Letter to the Editor

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

Manpreet Singh, Dheeraj Kapoor, Lakesh Anand, Ankit Sharma
Southern African Journal of Anaesthesia and Analgesia | Vol 24, No 2 | a1101 | DOI: https://doi.org/10.1080/22201181.2018.1436031 | © 2018 Manpreet Singh, Dheeraj Kapoor, Lakesh Anand, Ankit Sharma | This work is licensed under Other
Submitted: 17 November 2025 | Published: 29 April 2018

About the author(s)

Manpreet Singh, Department of Anaesthesia and Intensive Care, Government Medical College and Hospital, Chandigarh, India
Dheeraj Kapoor, Department of Anaesthesia and Intensive Care, Government Medical College and Hospital, Chandigarh, India
Lakesh Anand, Department of Anaesthesia and Intensive Care, Government Medical College and Hospital, Chandigarh, India
Ankit Sharma, Department of Anaesthesia and Intensive Care, Government Medical College and Hospital, Chandigarh, India

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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.

Keywords

iLTS-D; Mandheeral 1; Mandheeral 2

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Crossref Citations

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