Before I get to the bad news, let me just say that his numbers looked good all day, they were able to stay stable (with good gases) and wean a little (without affecting his gases). The sedation strategy seems to be working for now, though he's such a strong (and big) baby that normal doses aren't always doing the job. For example, they put him on a drip of a new paralytic today. Protocol says that they need to stop the drip once an hour and wait for the baby to move, to make sure they're not overreacting. Andrew was moving all four limbs while still under a full drip. He wasn't awake enough to cause himself trouble, but it means he's strong and stubborn.
The bad news is that they put him back on the nitric oxide today. It wasn't unexpected, but we were hoping to avoid it. They did a chest ultrasound and apparently it showed some pulmonary hypertension. Though his numbers all looked good, they think having him on the NO will allow them to wean more easily, without worrying about the hypertension. We'll see how it pans out in the next few days.
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