Αποτελέσματα Αναζήτησης
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
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.
• 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. Indications. Treatment of ileus or bowel obstruction. Management of severe pancreatitis. Minimize risk of aspiration during invasive and non-invasive ventilation. Management of upper gastrointestinal tract bleed. Minimize discomfort and feeding intolerance associated with air swallowing during non-invasive ventilation.
The markings of a Replogle's suction catheter form a dashed line. Here a preterm infant with oesophageal atresia with a fistula. There is a Reploggel's drain in situ. Notice deep position of endotracheal tube and atelectasis of left upper lobe.
Ensure tube is well fixed and minimise trauma to nostril and mucosa of pouch. Record the tube size and length at nose in the notes. Tube should then be attached to low level wall suction at 5-10 kPa. High level suction can traumatise the oesophageal pouch and impede surgical repair.
5 The position assists drainage of the upper pouch to minimise the risk of aspiration pneumonia and the reflux of acid from the stomach through the fistula.
