More of the Same

Andrew's continued to behave similarly to the last few days. He gets a little grumpy for no apparent reason, but he does pretty well on his ventilation, until he decides to clamp down and turn blue. He's still having problems with his feeds, so they've moved him back down to 10cc per hour. They're also going to pause the feeds before they suction him, because that seems to be a cause for spit-up.

He's had an IV put in his foot (for a transfusion) and later removed (because he was banging it against the arterial line in his other foot). His ventilator rate was turned down to 8 breaths per minute, but his oxygen percentage has fluctuated between 29 and 60 percent, depending on his mood. His sprints have been lengthened to two hours, and he's been doing great except when he's upset.

The current plan is to extubate Andrew on Tuesday. It will depend on how his sprints go between now and then, and his current volatility is a little scary, but I think with the right combination of sedatives to keep him calm and good CPAP ventilation, he'll be able to do well.