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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
Key Points. 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. 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)
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.
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.
Assess Replogle® suction catheter a minimum of hourly for correct insertion depth and patency. Gently irrigate the blue “vent” port of the Replogle® suction catheter with 1-2 ml air of normal saline every 2-4 hours as indicated.....
Suction nasal passages and oropharynx if required to clear airway. 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.
