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Effectiveness of Airway Management Strategies in Critically Ill Patients: A Meta-Analysis Putra, Ricko Yorinda; Novita Anggraeni; Johannas
Bioscientia Medicina : Journal of Biomedicine and Translational Research Vol. 8 No. 11 (2024): Bioscientia Medicina: Journal of Biomedicine & Translational Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/bsm.v8i11.1113

Abstract

Background: Airway management is a cornerstone of critical care, but the optimal strategies for critically ill patients remain debated. This meta-analysis aimed to evaluate the effectiveness of various airway management techniques in critically ill patients. Methods: A systematic search of PubMed, Embase, Cochrane Library, and Web of Science was conducted from January 2018 to December 2023. Studies comparing different airway management strategies (e.g., endotracheal intubation, laryngeal mask airway, video laryngoscopy) in critically ill adults were included. Primary outcomes were successful airway establishment, time to airway securement, and complications (e.g., hypoxia, aspiration). Meta-analyses were performed using random-effects models, and the risk of bias was assessed. Results: Twenty-three studies (n=5,894 patients) were included. Video laryngoscopy was associated with a higher success rate of first-pass intubation compared to direct laryngoscopy (OR 1.85, 95% CI 1.43-2.40, p<0.001). No significant differences were found in overall complications between video laryngoscopy and direct laryngoscopy (OR 0.92, 95% CI 0.68-1.24, p=0.59). In patients with difficult airways, video laryngoscopy demonstrated a reduced risk of complications compared to direct laryngoscopy (OR 0.63, 95% CI 0.41-0.97, p=0.04). Conclusion: Video laryngoscopy is a safe and effective alternative to direct laryngoscopy, particularly in critically ill patients with predicted difficult airways. Further research is needed to determine the optimal airway management strategy in specific subgroups of critically ill patients.
Effectiveness of Airway Management Strategies in Critically Ill Patients: A Meta-Analysis Putra, Ricko Yorinda; Novita Anggraeni; Johannas
Bioscientia Medicina : Journal of Biomedicine and Translational Research Vol. 8 No. 11 (2024): Bioscientia Medicina: Journal of Biomedicine & Translational Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/bsm.v8i11.1113

Abstract

Background: Airway management is a cornerstone of critical care, but the optimal strategies for critically ill patients remain debated. This meta-analysis aimed to evaluate the effectiveness of various airway management techniques in critically ill patients. Methods: A systematic search of PubMed, Embase, Cochrane Library, and Web of Science was conducted from January 2018 to December 2023. Studies comparing different airway management strategies (e.g., endotracheal intubation, laryngeal mask airway, video laryngoscopy) in critically ill adults were included. Primary outcomes were successful airway establishment, time to airway securement, and complications (e.g., hypoxia, aspiration). Meta-analyses were performed using random-effects models, and the risk of bias was assessed. Results: Twenty-three studies (n=5,894 patients) were included. Video laryngoscopy was associated with a higher success rate of first-pass intubation compared to direct laryngoscopy (OR 1.85, 95% CI 1.43-2.40, p<0.001). No significant differences were found in overall complications between video laryngoscopy and direct laryngoscopy (OR 0.92, 95% CI 0.68-1.24, p=0.59). In patients with difficult airways, video laryngoscopy demonstrated a reduced risk of complications compared to direct laryngoscopy (OR 0.63, 95% CI 0.41-0.97, p=0.04). Conclusion: Video laryngoscopy is a safe and effective alternative to direct laryngoscopy, particularly in critically ill patients with predicted difficult airways. Further research is needed to determine the optimal airway management strategy in specific subgroups of critically ill patients.
Pelatihan Bantuan Hidup Dasar untuk Siswa SMA Negeri 4 Mandau, Duri Irawan, Dino; Anggraeni, Novita; Putra, Ricko Yorinda; Pardede, Annissa Shafira; Leonardo, Peter; Ton, Yori Yarson
Reswara: Jurnal Pengabdian Kepada Masyarakat Vol 7, No 1 (2026)
Publisher : Universitas Dharmawangsa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46576/rjpkm.v7i1.7124

Abstract

Kemampuan serta pemahaman mengenai Bantuan Hidup Dasar (BHD) sangatlah penting karena dapat membekali seseorang dengan kemampuan dasar untuk menolong korban dalam berbagai keadaan gawat darurat, bencana, maupun insiden sehari-hari. Pelatihan mengenai BHD penting diperkenalkan sejak usia dini. Diharapkan kegiatan ini dapat memperluas wawasan dan keterampilan remaja dalam memberikan pertolongan pertama, khususnya pada situasi gawat darurat. Idealnya, seluruh masyarakat memiliki keterampilan dasar pertolongan pertama melalui pelatihan rutin agar pengetahuan tetap terjaga. Berdasarkan hal tersebut, kegiatan penyuluhan dan pelatihan BHD diberikan kepada siswa SMA Negeri 4 Mandau. Tujuan program ini adalah meningkatkan pemahaman serta keterampilan remaja dalam melakukan BHD saat menghadapi keadaan darurat. Pelatihan mengenai BHD dilakukan dengan penyampaian materi serta praktik langsung. Pelatihan mengenai BHD ini dilaksanakan di SMA Negeri 4 Mandau dalam kegiatan edukasi dan pelatihan sebagai bentuk implementasi Tri Dharma Perguruan Tinggi. Hasil penilaian menunjukkan bahwa sebelum pelatihan sebagian besar siswa memiliki tingkat pengetahuan rendah (83,4%). Setelah diberikan pelatihan, terjadi peningkatan, dimana tidak ada peserta yang bepengetahun kurang, sebanyak 56,6% peserta mencapai kategori baik dan 44,4% berada pada kategori cukup. Selama kegiatan, siswa berkesempatan melakukan praktik Resusitasi Jantung Paru (RJP) menggunakan manekin dengan pendampingan instruktur, sehingga mayoritas telah mampu melakukan prosedur sesuai standar. Dengan melihat hasil diatas dapat disimpulkan bahwa kemampuan dan keterampilan mengenai BHD sangat penting untuk diperkenalkan sejak usia remaja