The Relationship Between the Triple Airway Maneuver Insertion Technique and The Success Rate of Laryngeal Mask Airway Installation in Elective Surgery

Bagas Kara Alfaridzi; Asmat Burhan; Feti Kumala Dewi

doi:10.61716/jnj.v2i3.80

Authors

Bagas Kara Alfaridzi Universitas Harapan Bangsa
Asmat Burhan Universitas Harapan Bangsa
Feti Kumala Dewi Universitas Harapan Bangsa

DOI:

https://doi.org/10.61716/jnj.v2i3.80

Keywords:

laryngeal mask airway, triple airway manuver, elective surgery

Abstract

Background: The Laryngeal Mask Airway (LMA) is a widely utilized supraglottic airway device by anesthesiologists in selective procedures, particularly in cases where intubation is not feasible or when managing a difficult airway. Complicating factors such as a short neck and large tongue can hinder LMA insertion, necessitating the use of the Triple Airway Maneuver (TAM). This technique involves a combination of head elevation, anterior mandible lift, and mouth opening to facilitate airway clearance. Purpose: This study was to evaluate the relationship between the TAM technique and the success rate of LMA insertion during elective surgeries at Dr. Soedirman Kebumen General Hospital. Methods: A cross-sectional, analytic study was conducted in June 2024, involving 52 respondents selected via purposive sampling. Data were collected using observation sheets. Findings: The findings revealed that the majority of respondents were aged 17-25 years (38.5%) and had a body mass index of 18.5-25.0 (73.1%). Non-smokers constituted 73.1% of the sample, while 46.2% had occupations involving repetitive neck movements. The TAM group achieved 45 successful LMA insertions, with 44 succeeding on the first attempt and 1 on the second, compared to 7 successful insertions in the non-TAM group. However, Kendall’s tau c test (p=0.056) indicated no statistically significant relationship between TAM and LMA insertion success rates, and the correlation coefficient (0.385) suggested a weak relationship. Conclusions: the TAM technique does not significantly influence the success rate of LMA insertion

References

1. Rehatta Nm, Hanindito E, Tantri Ar. Anestesiologi Dan Terapi Intensif. Jakarta: Pt Gramedia Pustaka Utama; 2019.

2. Morgan, Mikhail’s. Clinical Anesthesiology. Vol. 7, Mcgraw-Hill. 2022.

3. Mujib A, Bakri M, Tinedonsu Jd. Perbandingan Keberhasilan Pemasangan Laringeal Mask Airway (Lma) Unique Pada Upaya Pertama Antara Teknik Standar Digital Dengan Teknik Jaw Thrust Di Rsm “ Dr. Yap” Yogyakarta. 2019;

4. Mandalia R. Perbandingan Penggunaan Teknik Jaw Thrust Dan Teknik Head Tilt Chin Lift Terhadap Tingkat Keberhasilan Pemasangan Lma(Laryngeal Mask Airway) Pada Pasien General Anestesi Di Rsud Prof. Dr. Margono Soekarjo Purwokerto. 2023;1–10.

5. Ruru Ao. Gambaran Tingkat Keberhasilan Insersi Laringeal Mask Airway (Lma) Pada Upaya Pertama Dengan Teknik Triple Airway Manuver Di Rs Tk Ii Udayana Denpasar. 2022;

6. Purba Ba, Mafiana R, Puspita Y. Perbandingan Teknik Insersi Triple Airway Maneuver Dengan Teknik Laringoskopi Terhadap Keberhasilan Insersi Dan Profil Hemodinamik Pemasangan Laryngeal Mask Airway (Lma) Klasik Pada Operasi Elektif. Jai J Anestesiol Indones. 2019;11(2):58–71.

7. Baran Akkuş İ, Kavak Akelma F, Emlek M, Özkan D, Ergil J, Polat R. Comparison Of The Standard And Triple Airway Maneuvering Techniques For I-Geltm Placement In Patients Undergoing Elective Surgery: A Randomized Controlled Study. J Anesth. 2020;34(4):512–8.

8. Lewar Ei, Suyasa Ab, Sanjaya Da. Efektifitas Bilateral Packing Pada Pemasangan Laryngeal Mask Airway Klasik Pada Pasien Dengan General Anesthesia Inhalasi. J Kesehat Primer. 2020;5(1):26–33.

9. Schwartz S, Peng Yg. The Laryngeal Mask Airway: Expanding Use Beyond Routine Spontaneous Ventilation For Surgery. Apsf Newsl. 2021;36(3):114–5.

10. Wang J, Shi X, Xu T, Wang G. Predictive Risk Factors Of Failed Laryngeal Mask Airway Insertion At First Attempt. J Int Med Res. 2019;46(5):1973–81.

11. Hari Perkasa T, Nova Handayani R, Burhan A. An Overview Of Patient Knowledge Of Anesthesia Procedures Through Informed Consent In The Jatiwinangun Purwokerto Surgical Specialty Hospital’s Central Surgical Installation: English. Java Nurs J. 2023 Oct 16;1(2):134–42.

12. Pramudya Gurensky G, Sukmaningtyas W, Burhan A. Overview Of Mean Arterial Pressure (Map) Changes In Patients After General Anesthesia At Juanda Kuningan Hospital West Java: English. Java Nurs J. 2023 Oct 16;1(2):88–96.

13. Mutia L, Novitasari D, Burhan A. The Relationship Between Pre-Anesthesia Anxiety And The Incidence Of Post-Operative Nausea And Vomiting (Ponv) In Patients Undergoing General Anesthesia At Islamic Hospital Purwokerto. Java Nurs J. 2024 Feb 1;2(1):93–102.

14. Fawwaz Sm, Pardede Dkb. Dampak Kebiasaan Merokok Terhadap Risiko Anestesi Dan Pembedahan. Cermin Dunia Kedokt. 2023;50(10):576–80.

15. Budiyono. Hubungan Merokok Dengan Efektivitas Jalan Nafas Pada Pasien Dengan Tindakan General Anestesi Inhalasi Teknik Laryngeal Mask Airway Di Ruang Kamar Operasi Rs Amc Bandung. 2022;

16. Nugroho Egz, Adi Nugroho H, Abdurrahman A, Kusuma H. Terapi Spiritual Terhadap Kecemasan Dan Depresi Pada Pasien Hemodialisis : Literatur Review. J Keperawatan. 2022 Feb 28;1(1):36–42.

17. Maryadi A, Rahmaya Nova Handayani, Eza Kemal Firdaus, Asmat Burhan. The Correlation Between Body Mass Index (Bmi) And Recovery Time On General Anesthesia Patient Using Endotracheal Tube (Et). Java Nurs J. 2024 Feb 1;2(1):1–6.

18. Pradhana Ah. Analisis Faktor Risiko Kesulitan Intubasi Menurut El-Ganzouri Risk Index (Egri) Pada Pasien General Anesthesia Di Rsud Bendan Pekalongan. Http://Eprintspoltekkesjogjaacid/Id/Eprint/2487. 2020;11–35.

19. Narendra Gh, Sukmaningtyas W, Burhan A. A Cross-Sectional Study On The Relationship Between Age And Duration Of Surgery And The Incidence Of Post-Anesthesia Hypothermia. 2023;16.