Psalm 41:1 The LORD sustains him on his sickbed; in his illness you restore him to full health. --- They should be setting up a sterile field in about 45 mins to prep for the trial. Pray for Noah's heart, body, and mind.
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No surgical procedure has started yet, but the ECMO cannulas are clamped so he is doing things on his own. His CVP went up a little so they are going to watch him for like 5 minutes before they continue with the procedure. So far things look good. They have also turned the paralytic back on so that when he is off ECMO ...completely, his heart doesn't have to work so hard.
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They have started nitrous to help dilate his PA's. They are prepping his chest and Dr Michell is scrubbing in. He is also being paced to help transition from ECMO. Things are going well.
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They have decided to do an echo before they open his chest. Still going smoothly.
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NOW they are scrubbing him. They were trying to figure out why his PA pressure was so high, this is what the echo was done for. They have also recently stopped pacing him and his heart rate is in the 150s. They will be opening him up in a moment, clean out his chest, and remove the ECMO cannulas. PTL things are going well!!!!!!!
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They are finishing up and working on getting the ECMO cannulas out!! Thank you Jesus, for answering prayers around the world this morning. Please keep praying!!
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They are done!! The cannulas are out. They had some rhythm issues that were resolved after they had suctioned his airways. His chest is being left open so they would have a fast and easy access if the situation called for intervention and they have 'purse strings' (which are sutures that are the 'plug outlets' for the ECMO cannulas). Dr Michell said that he was concerned that the pexy had something to contribute to his cardiac arrest, so he will be re-evaluating his airway later this week to see if it is something that still needs to be done. But we will "cross that bridge when we get to it". He is being left on the paralytic and sedation and in a couple days, they will wake him up a little to determine his neurological state. Dr Michell is going out of town for the night but the other CV surgeon knows Noah's case so he is in good hands tonight.
So, right now they are cleaning him up. They are keeping a VERY close eye on him for the next couple of hours. In a couple days, if... no, WHEN Noah shows signs of recovery, they will close up the purse strings and close his chest.
Ok.. I am exhausted! Zzzzzzzzzzzzzzzzz............