Day 2

Things have gone fairly well today.  The doctors new approach is to not do anything to get him mad...I like this approach!  He still desats probably because he is uncomfortable from IV's, high flow O2 and the chaos.  He remains in the 60's occasionally going into the high 40's-50's with a high heart rate.  They had to give him morphine once today to calm him.  Other than that pretty uneventful day.  Post-op talk.  The Glenn is supposed to be easier on him than the Norwood because they are not planning on going into the heart.  They will just be re-routing plumbing around the heart.  He goes in tomorrow morning (7-8ish) and they hope to be done around 2-3ish.  They will probably have to put him on bypass and try to get the kids off ventilator withing 1-2 days because of the way their pulmonary artery receives lungs.  They have to do an art line or pic line which can take sometime and opening the chest is more difficult second time around.  Prognosis is 95% to get through this surgery which is much better than the Norwood.  Complications include pulmonary pressure problems, bleeding, stroke, arrhythmias (they will be looking for this due to his arrest after the norwood.  So pray for little Tyler tomorrow.  Recovery can be anywhere from 1-2 weeks to 1-2 months.