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Easy Method of Ryles Tube Insertion in Laparoscopic Surgeries under General Anesthesia: A Simple, Non fussy and Practical Approach

Vanagondi Sivakumar , Ramsali Manjula V , Vanagondi Sivakumar , CG Raghuram , Kulkarni Dilip Kumar , Vankaylapatti Sarada Devi , Pasupuleti Surender

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Indian Journal of Anesthesia and Analgesia 7(1):p 64-69, January-February 2020. | DOI: http://dx.doi.org/10.21088/ijaa.2349.8471.7120.10

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Ramsali Manjula V, Vanagondi Sivakumar, CG Raghuram, et al. Easy Method of Ryles Tube Insertion in Laparoscopic Surgeries under General Anesthesia: A Simple, Non fussy and Practical Approach. Indian J Anesth Analg. 2020;7(1 Part -I):64–69.

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Received : N/A         Accepted : N/A          Published : N/A

Abstract

Background: Insertion of Ryles Tube (RT) or orogastric tube and deflating the gastric contents is often required in patients of laparoscopic surgeries. Passing the RT into the stomach is always difficult in an anesthetized and intubated patients as they cannot follow the commands. Various techniques have been tried with variable success.

Aim: We describe here a simple and easy technique of RT or orogastric tube insertion in paralyzed and intubated patients and compared with the conventional method in terms of success rate, attempts, time taken for insertion and adverse effects. Patients in our study included were those coming for laparoscopic surgeries under general aesthesia.

Methods: A total of 60 patients undergoing laparoscopic surgeries, requiring RT placement of either sex, between the age group 25 and 55 yrs. were enrolled for our study. Patients were allotted into Two Groups. Group C (control) the RT was passed through the mouth, and in Group ET (study) RT was passed through the red rubber endotracheal tube. Demographic parameters, required number of attempts, placement time and adverse events were noted.

Results and Conclusions: Our method of passing RT into the stomach in anesthetized and paralyzed patients- through the endotracheal tube is very simple and easy. The attempts and the time taken for insertion of the RT was much less in our method. The adverse effects were negligible with this method as compared to the conventional method.

 

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Ramsali Manjula V, Vanagondi Sivakumar, CG Raghuram, et al. Easy Method of Ryles Tube Insertion in Laparoscopic Surgeries under General Anesthesia: A Simple, Non fussy and Practical Approach. Indian J Anesth Analg. 2020;7(1 Part -I):64–69.

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DOI: http://dx.doi.org/10.21088/ijaa.2349.8471.7120.10

Keywords

Ryles Tube (RT); Insertion; Endotracheal tube; Gastric contents; and Laparoscopy.

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