Sort of good news

They changed the settings on Seraph's vent. Instead of watching the pressures now they're watching the volume of air the vent gives her. This makes her do more of the work which gives her breathing muscles some much needed exercise. Different people do better with different settings. It seems Seraph does better with volume than pressure right now. This change is a good thing.

They also increased her oral narcotics. She still has trouble being calm when she comes off her sedation and muscle relaxants. The new idea is that with more narcotics and less muscle relaxants, she'll do better on the vent wean because she won't care as much about all the things poking her but will still be able to move. I don't know if this is a good thing or not. But, it seems better than rousing her, wondering why she's so agitated and then sedating her again and then wondering why she's so relaxed that she doesn't feel like breathing on her own.

She'll spend all of today getting used to her new balance of meds and resting.

Tomorrow they'll let her have a spontaneous trial to see if she's ready to be extubated.