A Simple, Indirect Rail-Roading Technique of Ryles Tube Insertion in Anesthetised and Unconscious Patients using Easily Available Gadgets in the Operation Theaters

Insertion of a Ryle's tube through the nose in anesthetised and paralysed patients is sometimes tricky and complicated. The Ryle's tube refuses to go into oesophagus and stomach and many times curls back and lies in throat or comes out of the throat. Repeated attempts to push the Ryle's tube through the nose and throat can lead to epistaxis and odema of the nose and throat and can lead to bleeding into the oral cavity, thereby obscuring the vision at larynges copy while trying to negotiate and push the Ryle's tube down. We hereby describe a technique which is simple, scientific, non-fussy and easy to practice.