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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| Format: | Article |
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BMJ Publishing Group
2019
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| _version_ | 1796961734264619008 |
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| author | Yezid, Nur Hafiza Poh, Khadijah Md Noor, Julina Arshad, Afifi |
| author_facet | Yezid, Nur Hafiza Poh, Khadijah Md Noor, Julina Arshad, Afifi |
| author_sort | Yezid, Nur Hafiza |
| collection | UM |
| 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. |
| first_indexed | 2024-03-06T05:58:32Z |
| format | Article |
| id | um.eprints-22967 |
| institution | Universiti Malaya |
| last_indexed | 2024-03-06T05:58:32Z |
| publishDate | 2019 |
| publisher | BMJ Publishing Group |
| record_format | dspace |
| spelling | um.eprints-229672019-11-05T00:35:21Z http://eprints.um.edu.my/22967/ LeHeR, a simple novel approach for difficult airway in non-trauma patients Yezid, Nur Hafiza Poh, Khadijah Md Noor, Julina Arshad, Afifi R Medicine 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. BMJ Publishing Group 2019 Article PeerReviewed Yezid, Nur Hafiza and Poh, Khadijah and Md Noor, Julina and Arshad, Afifi (2019) LeHeR, a simple novel approach for difficult airway in non-trauma patients. BMJ Case Reports, 12 (8). e230201. ISSN 1757-790X, DOI https://doi.org/10.1136/bcr-2019-230201 <https://doi.org/10.1136/bcr-2019-230201>. https://doi.org/10.1136/bcr-2019-230201 doi:10.1136/bcr-2019-230201 |
| spellingShingle | R Medicine Yezid, Nur Hafiza Poh, Khadijah Md Noor, Julina Arshad, Afifi LeHeR, a simple novel approach for difficult airway in non-trauma patients |
| title | 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_short | 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 |
| topic | R Medicine |
| work_keys_str_mv | AT yezidnurhafiza leherasimplenovelapproachfordifficultairwayinnontraumapatients AT pohkhadijah leherasimplenovelapproachfordifficultairwayinnontraumapatients AT mdnoorjulina leherasimplenovelapproachfordifficultairwayinnontraumapatients AT arshadafifi leherasimplenovelapproachfordifficultairwayinnontraumapatients |