10/11/06 - NICU Day #9

Nurses: Shift Change (Christy overnight, Rachel during the day)

• At 3 AM Daniel was changed back to a traditional ventilator because he continued to desaturate. He was started at 15/5 initially and was lowered at around 6 AM to 14/5. His FiO2 is at 45%, which is also comforting. There was a 7:30 AM Chest X-ray (CXR) that we'll follow-up on after the nurse shift change along with another blood gas. Fortunately, through all of the trouble yesterday and overnight his heart rate and blood pressure remained stable. He continues to move around and be his usual ornery self.
  
• The fellow also told me this morning that there was a little perihilar haziness on his CXR from yesterday and his pulse pressure had widened slightly. These findings suggest that his ductus arteriosus has re-opened.