I’m sorry for not getting a post out on the information presented on the IBRF call yesterday. Truth is, I’m still trying to process it and put it into terms I can understand. I really hope to have this accomplished sometime today. It’s very technical!
For the second day in a row, Ryan had a rough go of it. Today was worse.
His central temperature soared to 106.0 degrees. He was quivering in pain, with his head arched back. Just re-read yesterday’s post to see how it was handled, with the addition of ice packs (we place them under he knees, deep in the groin, on his lower stomach, in his arm pits, on his neck, on top of his head, on his sides, and sometimes even more places).
Then he threw-up. My guess, pain-induced.
I hope he didn’t aspirate. I tend to feel he didn’t, but I will not know for sure for two or three days. This is when the bacteria will infiltrate the lungs enough to cause pneumonia and send him into respiratory distress.
Another reason I feel he avoided aspiration is I was able to get his head forward (chin tuck) before he drew a breath immediately after throwing up. This helps protect the airway, by mostly sealing it off. Mostly…
I followed-up with deep suctioning. I could not detect any stomach contents in the collection container. This is a good sign, for sure.
For those who might be recent readers of this blog, Ryan frequently battles maintaining his body temperature, although less so now. This is caused by damage Vantrease and May inflicted on his regulatory system. Ryan has survived central body temperatures as low as 92.0 (below 95.0 is considered hypothermia) and as high as 109.8. Yes, you’re reading that correctly… one-hundred nine-point eight.
Deep Suctioning. This is quite uncomfortable for Ryan. It involves hooking up a catheter to the suction pump and inserting it into the nostril. A technique I’ve mastered, the catheter is then guided through the nasal cavity, down the back of the throat, and all the way down the trachea until it bumps the split where the pipe divides to each lung (roughly at the sternum). I withdraw the catheter about 1/2″ and begin the suction as I slide it back out. Ryan coughs and gags uncontrollably. Oh, and it can cause him to vomit. Just the thing that’s being remedied. All the while, I have to maintain sterility. The best way to explain it is to just imagine a surgeon during an operation.