The "technique" is totally superfluous if you know how to correctly do a tongue sweep, and after reading how care is conducted at their hospital, I wouldnt trust an article written by them on lawn care let alone intubation. I mean, just look at this clown show:
Case 4
A 33-year-old morbidly obese man (approximately 200 kg) arrived at the emergency department in acute confusional state with septicaemic shock secondary to severe pneumonia. There was difficulty to intubate this man despite multiple attempts to intubate by three junior doctors and one paramedic (with 5 years experience in emergency department) using various manoeuvres and with the aid of a bougie. The initial laryngoscopic view showed a Cormack-Lehane 3B. The oxygenation was maintained at 80% throughout the 45 min attempt by allowing spontaneous breathing augmented by bag-valve-mask. Surgical airway was not considered as the patient was morbidly obese and the anterior neck anatomy was covered on the laryngeal handshake. After 45 min, the emergency physician was called in and supine LeHeR was performed. The patient was then intubated with ease by the same junior doctor as the Cormack-Lehane score improved to 1.
