Sunday, March 7, 2010

March 7, 2010 - 16 Days Old - The Roller Coaster Continues...

(From Jayden's CaringBridge Page)
Written Mar 7, 2010 10:22 pm 

The roller coaster continues. Again today has been a mixed bag but at least it has been more good than bad. They tried a second attempt to trial Jayden off the oscillating ventilator to a standard ventilator about 9:00 am & as of when we left at about 9:30 pm he was still on the standard vent. His numbers have only been fair most of the day so they are keeping the oscillating ventilator on standby in case he needs to go back on it, but he was showing some improvement through the evening so that was encouraging. There is some discussion that maybe we can look at surgery by the end of the week but like everything it is a BIG maybe.

The other area of concern is that he may have developed a condition called Superior Vena Cava Syndrome (SVCS) as a side effect of the ECMO. The superior vena cava is a large vein that transmits blood from the upper body back to the heart. When there is a partial blockage or compression it can cause symptoms like the swelling of the face & neck which he is having now & has been getting worse through the weekend. The good news is that if he is affected by SVCS is it rarely an emergency, but they do want to resolve it as soon as possible. He is already on diuretics & blood thinners so they may just give him a bit more time to see if the medication clears the swelling on its own, if not then they may have to consider a stent to keep the vein open. They will be doing an ultrasound in the morning to see if that's what's causing all the swelling.

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