Lilian's time to shine

Both Lilian and Jacob had a good night and a good rest from the sound of things.

Lilian had maintained good stats (and had a very good gas result i'm told!) so the Consultant this morning decided she was ready to try CPAP. She was put on it about 10:15am and she will stay on it as long as she is able to comfortably sustain her own breathing. As was the case with Jacob it is expected that she will swap between being on it and back on the ventilator, but at least she is moving forwards. Well done Lilian! They have withheld a couple of her hourly feeds while they moved her onto CPAP so that she wasn't overwhelmed by everything happening at once.

Jacob having a big stretch

There's not too much to report on Jacob as not much has changed particularly, which is actually very nice to hear! He will continue on with his minimal feeds (0.7ml every 2 hours) as he seems to be keeping them down - just need your stoma to function now little man! The Consultant advised that although there was a leak with the blood transfusion yesterday, Jacob did manage to get the full amount of blood he needed so there is no need to top him up. He may still need further transfusions as part of his care though, but at least there's no more messing for now!

Evening update:

Lilian spent 90 minutes on CPAP in the end as her stats were at the low end of acceptable and the Doctor's didn't want to work her too hard and end up letting her drop her numbers. The good news is that she's had a go, the Doctor's were pleased with her, and they will try her again in a few days. It also means that she got a new breathing tube inserted when she want back on the ventilator and the Nurse found that the old one was partially blocked with secretions so her numbers had actually been fantastic before she went on CPAP and the Doctor's expect her to be even better now with a clear tube.

Lilian with her fresh breathing tube