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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.
• This guideline highlights how to insert and care for a replogle tube • The Replogle tube is used in infants with oesophageal atresia to prevent aspiration of contents from the oesophageal pouch. A 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)
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
the neonate. Our Replogle catheters are latex-free and are available in 6 Fr, 8 Fr and 10 Fr sizes. They feature a clear double-lumen tube, three smooth eyes and are highly X-Ray opaque. Venting action provides safe, effective drainage. Lakkundi, A, Wake C & Ormsby J. 2010 ‘Management of infant with Replogle tube in NICU.
transporting patients with Replogle tubes. Infant, 7(4):132-133. VII “Replogle suggested that his design of a double lumen catheter should be used with suction pressures of -25-30mmHg, which equates to 3-4kPa or 34-40cmH20 of negative pressure.” Learn more about Esophagus Reconstruction from ScienceDirect's AI-generated Topic Pages
Suction & Replogle Tube Competencies. Show how to operate the suction and adjust the pressure to the correct level. Show that you can dismantle, clean and reassemble correctly. Show that you can problem solve in the case of suction failure – use of ambulance suction unit.
Hz 10. MAP 16 – 22 (using conventional vent MAP, add 1-2 above) Amp 30 – 60 (based on physical exam, chest “wiggle”) Bias flow 20. See Appendix for HFOV management strategies, monitoring, and suctioning guidelines. Place pre-and post-ductal saturation monitors (goal pre-ductal >90%)
