, Andrew M. Rogers, Sharon R. Lewis, Tim M. Cook, and Andrew F. Smith. 2022. ‘Videolaryngoscopy versus Direct Laryngoscopy for Adults Undergoing Tracheal Intubation: A Cochrane Systematic Review and Meta-Analysis Update’. British Journal of Anaesthesia. Elsevier Ltd. https://doi.org/10.1016/j.bja.2022.05.027.
Hung, Wan Chu, Jeff C. Ko, Ann B. Weil, and Hsin Yi Weng. 2020. ‘Evaluation of Endotracheal Tube Cuff Pressure and the Use of Three Cuff Inflation Syringe Devices in Dogs’. Frontiers in Veterinary Science 7 (February). https://doi.org/10.3389/fvets.2020.00039.
Ileatan Lewar, Emanuel, Agus Baratha Suyasa, dan Dwi Arymbhi Sanjaya, and Institut Teknologi dan Kesehatan Bali. 2020. ‘EFEKTIFITAS BILATERAL PACKING PADA PEMASANGAN LARYNGEAL MASK AIRWAY KLASIK PADA PASIEN DENGAN GENERAL ANESTHESIA INHALASI’. Jurnal Kesehatan Primer 5 (1): 26–33. https://doi.org/10.31965/jkp.
Jayaraj, Ashok Kumar, Naveed Siddiqui, Sameh Mohammed Osman Abdelghany, and Mrinalini Balki. 2022. ‘Management of Difficult and Failed Intubation in the General Surgical Population: A Historical Cohort Study in a Tertiary Care Centre’. Canadian Journal of Anesthesia 69 (4): 427–37. https://doi.org/10.1007/s12630-021-02161-5.
Jong, Audrey De, Sheila Nainan Myatra, Oriol Roca, and Samir Jaber. 2022. ‘How to Improve Intubation in the Intensive Care Unit. Update on Knowledge and Devices’. Intensive Care Medicine. Springer Science and Business Media Deutschland GmbH. https://doi.org/10.1007/s00134-022-06849-0.
Klučka, Jozef, Jan Šenkyřík, Jarmila Skotáková, Roman Štoudek, Michaela Ťoukalková, Ivo Křikava, Lukáš Mareček, Tomáš Pavlík, Alena Štouračová, and Petr Štourač. 2018. ‘Laryngeal Mask Airway UniqueTM Position in Paediatric Patients Undergoing Magnetic Resonance Imaging (MRI): Prospective Observational Study’. BMC Anesthesiology 18 (1). https://doi.org/10.1186/s12871-018-0617-2.
Mani, Srinivasan, Joaquim M.B. Pinheiro, and Munmun Rawat. 2022. ‘Laryngeal Masks in Neonatal Resuscitation—A Narrative Review of Updates 2022’. Children. Multidisciplinary Digital Publishing Institute (MDPI). https://doi.org/10.3390/children9050733.
Markovetz, Matthew R., Durai B. Subramani, William J. Kissner, Cameron B. Morrison, Ian C. Garbarine, Andrew Ghio, Kathryn A. Ramsey, et al. 2019. ‘Endotracheal Tube Mucus as a Source of Airway Mucus for Rheological Study’. American Journal of Physiology - Lung Cellular and Molecular Physiology 317 (4): L498–509. https://doi.org/10.1152/AJPLUNG.00238.2019.
Marsaban, Arif HM, Nency Martaria, Riyadh Firdaus, and Arief Cahyadi. 2014. ‘Perbandingan Kemudahan Pemasangan Laryngeal Mask Airway Antara Teknik Baku Disertai Penekanan Lidah Dengan Teknik Baku’.
Moseley, Chris, and Mike Cadogan. 2022. ‘Skor Mallampati’. https://litfl.com/mallampati-score/.
Oria, Mohammad Sharif, Sultan Ahmad Halimi, Fahima Negin, and Abdullah Asady. 2022. ‘Predisposing Factors of Difficult Tracheal Intubation Among Adult Patients in Aliabad Teaching Hospital in Kabul, Afghanistan – A Prospective Observational Study’. International Journal of General Medicine 15: 1161–69. https://doi.org/10.2147/IJGM.S348813.
Priadana S., Denok S. 2021. ‘Metode-Penelitian-Kuantitatif’.
Putri, FA, Melengkapi Sebagian, Syarat Mencapai, Gelar Sarjana, Terapan Keperawatan, Anestesiologi Program, Studi Keperawatan, Anestesiologi Fakultas, and Ilmu Kesehatan. 2022. ‘FAKTOR YANG MEMPENGARUHI TINGKAT KEBERHASILAN TINDAKAN INTUBASI ENDOTRACHEAL TUBE SELAMA INTRA ANESTESI PADA PASIEN GENERAL ANESTESI LITERATURE REVIEW NASKAH PUBLIKASI’.
Raveendra, U., Anju Gupta, Swagata Biswas, and Nishkarsh Gupta. 2020. ‘Coping with Airway Emergencies’. Indian Journal of Anaesthesia. Wolters Kluwer Medknow Publications. https://doi.org/10.4103/ija.IJA_591_20.
Tjahjadi.E. 2017. ‘Skor Mallampati Di Anestesi’. https://vianatjahjadis.wordpress.com/2017/05/10/skor-mallampati-di-anestesi/1/4.
VSimon, Leslie, Klaus D Torp Pembaruan Terakhir, and Kegiatan Pendidikan Berkelanjutan. 2022. ‘Jalan Topeng Laring’. https://www.ncbi.nlm.nih.gov/books/NBK482184/.
Yan, Chun ling, Ying Chen, Pei Sun, Zong yang Qv, and Ming zhang Zuo. 2022. ‘Preliminary Evaluation of SaCoVLMTM Video Laryngeal Mask Airway in Airway Management for General Anesthesia’. BMC Anesthesiology 22 (1). https://doi.org/10.1186/s12871-021-01541-0.
Published
Versions
- 2024-01-15 (2)
- 2023-12-21 (1)
How to Cite
Issue
Section
License
Copyright (c) 2023 Journal of Aafiyah Health Research (JAHR)

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.










