Post surgery September 29 2016

During surgery RT didn’t require too much additional oxygen. After surgery his oxygen needs went up during transfer to transport isolate and transfer to his bed in the NICU. By the time he was back and at the NICU after surgery he was requiring 100% oxygen.

Scary because he was close to room air just a few hours ago. Hopefully it’s just because he is disturbed, uncomfortable and whatnot.  Continue reading “Post surgery September 29 2016”

1738 September 29th

About 1000 laser pulses in each eye. Surgery wentabout as well as it could. Intubated for surgery. We will see how well he does and hopefully get him extubated again in the next couple days. 
Hopefully this halts the progress of the ROP. Dr. Saw change for the worse even from looking this morning so it’s a good Thing we were able to get In and do surgery today!

Sept 29 2016 OR

1546 Just dropped him off at operating room.

Our little dude was diagnosed with ROP (Retinopathy of Prematurity) this morning.  Grade two in one eye,  grade 3 in the other.  He is in the operating room right now getting laser surgery on his handsome eyes. 

Hopefully it halts the ROP and it begins to regress.  ROP is what made Stevie Wonder blind.  He was a preemie,  and back then they gave preemies higher percents of oxygen to increase survival,  turns out it is like all other things and require balance.  While not completely understood, high oxygen needs, prematurity and a birth weight under 700 grams contribute to the chances of having it. 

Praying for a successful operation. Thanks for all the love, support, and prayers!  

September 28th 2016

Weight on the board is 1994 grams!  Impressive! Only one ounce shy of being 3 lbs more than his birth weight!

Nurse that is on today is a primary!

The ventilator is slightly different,  he is now on bubble CPAP, it is very similar to standard CPAP. There is a constant pressure being given to RT, but the air also flows out into a contraption that has water in it,  adjusting how deep the tube goes into the water dictates how much pressure is built up to give RT support before the air is able to push down the water out of the tube and bubble. It is kind of like blowing bubbles in a cup of water with a straw,  it is more difficult the deeper you put the straw in the water and you can feel a slight fluctuations in the pressure as each bubble escapes the straw.   Continue reading “September 28th 2016”

September 24th 2016

Weight on the board 1820 grams!  4lb .1 oz! Just over 4 lbs! That’s amazing!
He is on 21% oxygen! But then I look at his PEEP setting, it’s up to 10, from 9….. why did they have to raise the constant pressure the ventilator is giving him? Did they have a bad event last night and not call us?  I look at the log from last night, it looks like two events… in the comments it says periodic breathing… That would not require more pressures… Did they get an xray that showed derecruiting of his lungs? If so then he would require more oxygen probably. Is his leak out of his mouth causing the need for higher pressures because only some pressure makes it to his lungs?

Continue reading “September 24th 2016”

September 23 2016

Weight on the board is,  1757 an increase of 40 grams!  Maybe slight fluctuations from how much tubing is on the bed?  We will follow trends not one weight. Keep on growing!

Nurse today is a primary!  So glad we have had a couple days and nights now of just primary nurses.

RT is on 21 percent oxygen!  Cares,  temp is 36.6. Just pee. Only bumped up to 25% for cares.  After cares back down to 21%!

Continue reading “September 23 2016”