Self knotting of Naso gastric tube in paediatric Burns patient

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Suhas Abhyankar1, Ankita Agarwal1, Manpreet Juneja1

  • 1Eric Kharas Memorial Burns & Research Centre, Masina Hospital & Research Centre Byculla, Mumbai.

International Journal of Burns and Trauma
|June 1, 2019
PubMed

Insights

Properly measuring Ryles tube length before insertion and using X-rays can prevent complications in enteral feeding patients. This ensures safer nasogastric tube placement for adults and children requiring prolonged hospitalization.

Area of Science:

  • Medical Science
  • Clinical Practice
  • Patient Safety

Background:

  • Nasogastric (Ryles) tube feeding is a common enteral nutrition method for hospitalized adults and pediatric patients.
  • It is particularly prevalent in burn patients requiring prolonged care and hourly feeding protocols.
  • Routine X-rays are standard after Ryles tube and central line insertion.

Observation:

  • While generally safe, complications can arise from Ryles tube insertion.
  • Two cases encountered at Eric Kharas Memorial Burns Center involved complications from long Ryles tubes.
  • These complications highlight potential risks associated with incorrect tube length.

Findings:

  • Accurate calculation of Ryles tube length before insertion is crucial.
  • Routine X-ray examination aids in identifying malpositioned or coiled tubes.
  • Proactive measurement and imaging can mitigate insertion-related complications.

Implications:

  • Emphasizes the importance of precise Ryles tube length measurement to prevent patient harm.
  • Highlights the role of diagnostic imaging in confirming correct tube placement and avoiding adverse events.
  • Suggests protocol refinement for Ryles tube insertion to enhance safety in enteral feeding.

Keywords:
Nasogastric tubeRyles tubeknotting

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