Oesophageal atresia and use of Replogle tube

[Pototo]

Does somebody use Repplogle tube for continium aspiration before surgery??

What about drenaige thorax  tube after surgery?

Some bibliography?

 

[Philip]

We don't have Repplogle tubes available in our country. so we have to improvise. While waiting for the surgery and stabilizing the patient we place a 5Fr orogastric  tube inside a 10 o 12FR nasogastric tube.  We connect the 12 FR tube to continuous suction and the 5Fr tube to saline infused at very very slow rate. This is then placed in the mouth in the proximal pouch of the esophagus. It works pretty well, the saline diluting the thick saliva so the 10 FR tube can suction it out and doesn't ever become obstructed.   

After surgery the patient has drainage thorax tube for approximately 3-5 days and this is then removed after the patient has been extubated (2 or 3 day after the surgery) and there is no evidence of saliva draining in the chest tube. 

[Jose Ramon Fernandez]

We always use Replogle tube and pediatric surgeons always insert a thoracic drainage, but I'm not sure if they are evidence based practices. 

I like this clinical guideline from Royal Children's Hospital Melbourne. 

https://www.rch.org.au/rchcpg/hospital_clinical_guideline_index/Replogle_tube_management/