It is a good thing Kinley has a good amount of blood because the results from yet another blood gas test came back at 3:45 pm. Kinley's CO2 is 55 and her O2 is 63.
At 4:00 pm Dr. P came to talk with Kathy and I about Kinley and her ECMO treatment. The results from the heart echo have come back from the cardiologist and the pressure in Kinley's right ventricle has gone up from yesterday morning. Kinley's pulmonary blood pressure (determined by the pressure in her right ventricle) is too close to her arterial blood pressure and therefore the chance of her pulmonary hypertension coming back is greater. The new plan will be to leave the tubes in Kinley's neck, the ECMO machine running without oxygen support, the high frequency ventilator turned up to 60% oxygen input and the addition of NO (nitrous oxide) support. The NO helps to decrease the pressure in her lungs. Kinley will receive all of this support tonight and early tomorrow morning they will do another heart echo to see if her pulmonary pressure has decreased. If her pulmonary pressure is down, we will attempt to wean Kinley off of ECMO again tomorrow.
Make sure to tune in tomorrow for more updates on "The Gauntlet: The Kinley Melcher Story."
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2 comments:
Thank you Kathy and Kevin for this blog. I can't wait to come home each day to see how Kinley is doing. The pictures are so appreciated! Take care of yourselves and I love you! Kinley's Great Aunt (not "Ant"), Jody
Stay strong Kinley - you can do it!! We're sending lots of prayers up for you.
The Millers
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