Self knotting of Naso gastric tube in paediatric Burns patient.

Nasogastric tube feeding is one of the most accepted modes of enteral feeding in adult as well in the paediatric patients who require prolonged hospitalization due to various conditions. Enteral feeding is one of the most commonly used method for feeding in Burns patients. As per our protocol for feeding in all Burns patients, including adults and children are kept on Ryles tube enteral feeds every hourly. We routinely take check X-rays after insertion of Ryles tube and central lines. In majority of cases we never come across any complications arising from insertion of Ryles tube but in our experience at Eric Kharas memorial Burns center, Masina hospital we had two cases in which complications were encountered from inserting long Ryles tube. The aim of this paper is to emphasize on the role of proper calculation of exact length of Ryles tube prior to insertion and routine X ray examination, which can prevent complications arising from long and coiled Ryles tube.