Memphis got extubated yesterday afternoon around 2pm! He no longer has a tube going down his throat!! He was then put on c-pap for the night. Memphis hated the c-pap, he would rest for about 10 min and then wake and cry. His night nurse said he was up all night fussing. We were told by the Dr. That babies generally do not like wearing a c-pap it is very uncomfortbale for them.
This morning, Memphis was put on nasal cannulas. Nasal cannula is a device used to deliver Supplemental oxygen or airflow to a patient in need of respiratory help. As soon as the nasal cannulas were put in Memphis, he fell asleep. The nasal cannulas were set to give 40% oxygen at first, this was not enough it turns out. Memphis's saturation number started getting low and they had to turn the oxygen up to 50%. Now that Memphis is on nasal cannula, he has to do all the breathing himself where as when he was on the ventilator it did a lot of the work for him. His saturation number which shows how well he is oxygenating has been fluctuating between the high eighties to the nighties. It ideally needs to stay at 95 and above. When his saturation number stays above 95 consistently they will began to start weaning his oxygen. The Dr. Has told us that many times when they extubate a baby they are fine for awhile and then a few days later have to be intubated again. Hopefully his little lungs can handle this and he will never have to have a tube down his throat again.
Now that the tube is out of his throat, OT therapists will come in and help to teach Memphis how to do all of the oral things he has never learned how to do such as sucking and swallowing. Learning to suck and feed from a bottle is Memphis' next big journey. We have been told that this is another very hard road. We will see...

They moved Memphis to a crib this morning and are now letting mom and dad bring clothes in for him to wear. He no longer has to be a naked baby.

They have upp'ed his feeds to 25cc. I don't know how long it will stay that way because Memphis threw up about 10cc immediately after being fed the 25cc. The nurse said that maybe the milk went to his tummy to fast. She may try a different way of feeding him next time.

Still no weaning on his drugs today. Everything stayed the same.

Memphis had a very big night last night, and all in all is handling it very well.