Surgery has been planned...maybe

This morning on rounds we met with Dr. Rebekya again as well as Dr. Adatia who again suggested to do the full surgery, so it was decided. Erica would have the full surgery on Monday.

They had a hard time deciding as her pressures are extremely high and her PDA is very open, but the ASD isn't one large ASD but a few small ASD's and they're only allowing the blood to shunt from Left to Right instead of Right to Left. So the ASD isn't helping the decision as if it was large or at least allowing the blood to shunt from Right to Left they would be able to just staple the PDA allowing the pressures in her arteries and lungs to decrease before they do the larger more complicated Surgery.

Although they also didn't really want to do the full surgery requiring her to be on the heart and lung machine as it would raise the pressures even more. They ultimately wanted everything done but in the least riskiest manner. However because of Erica's extreme day yesterday they decided to go with doing the full surgery as soon as possible, as she was getting worse by the minute. So she will be kept sedated and paralysed over the weekend and she's getting weaned down on the NO & O2 vent. They also tried again for an arterial line but because of all her constant poking and her fluid retention they are having a hard time finding them and they ones they do find are collapsed. So they are going to try again tomorrow  when she gets some more fluid off her.

Erica's been doing much better. Her oxygen is down from 65% this morning to 31% by mid afternoon.

Her peep is still up at 10 but her Nitric Oxide is down from 10 - 7. Her oxygen stats have been around 95-98% and her heart rates been around 118-130 bpm. The vents still breathing for her, which is ok as it's allowing her body and organs to really take a much needed break.

Erica also got her first manicure this morning from mom. Now she's got pretty nails for her surgery! Well more so though, so she doesn't scratch herself. Erica also got a catheter in place today as she got more Fentanyl and Rocuronium and lasics but because she was getting so much stuff to paralyse her she needed it to pee.

Today was a much better day! She looked good, some of her fluid was coming off and her colour was coming back to almost pink.