Oxygen off early?
Hi, our boy is 33 weeks now (Gestation at 25 weeks). Had minor bleeding in brain and doctors said not to worry as it wasn’t developing. Then high heart rate because of PDA and had to treat with paracetamol at week 30 to induce the closure and was on ventilator (invasive) for a week . Then doctors suspected about possible NEC because of swollen tummy and green vomit and after consultation with specialists stopped feeding for 5 days and started the feeding again. Now he is tolerating the feeding.
He is transferred to SCBU now. There doctor suggested to change to low flow nasal cannula. When my wife went to take him for skin to skin that morning , the nurse removed the cannula and let him breathe on his own (room air) and she left him without the cannula for the whole day. Though his o2 saturation level was high 90 -98 whole time.
But next day the doctor suggested to put him on low-flow nasal cannula as he is too preterm to breathe on his own as it will make him tired and wondered why the nurse removed the low flow nasal cannula. But today his heart rate was started to drop down to 70s and the nurse and we had to make him wake up all the time.Now the doctor suggested to go back to high-flow nasal cannula because of this heart rate issue. When the nurse removed the low-flow cannula I asked her isn’t this too fast (going from o2 therapy to high-flow cannula in one day and high flow cannula to low flow cannula next day and low flow cannula to room air same day, considering he was on mechanical ventilator until few days ago and had treatment for PDA? She said it’s okay.
Now I am worried because exposure to room air this early made him exhausted or any other condition related to it.
Does anyone had any similar experience like this?
His oxygen support from the birth was like this
Invasive (3days) -> duopap (3 weeks) -> cpap (few days) -> duopap (a week) -> cpap (few days) -> invasive (1 week) -> duopap (few days) -> cpap (few days) -> o2 therapy (3 days) -> high-flow nasal cannula (1day) -> low-flow nasal canula (for few hours) -> room air (no o2 support) (1 day) -> low-flow cannula (1 day) - > high-flow cannula (now)
Does anyone had any similar experience like this?