Juniper Publishers Journal of Anesthesia and Intensive Care Medicine

Juniper Publishers - Journal of Anesthesia Abstract Ryles' tube is generally inserted by anaesthesiologists in the peri-induction period for gastric decompression and other intra- and post-operative uses by the surgeons. It can be inserted both before and after induction. In addition, either the nasal or oral route can be chosen for their introduction. When inserted nasally after endotracheal intubation, its path can be deflected by the presence of the oral part of the tracheal tube. Ryles' tube insertion is associated with several complications like nasal or oropharyngeal bleeding, soft tissue trauma, infection, coiling, inability to enter the pharyngeal opening, esophageal perforation and nose-to-mouth migration. Coiling of the ryles' tube around the endotracheal tube can occur, leading to knot formation, which can be difficult to unwind. We hereby describe an uncommon complication of ryles' tube insertion and its management. Keywords: Ryles...