The day was ok, still kinda up and down alot with her oxygen. And then tonight out of no where she started to desat. Her saturation was as low ast 55 and she was struggling to breath. It looked like it was actually hurting her to breath. They were able to bag her back up into the 80s and gave her some extra sedation and paralyzed her. They got a chest xray and while waiting for the results she started to desat again getting int0 60-70s. The Dr quickly returned after reading her xray and told us that she had a very large pneumothorax ( 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.) So basically her right lung was compressed, causing to have even more difficulty breathing than normal. While he was trying to explain this to us a bunch of people and a sterlie tray/crash cart were wheeled to our room. They had to put a chest tube in immediately to prevent her from getting worse. The tube is now venting and allowing all that built up air to release. The procedure went well and she is now again paralyzed and her sedation meds were turned back up. OH, and she's back on nitric oxide :(
This night has been exteremly crappy! But at least we have a "reason" instead of her lungs just being bad. She of course is fighting the paralitic and is still moving some, even after it has been increased so we will see how the rest of the night goes with that. They have been able to wean her oxygen down some from 100% after this latest event.
As for the rest of the day prior to this, we continue to be concerned about the blood they have been getting from her trach. We were told pulmonolgy will do a bronchospy to look at her lungs and make sure there is no damage or tramua that is causing this bleed. (For now they think the collapsed lung is unrelated to the blood). We will be having the conference call with Texas tomorrow around 330pm. This call will determine whether we go to Texas and if transplant is even an option for her at this time. I hope that whatever she needs the Drs make the right decision for transporting her and do it when the time is right for Elizabeth.
Please pray/hope for an uneventful night, I think she has been through enough for one day!
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