Perbandingan Keberhasilan Intubasi Gawat Darurat dengan Skor HEAVEN dan Skor LEMON pada Pasien Sakit Kritis yang Membutuhkan Ventilasi Mekanik

Abstract

Introduction: The LEMON and HEAVEN scores are currently only being used to assess airway difficulties in emergency patients. Therefore, this research was conducted to evaluate the success of emergency intubation using the LEMON and HEAVEN scores in critically ill patients who require mechanical ventilation. Research Method: This study used a cross-sectional observational analytical design and was conducted at Haji Adam Malik General Hospital Medan, Dr. Pirngadi Medan, and RSU Haji Medan from January 2024 to March 2024. All critically ill patients between the ages of 18-64 years who require emergency intubation will be included in this study. Patients who have had a tracheostomy, intubation, or refuse to participate will be excluded. The study requires a minimum of 70 samples. Statistical analysis will be carried out using SPSS version 26 software. Results: A total of 76 patients met the study criteria and were included in this study. Based on the LEMON score assessment, 5 patients (6.6%) were categorized as difficult intubation. Based on the HEAVEN score assessment, 30 patients (39.5%) were categorized as difficult intubation. After emergency intubation, only 3 patients (3.9%) had a failed intubation on the first attempt. The AUC value of the LEMON score is 0.984 (excellent accuracy), the HEAVEN score is 0.911 (excellent accuracy). Both the HEAVEN score and the LEMON score are equally good for assessing the success of intubation but statistically the LEMON score is better so the HEAVEN score can be used as an alternative in critically ill patients. Conclusion: The LEMON score and HEAVEN score can be used to evaluate the success of emergency department intubation in critically ill patients who require mechanical ventilation.