Today was a really big deal for Landon. I walked in for his 9am cares and they were setting him up to switch ventilators! His oxygen levels were still high and he wasn't getting the volumes his little lungs needed so time for a change. Instead of pulling out his current breathing tube and replacing it with a bigger one, they are going to let Landon try CPAP. CPAP is a type of ventilation that pushes air through prongs that rest in your nose instead of a tube down your throat. It is stronger than the normal oxygen prongs you think of for adults, but a step down from the current vent he was on. While they got little man all prepped for his change, they let me snag a quick picture of him without anything on his face!!!! There is still some tape residue and his poor little upper lip is smashed down from having the tape/tube there for so long, but he still looks so cute! This is the first time I have seen his full face since he was born.
Come on, he is a handsome man!
So the new ventilator has prongs that go up his teeny, tiny little nose and then the tubes need to be secured to either side of his head. It looks way scarier than the previous vent, but is a big step for Landon. He has to initiate all of the breathing on his own and the nose prongs will just supplement those a little bit. He is still pretty small and young to be on this vent right now so we will see how he does. The doctors did warn that we are asking a lot of him right now and he could get really tired from working so hard. He may end up back on the conventional ventilator if his body just isn't strong enough for CPAP yet. Here is a picture of what he looks like now.
His poor little mask kind of makes him look like Hannibal Lector, I don't think Landon is a cannibal though :)
Another thing we have been warned about is that Landon may continue to lose a little bit of weight. They gave him another dose of medicine to reduce the excess fluid he has, which can cause weight loss, and the fact that he is working so hard to breathe means he is burning a lot of calories. When it was time to weigh him we crossed our fingers and hoped for the best. Guess what? Landon gained weight and is back to 2lbs 0oz! He is at 920 grams which is the biggest he has ever been!!! Who knows if the weight will stay on in the next few days but I am hoping that it does. Landon is having a few test done in the morning to see how he is doing on his new vents, I will keep you all posted!
Jason and Kristin