Our team members of ICU were trying to change ryles tube from kid six years on long duration ventilation and ryles tube feeding. All of them were doing it regularly. We found it difficult to get it out. All our team members were doing it regularly but never encountered such difficulty. We got help of our colleague from ENT. Somehow we could get it out. See the image.
This was the appearance of the Ryles tube Lucky that it came out without much difficulty and trauma. Knot formation on Ryles tube can occur, but not that common. This is common especially when we use small bore tubes, longer duration and when the length of tube inside is too long. This is reported in short duration Ryles tube insertion also. One message from this is if you find difficulty in removing try to arrange for a USG before pulling further and traumatizing. Similarly, when we introduce catheters inside the bladder…
