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A Replogle tube is used to continuously drain saliva from the upper oesophageal pouch and is positioned 0.5-1cm above the end of the oesophageal pouch. Adequate drainage of the upper oesophageal pouch is essential to prevent saliva spilling over into the trachea resulting in aspiration.
The Replogle tube is used in infants with oesophageal atresia to prevent aspiration of contents from the oesophageal pouch. Replogle tube is a double lumen, radio-opaque tube, which is mainly used to give continuous suction and irrigation to a blind ending pouch.(1)
Replogle's suction catheters are used in case of oesophageal atresia to remove saliva. They are positioned in the blind ending oesophagus. The markings of a Replogle's suction catheter form a dashed line.
Oral placement: position end of tube downward and insert tube into oral cavity over the tongue. Aim tube back and down toward pharynx. When tube hits pharynx, flex head forward (must have mobile C-spine).
Ensure a spare Replogle tube and taping is at the bedside at all times in case of accidental dislodgement. If water runs out of the air outlet of the 3-way tap, the replogle tube may be blocked.
A Replogle tube is a double-lumen device used to drain saliva from the esophageal pouch of babies with esophageal atresia.
“A Replogle tube was used in 61% of the NICUs surveyed. A Replogle tube is double lumen tube; one lumen is for drainage of saliva and the other functions as an air vent. The Replogle tube is connected to continuous low pressure suction to aspirate saliva from the upper oeosphageal pouch.” “Intermittent suctioning of the upper
