PICU Day 3

He is extubated! The breathing tube is out! Logan's chest X-ray improved this morning and even before they stopped his sedation he was movin and shakin! He was ready. After being extubated he was really fussy but maintained his airway well. He has stridor. This is a high pitched whistling noise. He most likely has a sore and inflamed airway so they gave him a steroid called decadron. The nurse and doctor said today would be a rough day as the medications wear off and he struggles with some pain. He has maintained good vitals and is on high flow oxygen by nasal cannula.

Today's plan is to keep him comfortable, advance his feedings, and continue antibiotics. At some point his central line will be removed when he is ready to transition off of his IV medications. He will also move to a step down ICU room as well.

His hemoglobin stayed the same as yesterday. It is 8. A normal hemoglobin for Logan is 12. His platelets have improved so the plan will be to recheck it in the morning. The intensivist thinks the drop in his hemoglobin could be from the high dose of vancomycin antibiotics or the infection. It is not at a point of needing intervention. He is not bleeding, so no need to replace it. His body just needs  rest in order to make more red blood cells.

Right now he is resting well and Grandma and Grandpa are on their way to sit with him so Joel and I can go vote. Most likely we will have Lauren come visit tomorrow. I miss her very much and I am sure she would like to see Logan. Our dog Molly seems to be doing well with our neighbors Joe and Kayla. Thanks guys! Sometimes it is easy to forget our first baby, Miss Molly. She is such a good girl! As always, I will keep posting with updates. Thank you for all the prayers and support. Our little boy is coming back to us!