Friday, March 11, 2011

Bronchoscope

Things continue to look good down there. The mucus that is there is much whiter than the other day. It was more yellow on Wednesday when she had the partial collapse. The mucosa is starting to be a little red and inflamed and this is to be expected. As I mentioned before, while the lungs are out of a body, cells will start to die. A few days after transplant those cells sluff off and new cells will replace. Having some redness is the result. I stayed in the room during both procedures. This one was a lot less nerve racking than the one on Wednesday. One of the drugs they use to sedate is propofol; Michael Jackson drug. On Wednesday they did a bolus of propofol (all at once) and she immediately was out. She had no respiratoy drive so they had to bag her. The bag looks like a clear partially inflated football with a valve on one end. As they squeeze the bag, it pushes air into the lungs. They had to bag her for about 3 or 4 minutes. Dr. Cahill was very calm and collected. When Julie first went out, she said something like, "She has no respiratory drive, bag her!" She immediately saw what was going on and corrected the problem. As I have talked to respiratory therapists here it sounds like this happens from time to time and bagging a patient during a scope procedure is not uncommon. I didn't freak out, I was just on alert. I immediately was looking at her vitals and everything looked normal. She only de-satted to 88 and as soon as they started bagging her she was back up to the upper 90's. They kept saying, 'Julie! Squeeze my hand.' She was out cold. Once they got her to come to they did the procedure. Today, however, they infused the medicine throughout the procedure. Julie was able to watch everything and remembers it as well. We asked her what she thought and she said, "It's pleasureable to see all that mucus taken out." She has been fighting that gunk all her life. You can't blame her. The incision lines look good and we are moving forward.

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