Saturday, June 19, 2010

Very Cautiously Optimistic

Lynnea was a little unstable again overnight last night (dropping her SATs) and ended up on a Vec drip (a paralytic) to keep her from shivering and trying to over-breathe the ventilator. Today she was pretty stable all day. They didn't do anything with her today because they wanted her to have another day to rest and recover. Tomorrow the plan is to warm her up again (they continued to keep her cold today), take her off from the Vec drip, ease up on her sedation, and try to wake her up a bit so that they can begin to do a neurological assessment on her. If it turns out she has suffered significant brain damage, there would be no options left for her from a cardiac standpoint. If it turns out her brain function is intact, then I believe we would go back to talking about the possibility of a heart transplant.

There are some things that give us reasons to be very cautiously optimistic that maybe she didn't suffer too much brain damage. So far her kidneys seem to be functioning OK, and this morning they drew labs to check her liver function and the results were not as bad as they had expected them to be. This shows that her liver and kidneys probably received adequate oxygenation during her cardiac arrest, and it logically follows that her brain then also probably received adequate oxygenation during the arrest, and her brain function may still be OK as well. But, of course, we won't know anything for certain until we wake her up and run some tests.

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