Post surgery is always rough, and Sam is no different.
Expected post surgery:
His puffiness would return – check
His oxygen requirements would go up – check
Pretty much everything would be out of whack – check
Last night he started puffing up again; his blood pressure was all over the place so they started him on dopamine again. His blood gases started deteriorating, but it’s mostly a metabolic issue.
What we didn’t expect though was for his oxygen to be in the 90s today with him barely satting in the 80s. He also had another event that lasted about 2 minutes and required chest compressions for 90 seconds. Thankfully his blood pulse remained strong and no epinephrine was required. They believe this was caused by the tube position, that it shifted and pushed up against the side of his trachea.
A chest xray shows a small effusion (excess fluid) on the right side of his lungs.
A cardiac echo was ordered to check his heart, to determine if the heart was causing problems. Nope. In fact, the stenosis now seems to be only in one vein. They don’t currently understand.
They wanted to limit his fluids to combat some of the swelling, but they can’t because of the blood gas and blood pressure issues. He’s also not peeing as much as they’d like. We’ve been in this position before where they have to load him up with fluids to fix certain things, then give him lasix to make him pee out the excess. I expect that next his kidneys will start acting up and he’ll needs a visit from the nephrologist.
I just keep telling myself, we have to take this huge step back in order to move forward.