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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.
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 Atresia to prevent aspiration and aspirate pneumonia pre-operatively. The tube is placed in the blind ending
• 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)
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).
Pass Replogle tube via nostril until resistance is felt, then withdraw slightly. Fix tube to face using Duoderm and Tegaderm or any clear transparent dressing, ensuring as little distortion of nostril as possible. Ensure tube is well fixed and minimise trauma to nostril and mucosa of pouch.
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.
