Max did OK overnight - they altered some of the ventilation parameters (PEEP to 20) and he remained at an oxygen requirement of 30-40%. His stoma output all day was pretty watery and a dark yellow/green – not much solid at all. (He’s still on 2ml formula per hour.) He remained pretty much the same all day, and his PEEP was again reduced, to 18.
I held him, for the first time since Christmas Day, for just over an hour. He was in 40-50% oxygen, but pretty stable throughout. It was hard going getting him back into the incubator – Tim (nurse) said it shows Max is struggling to get a basic breathing incentive happening. I‘m worried that he never will. By 36 weeks (corrected) it should have developed – but what if it doesn’t?
The CLD (Chronic Lung Disease) is a result of long-term ventilation as well as his prematurity. He’s producing loads of secretions from the lungs and percussive-type work on his chest and back is helping to break up the gunk. He’s being suctioned hourly, plus he’s on diuretics to assist in clearing the excess fluid away.
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