The ICU nurse today told me that every morning the parameters of each patient on a ventilator are checked with the view in mind of weaning the patient off the vent as soon as is possible. They were looking for Rebecca’s parameters to be in the range of 60, but hers were only 33 this morning, so they did not try to wean her at that time.
Once when Shawnna and I went in to visit this afternoon, we found Rebecca in great distress, trying to sit upright and indicating she could not breathe. She couldn’t talk of course, but made gestures, and we easily figured out what she was saying. Both the nurse and the respiratory therapist checked her, suctioned her lungs and gave her breathing treatment medication early. Most of her numbers were acceptable, but she was in obvious distress. “Sometimes asthmatics trap air in their lungs,” the nurse told me, “and I believe we’ll try putting her on “blow-by” (edit: The procedure they used may have been different from “blow-by”, I’m not sure. The nurse used a term I do not recall. It may have been that Rebecca was taking her own breaths, but with pressure support. I try to be accurate with any medical information I post, but I am a lay person and am not in full understanding of all the procedures.)and see if she functions better for a few minutes breathing on her own. And she did for a short time, then had to be fully ventilated again for the rest of the day. But she has made progress, and they will probably try to wean her again tomorrow—if her parameters permit that at all…which I am believing will be the case.
Rebecca is a sweetheart, and the finest daughter anyone could have. She has faced numerous challenges throughout her life, but has emerged strong and uncomplaining. She’s a dynamic fighter. We have God to lean on, lots of friends and a dear family for support.
Tomorrow will be a better day. I’m sure of it.
12:30 AM Sleeping well.
4:30 AM Sleeping well. Slept all night. Good numbers.
8:09 AM Nurse reports Rebecca’s condition to be the same as yesterday. Morning parameters have not yet been calculated.
9:40 AM On this site at the British Journal of Anesthesia is interesting information concerning weaning patients from ventilators.