Rough Day

MONDAY, APRIL 12, 2010 7:08 PM, CDT

Liam had a rough day, and to make it worse, I wasn't here to be with him through it. He started working really hard to breathe this morning so they restarted him on CPAP. This afternoon, he wasn't improving much, so they moved him from CPAP back to Nasal Prong Ventilation - I probably don't need to add that that's one step away from the ventilator. Anyway, because of the Nasal Prong Ventilation and CPAP, they had to put his Trans-Pyloric tube back in and go back to continuous feeds, rather than bolus ones. Anyway, his blood gas looked better this evening.

MONDAY, APRIL 12, 2010 11:00 PM, CDT

The night didn't get much better. Liam dropped his o2 sats down in the 40's-50's while I was in there and they had to bag him for several minutes, again, to get them back up. The nasal prong ventilation settings are almost as high as they can go and if he has another "event" tonight, they'll re-intubate - praying that doesn't happen. Jenny (the Neonatal Nurse Practitioner) is going to talk to Dr. Slack about having Dr. Allphin (the Ear, Nose, Throat Specialist) look at Liam to make sure he doesn't have a floppy airway which could be causing the breathing issues. She also said she thinks it's that in combination with some chronic lung disease going on that's causing these "events." Hoping tomorrow's a better day!