Friday (7-31)

It was a long night for Kade. He seemed to start feeling a lot of pain around 11:00 and needed to get another bolus from the epidural about midnight. We noticed at that time the blanket he was laying on was wet. After further inspection we came to the conclusion that the epidural line may have been leaking. This prompted a few calls and we got to have a late night meeting with surgery and anesthesia. Surgery was the first to arrive and was worried that if the line was leaking or had come out that we would have to go back to the PICU in order for Kade to get back on a IV pain medication drip(just what we were trying to avoid). We really didn't want to go back to having to deal with another long wean off of the pain meds.

Anesthesia came and took a look at Kade's back and the epidural site. After a few tests they noticed that a few small drops were leaking out, but Kade was getting most of the epidural and he would not have to move to the PICU. Kade got another catch up bolus of the epidural about 1am and was off to sleep for a little while. Around 3:00am Kade started to get fussy again and then seemed to be in a lot of pain. This time he got a dose of his old pain medication. It had been almost a week since he had any of that medication. It helped to settle him down and get back to sleep.

Anesthesia stopped by again to reevaluate the situation and noticed that the line might have been placed to far in. The epidural might have been delivering the medications to high and only gave Kade relief when the bolus were given. They readjusted the line and Kade is now resting again. Hopefully he can just cruise through the weekend now.