Taylor may or may not make it off the ventilator today. It is beginning to look like not. From my perspective, I think its just a doctor being too careful because she was a preemie. Caution is good, but there is inconsistency in what has been said in the latter part of the week with what is happening today. In addition there's differences of opinion going on between the doctor, nurse and RT. The RT thinks she would be fine going off, and, like us she thinks that perhaps part of the problem is Taylor being irritated by the breathing tube. The nurse feels more comfortable with her being on the other ventilator first just so that he can see the numbers. I don't think the doctor wants to make the call to take her off. The doctor makes the decision so its probably not going to happen.
They moved her back to the first ventilator that she was on, so that they can get more accurate diagnostic measurements. The transition went perfect. She appears to be doing great, so they will make more changes here in a while and then maybe take her off, maybe not. She seems to be breathing on her own, though her oxygen level is high right now and they want to bring that down. They need to wait on a blood gas test first, before making any adjustments.
Her heart rate is down low today. Michelle thinks they are over sedating Taylor. They backed off of that, and then she had a really bad vagal response and they gave her a bowlus again to sedate her. She had the vagal when they were moving her head and sucking it. In other words they caused it. The doctor seemed to think it supported her being on a ventilator. That made no sense to us and we let him know that.
She is sleeping right now and they have not sedated any additional, but she still is on about 1/2 of what she was this morning. Her heart rate is still pretty low.
Anyway, we'll know more soon. Maybe.
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