Friday, May 20, 2011
poked and prodded
Well its been a long day. His fever is still dependent on Tylenol. When the Tylenol runs out, he spikes a high fever again and his respirations as well as heart beat spike. So, when he has enough Tylenol in his system the day is pretty relaxed, but when it wears out, the whole PICU crew starts to get concerned. This afternoon however, was not relaxing. The doctors have all been discussing what to do about Andrew. It has been a week since any blood cultures came out positive and so his fevers should be going down by now. They decided to to an echocardiogram, CT scan, and pull his central line. We did the echo and were in the process of the CT when his line broke. That cemented the deal that they are pulling his central line. They eventually decided to hold off on the CT for a little longer. Anyway, the surgeon was here to remove his central line but there was no one who is able to place a PICC line. So rather than sedate him twice, we had the central line glued shut over night and we are having them remove it tomorrow when they can place the PICC line. Which brings me to the final bit of news. Andrew's breathing is still a concern and so rather than him going under general anesthesia they will have to do all of these procedures using sedation and local anesthesia. We are not looking forward to Andrew being cut open while awake. It is a small quick surgery but sill not fun.