Dramamama

Carlos sucks.  They just tried to shut off the nitric oxide, which is the last step before weaning him off sedation and extubating him....they were hoping to have him off that stuff by tonight.  But he immediately had a less than stellar few moments before they restarted it.  It's a very little amount but he still needs it I guess....all his numbers went in the wrong direction :(  I'm disappointed but they said they may try again later.

Today's the Day

I walked in today, to find them evaluating for A-Fib.  Fortunately they were able to rule that out. Otherwise they would have shocked him prior to waking him.  He is tachy (fast but regular heart rate), staying around 130.  They have the nitric oxide (which helps dilate the pulmonary arteries so the right heart doesn't have to work as hard) almost off.  When they initially tried to wean him from it, he couldn't tolerate it but seems to be doing much better now.  They have already turned the sedation down.  He's responsive to pain but that's about it at this point.  They will get him off the nitric oxide and continue to decrease the sedation today.  The may possibly pull the tube today as well.  Just depends on how he tolerates everything.  He is holding on to some fluid so they will start a lasix drip.  More later.