Starting to Wake Up

We had a fairly quiet night in Bubsland.   He is starting to wake up for longer stretches and thrashes around quite a bit.  The nurse seemed to be doing a fine job in comforting him so I let her take over and instead tried to get some sleep.  I was half successful.

Saturation wise, he's holding steady in the mid 90s with the help of oxygen and nitrous oxide support.  They are going to keep him on both for a couple of days and give him a chance to recuperate.  At least we're going to try to keep him on both.  As he wakes up he is starting to pull at the nasal cannula.  

We're trying to feed him again today.   This time we're starting on 5 ml (1 teaspoon) of pedialyte per hour.  So far it hasn't caused any reflux.   They are also going to take the foley catheter out of his g-tube incision and replace it with a proper mic*key button.  This will make both feeding and medicating easier.

The big question today is around pain management.   Right now he is on a morphine PCA (patient controlled analgesia, or in his case, nurse and mama controlled analgesia).  The problem is, every time he wakes up (which they want him to do) he is uncomfortable and thrashes.   When we administer the PCA he falls asleep.   We need to find some middle ground where he is comfortably awake.  

Other than that, we wait for the chest tubes to drain.  Then they will try weaning him off of the nitrous oxide and oxygen.