Lowest Possible Respiratory Support, Day 41

As of yesterday, Barnaby is on a CPAP pressure of 5 cm h2O. This pressure is achieved by literally dipping the outflow tube from his mask five centimeters deep in a cup of water where it bubbles away, keeping a constant air pressure flowing to his lungs that is the equivalent weight of that muchContinue reading “Lowest Possible Respiratory Support, Day 41”

Mysterious Problems with Mysterious Solutions, Day 34

We started the week trending in the wrong direction.  Barnaby’s tachycardia (low heart rate) spells were increasing in frequency and severity. Also concerning was that these low heart rate moments were not always accompanied by apnea (breath holding) meaning that there was some other underlying cause. There are a lot of reasons why this couldContinue reading “Mysterious Problems with Mysterious Solutions, Day 34”

Spells are scary, Day 23

A few times a day, Barnaby will stop breathing and his heart rate will drop. Alarms sound, nurses rush in, time stands still. In most preterm babies this “apnea of prematurity”, colloquially known as “spells”, will resolve at 34 to 36 weeks gestational age. That means that we have many more weeks of this terrifyingContinue reading “Spells are scary, Day 23”

Another respiratory milestone, Day 22

Yesterday Barnaby graduated from CPAP mask to nasal cannula.  With no straps around his head this is a much better situation for his shunt, is probably more comfortable for him physically, and requires a lot less adjusting all of the time.  It is also delivers significantly less pressure from CPAP and it is a littleContinue reading “Another respiratory milestone, Day 22”