Letter to the Editor

Intubating laryngeal tube suction device (iLTS-D) requires ‘Mandheeral 1 and Mandheeral 2’ manoeuvres for optimum ventilation

Published in: Southern African Journal of Anaesthesia and Analgesia
Volume 24 , issue 2 , 2018 , pages: 63–64

DOI: 10.1080/22201181.2018.1436031

Author(s): Manpreet Singh Department of Anaesthesia and Intensive Care, India , Dheeraj Kapoor Department of Anaesthesia and Intensive Care, India , Lakesh Anand Department of Anaesthesia and Intensive Care, India , Ankit Sharma Department of Anaesthesia and Intensive Care, India

Keywords: iLTS-D , Mandheeral 1 , Mandheeral 2

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Abstract

The recently introduced iLTS -D^® combines the characteristics of laryngeal tube suction-D with the added possibility of secondary tracheal intubation. The manufacturer has provided a method to insert the novel device, iLTS-D. With 45-patients worth of experience, two manoeuvres, i.e. Mandheeral 1 and Mandheeral 2, are recommended for smooth insertion of the device, and ventilation through the device. These were head extension and ‘up-to-one-inch-out manoeuvres’. These two manoeuvres were required in all patients.

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