Day 41 – 7th December

After yesterday’s failed extubation, Thomas was put on a lot of sedation. His Fentanyl was doubled, he was put on Medazilam and he’s been given Rocuronium (muscle relaxant) to paralyse him to make him comply with the ventilator. So he is back onto full ventilation with high pressure and respiratory rate.

I have a few questions about his fail and things that happened yesterday. Thomas was left without any feeds for over 30 hours, which I believe contributed to the failure of his extubation and one of the reasons why he was so feisty.

I also want to know why he was extubated when he showed signs of infection prior to extubation, with a temperature, and why when he was so unsettled for hours before didnit go ahead.

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