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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.
Key Points. The Replogle tube is used in infants with oesophageal atresia to prevent aspiration of contents from the oesophageal pouch. The most common use is for babies with oesophageal atresia when the replogle tube is passed into the blind ending upper oesophageal pouch in the pre-operative period.
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.
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.
This LOP is developed to guide safe clinical practice in Newborn Care Centre (NCC) at The Royal Hospital for Women. Individual patient circumstances may mean that practice diverges from this Local Operations Procedure (LOP).
This section deals with some common neonatal surgical conditions. Others are covered in the sections on Necrotizing Enterocolitis (P. 133) and Pulmonary Hypoplasia and Diaphragmatic Hernia (P. 85).
