Wednesday and Thursday afternoons were pretty crazy around here. They have been unable to get Mason's oxygen sats up even on 100% oxygen. The doctor has had to manually ventilate him with an ambu bag because they thought he may have had a pneumothorax both days. Luckily he did not. They did xrays and found that his endotracheal tube (the tube that helps him breathe) wasn't in the correct position. This was probably due to how fidgety Mason is and when they reposition him even the slightest amount the tube could have moved the littlest bit and with him being so small that is huge. They also thought that he could have loosened some junk up in his lungs that was left over from the pulmonary hemorrhage and it got lodged in the tube after they had suctioned. Both times he recovered very quickly with the manual ventilation and they were able to put him back on the oscillator.
Mason has not had a blood product in 31 hours!!!! His labs have stayed stable. This is a huge accomplishment for the blood product king...as the nurses call him. We counted yesterday and in his ten days of life Mason was up to 34 blood product transfusions.
So far so good this hour of the day. Lately we have been taking things hour by hour. The doctor came around this morning and said things are looking better. The majority of his labs are normal. The doctor decided to start steroids for Mason's lungs yesterday because of the two incidences with oxygenation and due to the fact that he is so young and his lungs are so underdeveloped. Today we are again trying to wean the nitric. The echo is being done as I type right now to determine how his PDA looks. We did find out that Mason has a very small Level I bleed in his brain. The doctor and nurse practitioners are not worried about it though. They say it is very small and they will recheck it again next week.
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