Day 2 Fontan : June 1st 8:30 am Abnormal X-ray

Caden had a rough night, was given morphine to comfort him.  At the 4:30am x-ray they noticed something that looked like a blood clot on the left lung area.  They came in and took another x-ray at 8:00 am and they believe it is a hematoma (blood clot).  Caden is also running a fever.  The purpose of the drain tubes is to remove the fluids from the lung/ heart area.  They are going to administer profonol and  P.A Mike is going to push the drain tube up farther in his chest to see if more of the liquid drains out.  They are giving lasix to get rid of the extra fluid (which has worked for the right side of the lung),  and has worked for some areas on the left, but not everything like they would like.  The profonol will sedate him entirely so he won't feel the pain, he will go to sleep, Mike will move the tubes hoping for drainage.  They removed him from the ketamine and dex drip.  Dr. Russell said after a period of time its good to get him off these meds and it can make Caden confused and scared so they now are using versed and morphine for pain.  We will update more after the procedure.  They are about to begin.

Here is our strong little boy.  You can see the sternal scar bandaged up, he has 4 drainage tubes, and in this picture (from last night) he was getting red blood cells (leftover from the by-pass machine during surgery.  That is the tube on the right going into his IV into his hand. They had to use blood because he was under 30 pounds and they needed extra fluid while he was on the by-pass machine.

These are Caden's Drainage Tubes.  On the left are the pleural tubes which in the picture are the outside two (very left, and very right), the right collection container are his media stinal tubes.  These collect/pull blood away from  his heart cavity. 

Caden has 2 pacer wires inserted right under the skin (blue lines with yellow caps).  These help regulate his heart should there be a rhythm issue with his heart.