LeHeR Manouvre in Difficult Airway Management: A Lifesaving Technique in Resource-Limited Settings

Dr. Udipta Borah, Dr. Shantanu Choudhury, Dr. Karuna Kumar Das, Dr. Pronami Saikia

Abstract: In an emergency situation, endotracheal intubation is a crucial resuscitation technique. Managing the difficult airway is a great challenge not only to anaesthesiologists but also to all emergency physicians. Although there are many methods available to predict and anticipate difficult airway, however anything in emergency cannot be predicted definitely. We have discovered a brand-new, easy technique for enhancing laryngoscopic vision in challenging airways. We have described five difficult airway cases that occurred in our hospital between September 2023 and December 2023. In these cases, a straightforward technique called supine left head rotation (LeHeR) was used to achieve intubation. In all these cases, LeHeR manoeuvre has proven to be successful after many unsuccessful attempts at intubation using various other methods. This manoeuvre has shown to improve the glottic visualisation immensely making it possible to intubate patients with difficult airway with ease.

Keywords: Endotracheal Intubation, Laryngoscopic view, Left head rotation