Day 245 - Taking Things Slow
Wednesday, September 1st, 2021 Today we tried James back on the LTV ventilator and increased his i-time to ".4" from ".3" around 12:30pm. More inspiratory time increases mean airway pressure, and favours better oxygenation, at the cost of CO2 clearance. Essentially, they increased the time for his inhalation breaths. Unfortunately James started retracting stronger than his baseline retractions but when he took a nap he didn't have any retractions. Then James woke up again and the retractions continued. At that point they decided to put him back on the Servo. 😥 The key is slowly adding one thing back at a time. If we just change everything back all at once and he doesn't tolerate something we won't know if it is a GI problem, respiratory issue, or withdrawal. If we add everything back and he tolerates, then we know it was solely an issue with the Reglan. Mom thinks that is the case, but the doctors want to make sure we rule everything out. GI possible p...