When we came into the NICU this morning his weight was up to 930 grams! He is over two pounds!  He has put on a half pound! I look at his ventilator settings and it looks a little different.  There is another row of information. The nurse comes over amd tells us the news. They have put him on NAVA with EDI. Now there is a 3rd EDI line going down his throat that measures the signals his diaphragm is receiving from his brain then assists with the breath he is trying to take. Neurally Adjusted Ventilatory Assist (NAVA) Edi – the electrical activity of the diaphragm. So it is just allowing him to breath while he tries to, making him do more work. 

More info, more settings and more to learn again. I am happy they are allowing him to show how much breathing he can do.  When he gets tired the system kicks in and does back up breathing at the set parameters. He seems happier on this setting.

I think this is a much better option than trying to extubate on the third day of being alive. I’m surprises the Dr. tried so early on to make him do so much on his own.  I have trouble falling asleep tonight thinking and wondering the reasoning why.  

I ask the next day and find out there is a 50% chance that he would have been able to breathe on the non invasive ventilator which is why they tried removing it so early. Gain is better than the risk in the Dr. eyes.