In true Bryce fashion - completely unexpectedly - Bryce went ahead and extubated himself at 3:30 this morning.
Apparently he was swaddled and on his belly when his nurse left. His respitory therapist just happened to be walking by as he de-satted a little so he walked in to see what was going on. Bryce had flipped himself over onto his back and pulled out his own ET tube.
But trying telling that to a cute-as-a-button, tiny little baby.
Unfortunately, he had not gotten his dose of steroids and no one had prepared the CPAP machine so there was frantic calling for his steroids stat, calling me to let me know what was going on and trying to get his CPAP set up.
NOT a great start.
But Bryce does things his way.
At about ten minutes until 6 this morning Bryce was reintubated. He struggled from the get go on 100% oxygen and just couldn't keep his airway open well enough to get good breaths. But as soon as he was reintubated he was back on meager vent settings and less than 40% oxygen.
The nurse practioner that reintubated Bryce this morning noticed that his airway was swollen and surprisingly contracted. She suggested that on his next extubation we go down to the OR to have an ear, nose and throat specialist (ENT) scope his airway for abnormalities. Maybe there is a physiological problem that can be fixed. Maybe the ET tube is serving as a stint for his airway and once it's gone he simply can't keep it open on his own. The ENT will be called to consult today.
Needless to say, we're all a little disappointed around here today. Parents, nurses and RTs alike. But there's always the relief that comes with seeing him comfortable and no longer struggling for air. We'll try to focus on that positive to get through the day.