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A Replogle tube is used in the management of infants with long-gap oesophageal atresia awaiting a delayed repair of their oesophagus. Infants with long-gap oesophageal atresia may wait up to 3 months until surgical repair of the oesophagus.
A Replogle tube is a double lumen radio-opaque tube used to give continuous low-pressure suction and irrigation of a blind ended pouch i.e. oesophageal atresia (Appendix 1). It is used in infants with Oesophageal
If a Replogle, which has been in for more than 24 hours needs to be repositioned farther down into the esophagus or stomach, the tube should be removed and replaced with a new Replogle tube which can then be measured and safely inserted into the proper position.
As a Level IV NICU (the highest level NICU) and the only one between Philadelphia and Pittsburgh, our team provides complete and comprehensive, lifesaving care to the most complex and critically ill newborns and serves as a regional referral center. Our first NICU opened in 1972.
Place replogle tube (at least 10 Fr) to low continuous suction. Notify Pediatric Surgery, PICU and ECMO team upon infant’s arrival to NCCC. Consider surfactant in infants < 34 weeks gestation. ADMISSION MANAGEMENT AFTER DELIVERY ROOM (NICU or PICU) Mechanical Ventilation Strategy. Equipment. Drager/Servo-U Ventilator.
Birmingham Children’s Hospital, 2009. ‘How to insert and manage a Replogle tube in a neonate.’ ‘Pass the Replogle, ideally nasally, into upper pouch until resistance felt, (approx. 10 -12 cms from the nostril in a Term baby), withdraw slightly and fix with Elastoplast.’ ‘Attach Replogle to low pressure suction to
Infant feeding single-lumen tube size 3.5 F or 5 F is used for infants <1000 g and size 5–8 F is used for infants ≥ 1000 g. For decompression, a dual-lumen vented Replogle tube with size 6, 8, or 10 F is used. Stylet is not recommended to be used in neonates .
