Mr. Brady is sleeping. We are in our room on the cardiac wing, sharing with a one-month-old little girl who will have heart surgery on Thursday.
Today has been a long one. It started off good - they took out the breathing and feeding tubes around 4 a.m., with little crying from Brady, and then he went right back to sleep. His morning was uneventful, mostly sleeping. Late morning they attempted to take out the chest tube - usually the nurse can just pull it out and tie off the small stitch. His did not pull out. The attending surgical consult could not take it out either, so they contacted Brady's surgeon and he came up to check on him.
After deliberating, they decided they needed to undo his bottom three stitches and take out the chest tube that way. This would mean intubating Brady again and giving him sedatives. The whole procedure took little time with great success. Since he was sedated, they planned on keeping him intubated for a few hours, then, as he woke up they would excabate him.
Well- Brady apparently didn't hear that plan! Something common with three-year-olds is manipulating the tube with their mouth and tongue. This is what Brady did, thus knocking his tube out of the trachea. They had to excabate him and manually gave him oxygen while they determined if he was able to breathe on his own or if they needed to intubate him for the third time in the day. After watching him for about 10 minutes, they could see he was breathing on his own so they didn't need to do it again. Phew!
After a nap-filled afternoon, Brady moved into his room at 7 p.m. He has had about three ounces of apple juice and still sleeping. In the morning they will take him off the oxygen. Grandma was here all day (thank you!!) and Grandpa came too, which was great. I'm wondering how much energy this little rugrat is storing up that we will see tomorrow. :)