Moving on to Dialysis

Gage slept well last night.  I went to the RMH at 11:00 to get some sleep.  I was called at 3 AM and was told Gage was asking for me.  I returned to him sleeping soundly and sat next to him rubbing his hand.  They did a few adjustments and changes over the night.  They tried giving his two doses of diuretics really close to each other so they would be more potent.  They also started him on some nitrous oxide to his CPAP to try and open the vessels in his body.  With the Milrinone going, the increased lasix and the nitrous, nothing worked.  His pressures didn't budge.  They are still 21-23. His total output for the last 24 hour was 110 ccc.  Not a whole lot of pee.

His weight was up from 24.7kg to 25.1kg. Going in the wrong direction.  He is looking puffier now in his hands and feet and his poor little belly is really tight.  So, the doctors discussed in rounds, the new plan.  They are going to start dialysis hoping that will start pulling off the fluid and relieve the pressure on his kidneys from all the fluid built up in his body.  They are going to place a second chest tube as the first chest tube is draining well (almost 200 cc since it was placed), however,  there is a spot in the upper part of his chest that the first chest tube isn't getting to.  Presently he is getting the chest tube placed and the central line in his neck for dialysis, while he is under sedation. He is absolutely miserable.  Please let this work!