New ecmo machine #2

So after having dinner with Caleb, playing, and putting him to bed, we called the hospital to check in on how things had gone since we left at 6:30. Much to our surprise, they told us they had made the decision to replace the ecmo circuit again. I guess they became worried because of some clots in the machine and the fact that they still weren't getting any urine output for the day. This blindsided us a bit since last time there was at least some discussions we were aware of in the hours leading up to the switch. After waiting an hour to call back (we didn't go back since they kick you out anyways so they can create a sterile field) we finally breathed a bit. They said the switch went great and his levels all stayed good throughout the change and they even got some pee!! (here's to hoping that one day Little Lo can be super embarrassed about how much info I put about him peeing on the Internet).

Another issue we came across today was that there was some blood leaking from the cannulas in his neck. Any extra bleeding is worrisome bc one of the biggest risks about being on ecmo is that you are on blood thinners to help prevent clotting. This can cause serious bleeding issues. When we called back though the nurse had gotten through to the pediatric surgery dept and they decided they weren't concerned. Let's hope this remains the case.

Sarah & Lalo