Jan 3 4pm – NICU – Olivia Hope Maybury

Olivia is two weeks old, which makes her 29 weeks gestational age
Weight is 830 grams
Sedative transition to oral from PICC line did not go as planned, so PICC line is still in at the moment
- You almost never get same effect when doing the transition, so doctors are testing the correct dosage
- Want her to be sedated enough so that other therapies are not complicated
Breathing
- Lungs are stiff from lack of natural lubricant (surfactin); Olivia has previously received some surfactin to help
  - Can lead to inflammation of lungs and ongoing stiffness of lungs (Chronic lung disease/Bronchopulmonary dysplasia [BPD]) – this is typical for half of babies Olivia’s size
  - Can lead to persisting lung problems for weeks, likely on ventilator for 4-6 weeks (both HIFI and typical ventilators, then she would be on CPAP until she hits 32 weeks min, likely plus 2 or 3 additional weeks since she is already 29 weeks)
- To move to lower ventilator:
  - She needs to come down on pressure on HIFI ventilator
  - She would need to stay around 30% oxygen
  - RTs measure how much pressure with bag it takes to get her chest to move
- To move to CPAP after that:
  - Need lower pressures on normal ventilator
  - She would need to be breathing on her own
  - She would need to stay around 30% oxygen

Jan 3 4pm – NICU