Relationship of Lemon Score with Prediction of Difficulty Intubation in General Anesthesia Patients
DOI:
https://doi.org/10.61716/jnj.v3i1.86Keywords:
airway management, intubation, endotracheal, general anesthesia, lemon scoreAbstract
Background: General anesthesia is the most widely practiced anesthetic technique, and mishandling of the airway may lead to serious and even life-threatening complications. Intubation success is maximized when the LEMON assessment is applied to cases where the anesthesia assessment also assesses for prediction of intubation difficulty. Purpose: This study aims to find out the relationship between the LEMON scoring and the prediction of intubation difficulty encountered during general anesthesia. Methods: This quantitative study follows a cross-sectional design with data being collected within one single period. The sample consisted of 52 individuals undergoing general anesthesia with endotracheal intubation (ETT). Chi-square testing was performed with Fisher's Exact Test as the alternative for statistical analysis. Results: The analysis yielded a p-value of 0.019, which is below the 0.05 cutoff, demonstrating a significant association between the LEMON score and the prediction of intubation difficulty in patients undergoing general anesthesia at RSUD Dr. Soedirman Kebumen. Conclusions: A statistically significant association was found between the LEMON score and the prediction of intubation difficulty. The implication is that LEMON scoring can be another useful tool for anesthetic pre-evaluation in predicting probable airway management concerns during general anesthesia in patient.
References
1. Okta IB, Subagiartha IM, Wiryana M. Perbandingan Dosis Induksi Dan Pemeliharaan Propofol Pada Operasi Onkologi Mayor Yang Mendapatkan Pemedikasi Gabapentin Dan Tanpa Gabapentin. JAI J Anestesiol Indones. 2017;9(3):136.
2. Hidayat P. Pengaruh Mobilisasi Dini ( ROM ) Terhadap Pemulihan Peristaltik Usus Pasca Pembedahan Dengan Anestesi Umum Di Rumah Sakit Umum Daerah Cengkareng Jakarta Barat. 2018;05.
3. Budiana Miz. Hubungan Status Fisik American Society Of Anestesiologist (Asa) Dengan Bromage Score Di Rumah Sakit Khusus Bedah Jatiwinangun Purwokerto. 2024;3(1).
4. 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.
5. Norlailiyah, Wahyunadi NMD, Sagitarini PN. Hubungan Egri Score Dengan Keberhasilan Intubasi Pada Pasien General Anesthesia Di Rsud Kabupaten Klungkung. J Kesehat Kusuma Husada. 2023;14(1):43–50.
6. Sulistiono P, Prihartono MA, Yadi DF. Perbandingan Laringoskopi Indirek Kaca Laring Dengan Laringoskopi Indirek Video Smartphone Dalam Menilai Visualisasi Laring Dan Kenyamanan Pasien. J Anestesi Perioper. 2018;6(2):112–9.
7. Damayanti IAS. Gambaran Tingkat Pengetahuan Mahasiswa D-IV Keperawatan Anestesiologi Terhadap Pemeriksaan LEMON. ITEKES BALLI; 2022.
8. 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.
9. 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.
10. Bili EI. Gambaran Penilaian Look, Evaluate, Mallampati, Obstruction, Neck Pada Tindakan Intubasi Endotrakeal Tube Dengan General Anestesi. 2023.
11. 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.
12. 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.
13. Elangga MW, Suryani RL, Burhan A. Hubungan Tingkat Pengetahuan Pasien Tentang Tindakan Anastesi Dengan Kecemasan Di Ruang Persiapan Instalasi Bedah Sentral Di RSI Banjarnegara [Internet]. Zenodo; 2024 [Cited 2024 Sep 12]. Available From: Https://Zenodo.Org/Doi/10.5281/Zenodo.11171027
14. Wardani IPY, Sebayar SM, Burhan A. The Effect Of Butterfly Hug On Reducing Anxiety In Pre-Operation Patients At Jatiwinangun Hospital, Purwokerto. 2024 Dec 10 [Cited 2025 Feb 8]; Available From: Https://Zenodo.Org/Doi/10.5281/Zenodo.14564295
15. Romdani Rm, Burhan A, Wibowo Th, Suandika M. Efektivitas Aromaterapi Cajuput Oil Terhadap Post Operative Nausea And Vomiting (Ponv) Pada Pasien Elektif Dengan General Anestesi Di Rsud Dr. Soekardjo Kota Tasikmalaya. J Kesehat Tambusai. 2024 Nov 29;5(4):11133–42.
16. Tiar MA, Agustina W, Firdaus AD. Hubungan Antara Kepatuhan Terhadap Terapi Hemodialisis Dengan Kualitas Hidup Pasien Gagal Ginjal Kronik. Media Husada J Nurs Sci. 2022;3(2):143–52.
17. Asta A, Aisyah S, Silaban TDS. Analisis Faktor-Faktor Yang Berhubungan Dengan Persalinan Sectio Caearia. Jurnalaisyiyah Med. 2023;8(1).
18. Putra ERK. Informed Consent Pada Pasien Sectio Caesarea Dengan Metode Enhanced Recovery After Caesarean Sectio (ERACS). J Sehat Indones JUSINDO. 2024;6(02):516–30.
19. Hyong Y, Wha C, Kim JS. Penyebab Kesulitan Intubasi Trakea Dan Penilaian Pra Operaasi Pada Kelompok Usia Yang Berbeda. Korean J Anestesiol. 2019;
20. Yemam D, Melese E, Ashebir Z. Comparison Of Modified Mallampati Classification With Cormack And Lehane Grading In Predicting Difficult Laryngoscopy Among Elective Surgical Patients Who Took General Anesthesia In Werabie Comprehensive Specialized Hospital - Cross Sectional Study. Ethio. Ann Med Surg. 2022 Jul;79.
21. Darmanto E. Angka Keberhasilan Intubasi Di Ruang Resusitasi, Ruang Observasi Intensif Dan Ruang Operasi Ird Rsud Dr Soetomo Dan Faktor-Faktor Yang Mempengaruhi. 2017;
22. Malawat FR, Cahyadi BI. Preoksigenasi Pada Anestesi Umum. JAI J Anestesiol Indones. 2018;10(2):127.
23. Tripathi S, Shinde VS, Shaikh ZP. Lemon Score: A Tool To Predict Difficult Airway In Ed In Indian Setting. Int J Med Biomed Stud. 2019;3(12):62–7.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Rista Rista, Danang Tri Yudono, Made Suandika
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
