Things have taken a backward step today with Elis as he didn't have a good night and had a bad blood gas result this morning. His ventilation has been changed from CPAP to SIMV which is giving him 10 supported breaths per minute and should help clear the high levels of CO2 in his blood.
More of a concern is that they think he may have developed an infection as he has had thick secretions in his lungs again and his colour is not so good today. They have taken blood cultures and also did a lumbar puncture on him this morning. The good news is that preliminary indications from the lumbar puncture suggest no infection in the cerebral spinal fluid, but it will be 48 hours before the culture results are available to see if any bacteria grows. Meanwhile, it would seem that he does have an infection in his eyes and they are really gammy today - such a shame when he has only just started opening them regularly and having a good look around.
Just to add to his problems, it has been noted that he now has a swelling in his groin, which at the moment the doctors think is just fluid, but which can become hernias in premature babies if some bowel drops into the cavity. Just something else to keep an eye on.
Poor little thing has cannulas in both hands again now and is back on the antibiotics as a precaution until the test results are available, but he's not a happy chappy today.
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