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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
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.
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.
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.
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)
23 Ιουλ 2023 · The technique consists of placing a Replogle tube (ARGYLE™ Replogle Suction Catheter) under endoscopic and fluoroscopic guidance, directly into the lumen or within an abscess cavity and remove by suction and lavages all intra-cavity fluids with a continuous low-pressure suction .
A Replogle tube is a 10-Fr orogastric or nasogastric tube used to decompress the stomach, prevent gaseous distention of the bowel, and aid in preventing emesis and aspiration in newborns, especially during medical procedures.
