8:57 AM
Gabriel spent the night with his aunt and godmother Jacqueline, who returned from southern Brazil, very happy to see him again after a long absence. She hadn’t seen him since his arrival at the hospital, and gave him a lot of love.
The night went well until around 7-8 AM, when Gabriel experienced tachycardia (up to 205 bpm) and a drop in oxygen saturation (down to 84-85%) and a respiratory rate going up to 68/min.
The physiotherapist checked all the equipment (tubes, connections, machine) and temporarily increased the oxygen to 100%, without real improvement. She then called the doctor.
This time, Gabriel was awake but not crying. The doctor assumed he was nervous, possibly in need of medication, like the day before. A sedative cocktail was administered, and five minutes later, he fell asleep, with his heart rate returning to normal and oxygen saturation rising to 95%.
He then received a respiratory massage with secretion cleaning. Upon auscultation, the physiotherapist noted no particular sound. No X-ray or blood test was done this morning, but this might be requested during the day. While sleeping, he has a stable oxygen saturation at 96%, with an oxygen flow at 40%, which is a rather good sign.
For now, everything seems to be going well when he sleeps, but since yesterday when awake, he becomes nervous. It remains to be understood if this is due to medication withdrawal, frustration, or simply the fact that he is growing?
The day may provide more clarity on this.
6:42 PM
The doctor indeed explains the episodes of tachycardia due to lack of sedatives, as he has received a lot and is currently in a phase of gradual withdrawal.
She indicates that these reactions can also stimulate his breathing, which could at the same time be beneficial for retraining his lungs and muscles. (without overdoing it).
A lung X-ray was taken during the day and it seems to be quite similar to the one from the day before.
They are waiting for the culture results to start the pulse therapy as soon as possible, which they consider necessary and promising to restore his lung that is still far too damaged.
