Wednesday, October 13, 2010

Day 7: Aiden gets PICC line!

Aiden got his picc line today!  They call the picc line lifesaving because it elminates the need to continuously give new IVs every couple of days.  The picc line is catheter that goes up the arm and into the body near the heart allowing meds to be administered.  Essentially, it is a long-term IV.  To read more about the picc line visit:  http://preemies.about.com/od/glossary/g/PICCline.htm.  Here is a pic of Aiden getting his picc line.


You can't really see much, but what I find interesting is that the top of the isolette comes completely off for access to the baby.  It obviously makes procedures like this much easier and lessens the risk of infection to the baby if they were to move him.  The conditons inside the isolette actually mimic the womb...as much as possible.  In all of the pictures you will see a sideways 'C' shaped pillow around the boys' heads.  This is meant to give them the security and closeness they felt while inside the womb.  Additionally, the way they are wrapped - like an adult slipper is meant to give them the security and close feeling for the rest of their body.  The temperature inside the isolette is around 37 degrees Celcius or about 98 degrees Farenheit.  For our boys, since they are still within their first couple of weeks of life, the humidity is also quite high.  The moist conditions help their skin and overall development.

Both boys are also receiving their second dose of indomethicin (aka indicin) because they have an open valve in their heart.  In full-term babies, the open valve typically closes upon the baby's first breath, but in premmies it remains open.  Closure of the valve will allow proper blood and oxygen flow to and from the heart and lungs, and is the current obstacle they are facing in order to progress with moving from the ventilator to the CPAP, and to begin feedings.  They will receive their next echocardiogram Thursday to see if the valve has closed.  If it has not, they will require a surgical procedure to permanently clamp the valve shut.  This is a very common procedure and takes roughly 18 minutes to complete.  Say some prayers for the boys!

Today's pics below -



Aiden:  "I am so tired of hearing these doctors and nurses talk medical terms and I have no clue what they are saying.  Everybody be quiet...I'm trying to sleep!!"


Below are pictures of Jackson.  Since I featured Aiden on today's update, I didn't want to slight the other son!







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