Ryan was really close to being extubated today, but it doesn't look like it's going to happen. They had him off of his sedatives & on a ventilator setting that was actually making it harder for him to breathe then it would be without the intubation at all (kind of like a stress test). His breathing was fantastic, but they were holding off for a little while because they wanted him to wake up a bit more first. He was following commands pretty well, but we've seen him more alert a few days ago. After a particularly nasty coughing fit, though, they put him back on the sedative & are saying now that the extubation won't happen today. It basically came down to him needing to be sedated again right then, or extubated right then. The head (chief?) resident ordered his sedation back on. That doctor is definitely more cautious then the attending, so I'm left to wonder if the attending would have called for the extubation had he been there. So far, they're not saying much about when they'll try again, but this all happened very recently; only like 30 minutes ago. I just wish they'd get that tube out of him, & if he's unable to tolerate it (I think he could, though) to put in a tracheostomy (which they've listed as a possibility) instead. We'll just have to wait & see where they're going to go from here now. I'll give an update as soon as I have more info. =)
Thursday, February 5, 2009
No Extubation Today
Ryan was really close to being extubated today, but it doesn't look like it's going to happen. They had him off of his sedatives & on a ventilator setting that was actually making it harder for him to breathe then it would be without the intubation at all (kind of like a stress test). His breathing was fantastic, but they were holding off for a little while because they wanted him to wake up a bit more first. He was following commands pretty well, but we've seen him more alert a few days ago. After a particularly nasty coughing fit, though, they put him back on the sedative & are saying now that the extubation won't happen today. It basically came down to him needing to be sedated again right then, or extubated right then. The head (chief?) resident ordered his sedation back on. That doctor is definitely more cautious then the attending, so I'm left to wonder if the attending would have called for the extubation had he been there. So far, they're not saying much about when they'll try again, but this all happened very recently; only like 30 minutes ago. I just wish they'd get that tube out of him, & if he's unable to tolerate it (I think he could, though) to put in a tracheostomy (which they've listed as a possibility) instead. We'll just have to wait & see where they're going to go from here now. I'll give an update as soon as I have more info. =)
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Hopefully this extra time they are taking will just give him a chance to get stronger so when they try the next time he'll be off of it once and for all. I love you my Kimmy.
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