* February 5th 2015 * Sabrina is moved back to the P.I.C.U. to be monitored closely for a collapsed lung a pneumothorax, It is disheartening and scary, The unit is full of acute infectious respiratory illness patients and we are praying Sabrina doesn't catch one of these viruses while back in here, The P.I.C.U. did move her to a room at the end of the unit with some window's thanks to a few special nurses and doctors also aware of this.
* February 6th 2015 * Sabrina is critically ill with a right sided pneumothorax and poor lung compliance and needing changes to her vent settings, Her pneumothorax is now larger with mediastinal shift(The build-up of pressure in the pleural cavity causes the mediastinum, which contains the heart, trachea, esophagus and great vessels, to shift to the unaffected side), Surgery has been notified for concern for bronchopulmonarry fistula, Sabrina is going to the OR for VAT's procedure today,
Sabrina was taken to OR and was sedated, Then placed in the left lateral position, All of her pressure points were padded and secured, They introduced a 5-mm 30 degree camera into her right chest they were able to visualize and identify that her lung was trapped, They also visualized several areas of adhesion's, These were taken down using a sharp dissection until the lung was completly freed, there was no evidence of on going infection, Although several blebs were seen, none of which would require resection at this point, A chest tube was placed in the anterior auxilary line, Care was taken first to close these muscular defects and place the chest tubes approximately 1 rib space above the skin incision, These were both sewn in with sutures as drain stitches, Under direct visualization her lung were then reexpanded, The last trocar was removed, The muscle defect was closed, The skin was closed, The incision was cleaned and dried and the dermabond was applied, Sterile dressings were then applied to her chest tube sites,
They took her back to P.I.C.U. afterwords, Sabrina was in serious pain when she awoke, Her father stayed on the doctor's and nurses about an earlier agreed pain plan they didn't have ready and available for her,
It took them 2 hours to get her pain under control with what they had ready for use, And almost another hour for the (pain control analgesia PCA ) system, that was supposed to be ready following this surgery, Sabrina was very sore through the night, Also very tough and brave.
* February 7th 2015 * Sabrina is resting today, Although still very sore from her surgery, She has two big adult size chest tubes in her right side, Her mother is helping her get up to use the commode to avoid use of foley or urinary catheter, Sabrina shows such determination and courage, She doesn't want this surgery to set her back to far, Her pain is under better control thanks to the PCA system.
* February 8th 2015 * Sabrina gets to go back to the NTU today, She is back to her base settings on her vent and doing a bit better, The P.I.C.U. Team of doctors tells the top administrators she is stable enough to go back and that they need the P.I.C.U. rooms for more critical patients, The NTU gave Sabrina her same room back which made her happy. (Continue to next page)
* February 6th 2015 * Sabrina is critically ill with a right sided pneumothorax and poor lung compliance and needing changes to her vent settings, Her pneumothorax is now larger with mediastinal shift(The build-up of pressure in the pleural cavity causes the mediastinum, which contains the heart, trachea, esophagus and great vessels, to shift to the unaffected side), Surgery has been notified for concern for bronchopulmonarry fistula, Sabrina is going to the OR for VAT's procedure today,
Sabrina was taken to OR and was sedated, Then placed in the left lateral position, All of her pressure points were padded and secured, They introduced a 5-mm 30 degree camera into her right chest they were able to visualize and identify that her lung was trapped, They also visualized several areas of adhesion's, These were taken down using a sharp dissection until the lung was completly freed, there was no evidence of on going infection, Although several blebs were seen, none of which would require resection at this point, A chest tube was placed in the anterior auxilary line, Care was taken first to close these muscular defects and place the chest tubes approximately 1 rib space above the skin incision, These were both sewn in with sutures as drain stitches, Under direct visualization her lung were then reexpanded, The last trocar was removed, The muscle defect was closed, The skin was closed, The incision was cleaned and dried and the dermabond was applied, Sterile dressings were then applied to her chest tube sites,
They took her back to P.I.C.U. afterwords, Sabrina was in serious pain when she awoke, Her father stayed on the doctor's and nurses about an earlier agreed pain plan they didn't have ready and available for her,
It took them 2 hours to get her pain under control with what they had ready for use, And almost another hour for the (pain control analgesia PCA ) system, that was supposed to be ready following this surgery, Sabrina was very sore through the night, Also very tough and brave.
* February 7th 2015 * Sabrina is resting today, Although still very sore from her surgery, She has two big adult size chest tubes in her right side, Her mother is helping her get up to use the commode to avoid use of foley or urinary catheter, Sabrina shows such determination and courage, She doesn't want this surgery to set her back to far, Her pain is under better control thanks to the PCA system.
* February 8th 2015 * Sabrina gets to go back to the NTU today, She is back to her base settings on her vent and doing a bit better, The P.I.C.U. Team of doctors tells the top administrators she is stable enough to go back and that they need the P.I.C.U. rooms for more critical patients, The NTU gave Sabrina her same room back which made her happy. (Continue to next page)
