LeHeR, a simple novel approach for difficult airway in non-trauma patients

Managing the difficult airway presents a great challenge to anaesthesiologists and emergency physicians. Although there are many methods and scoring systems available to predict and anticipate difficult airway, the dictum in emergency airway is to always expect the unexpected. We have encountered a...

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Bibliographic Details
Published in:BMJ Case Reports
Main Author: Yezid N.H.; Poh K.; Md Noor J.; Arshad A.
Format: Article
Language:English
Published: BMJ Publishing Group 2019
Online Access:https://www.scopus.com/inward/record.uri?eid=2-s2.0-85070640662&doi=10.1136%2fbcr-2019-230201&partnerID=40&md5=be43066c871009bfcb45afa9ca857b84
id 2-s2.0-85070640662
spelling 2-s2.0-85070640662
Yezid N.H.; Poh K.; Md Noor J.; Arshad A.
LeHeR, a simple novel approach for difficult airway in non-trauma patients
2019
BMJ Case Reports
12
8
10.1136/bcr-2019-230201
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85070640662&doi=10.1136%2fbcr-2019-230201&partnerID=40&md5=be43066c871009bfcb45afa9ca857b84
Managing the difficult airway presents a great challenge to anaesthesiologists and emergency physicians. Although there are many methods and scoring systems available to predict and anticipate difficult airway, the dictum in emergency airway is to always expect the unexpected. We have encountered a novel simple method of improving laryngoscopic view in difficult airway. We report four cases of difficult airway encountered in our district hospital from November 2017 to December 2018, in which intubation was performed using a simple manoeuvre called supine left head rotation (LeHeR). In all these cases, LeHeR manoeuvre has proven to be successful after more than a single attempt at intubation using various methods. The manoeuvre improves drastically the laryngoscopic view of Cormack-Lehane from 3B and 4 to 1 and 2. © 2019 BMJ Publishing Group Limited.
BMJ Publishing Group
1757790X
English
Article
All Open Access; Green Open Access; Hybrid Gold Open Access
author Yezid N.H.; Poh K.; Md Noor J.; Arshad A.
spellingShingle Yezid N.H.; Poh K.; Md Noor J.; Arshad A.
LeHeR, a simple novel approach for difficult airway in non-trauma patients
author_facet Yezid N.H.; Poh K.; Md Noor J.; Arshad A.
author_sort Yezid N.H.; Poh K.; Md Noor J.; Arshad A.
title LeHeR, a simple novel approach for difficult airway in non-trauma patients
title_short LeHeR, a simple novel approach for difficult airway in non-trauma patients
title_full LeHeR, a simple novel approach for difficult airway in non-trauma patients
title_fullStr LeHeR, a simple novel approach for difficult airway in non-trauma patients
title_full_unstemmed LeHeR, a simple novel approach for difficult airway in non-trauma patients
title_sort LeHeR, a simple novel approach for difficult airway in non-trauma patients
publishDate 2019
container_title BMJ Case Reports
container_volume 12
container_issue 8
doi_str_mv 10.1136/bcr-2019-230201
url https://www.scopus.com/inward/record.uri?eid=2-s2.0-85070640662&doi=10.1136%2fbcr-2019-230201&partnerID=40&md5=be43066c871009bfcb45afa9ca857b84
description Managing the difficult airway presents a great challenge to anaesthesiologists and emergency physicians. Although there are many methods and scoring systems available to predict and anticipate difficult airway, the dictum in emergency airway is to always expect the unexpected. We have encountered a novel simple method of improving laryngoscopic view in difficult airway. We report four cases of difficult airway encountered in our district hospital from November 2017 to December 2018, in which intubation was performed using a simple manoeuvre called supine left head rotation (LeHeR). In all these cases, LeHeR manoeuvre has proven to be successful after more than a single attempt at intubation using various methods. The manoeuvre improves drastically the laryngoscopic view of Cormack-Lehane from 3B and 4 to 1 and 2. © 2019 BMJ Publishing Group Limited.
publisher BMJ Publishing Group
issn 1757790X
language English
format Article
accesstype All Open Access; Green Open Access; Hybrid Gold Open Access
record_format scopus
collection Scopus
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