Since his surgery, he has been hooked up to what can only be described as the commanding bridge of the Starship Enterprise:
He was breathing so well this morning that the doctor decided to start weaning him off the ventilator today. However, they may have moved things along too fast, because his blood gas and his oxygen saturations dropped a little this afternoon, so they had to up his ventilator once again.
As Jason and I were warned, these 48 hours after surgery are absolutely critical, and they’re full of tiny “tweaks” in the many, many medicines and interventions he’s receiving. A “tweak” to a cardiac intensivist means adjusting the amount of oxygen that reaches Sam’s brain and kidneys, or lowering one of his drips to improve heart circulation…definitely not the kind of “proofread your essay for comma splices” tweaks that I’m used to. But considering that he, at four days of age, endured the most complex heart surgery performed at this hospital, I’d have to say that I feel the same way as the doctors—impressed.
Also, Sam is enjoying his first meal today and finally getting to test out his gastrointestinal system! He can’t eat by mouth yet because of the ventilator, but he can enjoy a tasty one millimeter-of-breastmilk-per-hour meal via the NG tube. As he squeezes my finger and looks up at me with blinky, sedated eyes, I’d have to say that I think he’s liking his first meal just fine.
We still have another tenuous 24 hours to go before drawing any kind of conclusion about how well Sam has endured the surgery, but we’re hopeful he will keep on rocking.