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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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Main Authors: Yezid, Nur Hafiza, Poh, Khadijah, Md Noor, Julina, Arshad, Afifi
Format: Article
Published: BMJ Publishing Group 2019
Subjects:
R Medicine
Online Access:http://eprints.um.edu.my/22967/
https://doi.org/10.1136/bcr-2019-230201
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spelling my.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 https://doi.org/10.1136/bcr-2019-230201 doi:10.1136/bcr-2019-230201
institution Universiti Malaya
building UM Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider Universiti Malaya
content_source UM Research Repository
url_provider http://eprints.um.edu.my/
topic R Medicine
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
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.
format Article
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
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
publisher BMJ Publishing Group
publishDate 2019
url http://eprints.um.edu.my/22967/
https://doi.org/10.1136/bcr-2019-230201
_version_ 1651867383249240064
score 13.188404

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