|Surgery prep. Notice blue cap!|
His recovery from the surgery has been slow, but we'd been forewarned he would fall "ill" after the operation. As the doctors predicted, on Monday night his blood pressure dropped, his ventilator support requirements increased and his body responded to the surgery by retaining lots of liquid, making him appear puffy and swollen. But Calder is making plenty of great progress, and I shouldn't shortchange him just because I'm impatient! He was off his blood pressure medication, dopamine, entirely by this afternoon. They've been able to wean him back down to 1mc/kg/hour on the fentanyl from 2.5, so back down to the level he has been on essentially since birth. He has received at least two blood transfusions since the surgery -- the first because his hematocrit was low (too few red blood cells) and the second because he was acidosic (too little expulsion of carbon dioxide) -- and both times the transfusions achieved their intended effects. While he was slow to wet his diaper, by today he was peeing and pooing up a storm, which we like. His ventilator pressures remain the same after having gone up on them during and immediately following the surgery, but his Os (oxygen) have come down from a high of 75 after the surgery to only 44. (Room air is 21, so he still has a bit of a ways to go, and he was in the 30s pre-surgery, but 44 is great progress.) They were able to remove the tube into his stomach that was removing extra air and bile since there was so little of it. And he's been very alert, eyeing us with interest and swinging his arms and legs around like he's on the dance floor.
He now weighs 1130 grams, a whopping 2.5 lbs!!
Also, just prior to surgery they reintubated him with a size 3 tube rather than a size 2, so no more of the sad little squeaking that always made me cringe knowing the tube wasn't fitting quite right.
All in all, he's doing well for the time being, and we probably have a few more days until I can legitimately worry about his progress.