Here is Hope without a breathing tube and without any drainage tubes. I took this before they put everything back to get rid of the pneumothorax. Notice her mittens...this is to keep her from taking everything out on her own.
Well...everyone knows that Hope does everything just a little different than expected. This post would have been so different 4 hours ago. At 6pm, Hope was extubated and had no drainage tubes. Her sats were in the mid 80s and she was waking up and trying to take everything out. Feisty as can be...which is no surprise to anyone. Fast forward to 6:30pm...Hope's sats start dropping and I get worried. The cardiac nurse was in the hall and I flagged her down. She was concerned and paged respiratory to see if they could come and suction Hope out a little. Well...in the meantime, Nancy (the cardiac nurse) took a look at Hope's x-ray. Pneumothorax...it is now a word I don't really like. I had to google it to see exactly what it is because they talked about it a lot and it scared me:
A collapsed lung, or pneumothorax, is the collection of air in the space around the lungs. This buildup of air puts pressure on the lung, so it cannot expand as much as it normally does when you take a breath.
I guess when they took out the drainage tubes earlier today a little air must have gotten into her chest. This caused the air pocket near her lungs which in turn caused her lung to deflate. So, in went her breathing tube because of the sedation and her low sats. In went a drainage tube to get rid of the air. My little girl is again sedated and resting comfortably for the night. She is right where she was last night. I am going to pretend today didn't really happen so that when everything is removed tomorrow (hopefully), it will be a happy day like today.
Please pray that the drainage tube worked and the pneumothorax is gone. Also, prayers for another great extubation would be nice too. I don't think they will do it tonight, but I am pretty sure they will try in the morning.
Thanks for all the prayers. They really are working beautifully. Hope just likes to keep everyone on their toes.