02/08/2025
It has been 35 days since Jacob's last trach change. I elected to do it today with the help of Mark Toole, once again. I again following Dr. DeSilva's advice, I "flushed" the trach 3 times prior to making the change.
This change was super easy, and probably the best one yet, but for some reason, Jacob still ended up sick. His peak inspiratory pressure (PIP), Which is normally between 17 and 19, shot up to the mid 20s, and even got as high as 30 at one point. It stayed this way for a solid week. Our medical professionals told us that this was not a terrible pip and that we should not be concerned. Still, after over a year of that pressure being a consistent 17 to 19, it was unnerving to see it in the 20s.
We would later learn that deflating the cuff with Jacob lying down flat was the reason for the issues. Moving forward, he will need to be sitting in a more upright position, to ensure I am able to suction everything out of his trachea all the way to the carina.
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