04/14/2025
It has been 65 days since Jacob's last trach change. I elected to do it today with the help of Mark Toole once again.This change was super easy, but Jacob still ended up sick. His peak inspiratory pressure (PIP), Which is normally between 17 and 19, shot up to the mid 20s again. It stayed this way for a few days.
I think we may go to OSU and see Dr Desilva for the next change. Am concerned that Jacob Stoma has shrunk and the tracheostomy has become too large.
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