Extubated

BillyBoy was extubated last night! Everything went well, soon after he was started on BiPap. Unfortunately it meant a sleepless night for me (and him.) As soon as he fell asleep the BiPap machine started shutting off and alarms were going off. The RT was in the room with me trying to figure out what was wrong, so she asked the lead RT to come in and check the machine. Right away he said it's him, his airway is obstructed. When he falls asleep, his jaw drops back, and his tongue blocks the airway. His CO2 levels started raising again, so they ordered a c-collar and a nasal trumpet (which leaves an open airway for the BiPap to work.) That should be enough proof that he needs a trach. We still don't know if the ENT's will need a sleep study done or not, so we are waiting to hear from them. Eventually, it looks like a trach will be in his near future.