RYLES TUBE INSERTION
Image Source: https://www.gillettechildrens.org/your-visit/patient-education/using-a-nasogastric-tube
What is Ryles Tube ?
It is also called as nasogastric tube. It is a tube passed through the nostril into the stomach via an esophagus. It is available in various size. There is also an different type of nasogastric tube called as Freka tube, which is used for similar function.
Why it is used?
It is used to feed the patient when patient can’t take feed orally.
It is also used to give stomach wash in case of poisoning.
How it is inserted?
Patient is kept in supine position with 30-45 degree propped up position. If patient is awake than he is asked to do swallowing like action during the tube insertion so tube can directed go into the esophagus and then into the stomach.
When patient is not awake than the tube is inserted directly into the one of the nostril and then gradually advanced so that it passes through the esophagus.
Sometimes it is difficult to pass the tube than its passed with the help of magill’s forcep during layngoscopy in a sedated patient.
Many a times in a conscious patients , it is difficult to put the ryle’s tube. In such cases if the tube insertion is necessary than it is kept under endoscopy guidance.
Once the ryle’s tube is inserted , it’s position is confirmed by auscultation and also by x ray chest. Once the position of the ryle’s tube is confirmed than the feeding is started.
Image Source: https://www.aboutkidshealth.ca/Article?contentid=984&language=English
What is the risk involved in the procedure?
Most of the time it is a safe procedure. Though it carries risk of false passage into the lung, coiling in the oropharynx and very rarely it can cause pneumothorax. Most of the complications are deal easily except in the case of pneumothorax, icd is warranted to relieve the air.
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