It comes as no surprise to me that Thomas did wonderful today. His ENT doctor said his airway is healing beautifully and they downsized his tube. He will be extubated tomorrow!!! Right now he is resting comfortably and sleeping. It will probably be his last good sleep for a few days. Next step is turning off the morphine and versed and just keeping him comfortable overnight so he can be fully awake tomorrow when they go to extubate. The trick here is going to be him waking up, but not letting him pull out the tube. They would like him fully awake when they extubate so they can see if he is able to breath on his own and ensure he has no trouble with the transition. Unfortunately, as he wakes up he is going to be slightly angry at there being a tube in his nose and his hands being tied down, can any of us really blame him? He will also be battling with withdrawal symptoms, so his week is about to get a lot worse before it gets better. All the more reason this last snooze is so important.
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| Prepping him for the OR. Such a crowd for such a little boy. |
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| Big empty room when he is in the OR. |
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| It's not a great picture of it, but this is the X-ray of all the tubes inside little Mr. Thomas right now. You can see his VP shunt, his breathing tube, his feeding tube, and his PICC line all coiled up together in his abdomen there....he's like ROBObaby. |
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