A little Joshua update (from John):
After a great day yesterday, a little reality check about just how sick our little man is...
The MD showed me his x-ray this AM, and while there is some improvement in his right lower lobe, he has multiple small pockets of air that appear about the size of a nail head. These are areas that are at risk for also leaking (developing new pneumothoraces), and the MD... is watching him closely.
Joshua had to go back up on his O2 slightly early today, but is now back to 60%, so this is as low as we can go without weaning down on the vent settings, which is good. He has spent most of the day with O2 hovering 92-94%, at times getting above 95% briefly. He has also struggled some with high BP and HR due to agitation, which may be due to sedative and paralytic med changes. The MD also warned that one of the drug combos he is on may cause nightmares, so he is trying to guard against that as much as possible to help Joshua stay calm.
The chest tube still is pulling alot of fluid and air, so the pneumothorax still needs to heal. Once pressure comes down on the vent, it will have a better chance.
Thanks all for continued prayers.
After a great day yesterday, a little reality check about just how sick our little man is...
The MD showed me his x-ray this AM, and while there is some improvement in his right lower lobe, he has multiple small pockets of air that appear about the size of a nail head. These are areas that are at risk for also leaking (developing new pneumothoraces), and the MD... is watching him closely.
Joshua had to go back up on his O2 slightly early today, but is now back to 60%, so this is as low as we can go without weaning down on the vent settings, which is good. He has spent most of the day with O2 hovering 92-94%, at times getting above 95% briefly. He has also struggled some with high BP and HR due to agitation, which may be due to sedative and paralytic med changes. The MD also warned that one of the drug combos he is on may cause nightmares, so he is trying to guard against that as much as possible to help Joshua stay calm.
The chest tube still is pulling alot of fluid and air, so the pneumothorax still needs to heal. Once pressure comes down on the vent, it will have a better chance.
Thanks all for continued prayers.
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