PICU Day 8

This morning the plan was to get Noah to the ward...but, once again, Noah showed them he wasn't ready. Seems he wants to settle in for a good long stay here! He started needing more ventolin again during the night, but this morning he looked good. He sat up for a few moments and we saw our first smile when we put on his Baby Noah video!! But as the day went on, his chest began sounding worse, he became very irritable, and had a really tough day, just struggling to breath. We were doing ventolin masks every 45 minutes, which helped for short periods, but he was getting very tuckered out. So late afternoon, he was put on CPAP (a mask which delivers continuous positive airway pressure) to help him out, in the hopes of avoiding another intubation. As soon as the CPAP went on, he began to settle. He is now resting very comfortably, too tired to even fight the mask. His sugars are now running low with his TPN, so no more worries about starting insulin. And the GI bleeding has stopped again. Just got to somehow get those lungs healthy.

It is skeleton staff right now on the wards for the holidays, and so we are thankful today that Noah is still where he needs to be, where staffing is good. As much as I want to be out of PICU...he is safe here on the monitors, with many people watching him closely.

And so we continue to sit tight and wait this out...