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Old 05-17-2008, 09:57 AM
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Default Withdrawals!!!!help

No really...seamus has been extibated for 24 hours now and the withdrawals are awful!!!!! He is currently on Ativan and morphine...they also gave him benedryl because he was itching. This is really bad... he has not slept since they extubated his yesterday over 24 hours ago...What else can be done???
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Old 05-17-2008, 10:16 AM
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Withdrawals are terrible!!! Braden went through it after we got home from his spinal fusion last year. He screamed, sweated, and didn't sleep for 48hrs. After that things got better each day. We just waited it out because we didn't want to go back into the hospital after a 3week stay.

Amy
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Old 05-17-2008, 12:09 PM
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Hannah's withdrawals were awful. She was vented and sedated for 14 days. They eventually put her on methadone, and then she came home on a methadone/ativan taper. The first 48 hrs were rough...we couldn't "catch up" to where she was with meds because it would have suppressed her pulmonary function too much. So we just suffered through it. Alot of times, she was just inconsolable. We kept continuous play DVDs running and I kept the recliner right beside her bed so I could catch some ZZZs here and there while she was comfortable.

It's tough to watch, but he WILL feel better soon.


Jennie
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Mommy to Hannah 8/2/03: fmr 25-weeker, trached 11/03 for subglottic stenosis, LTP 4/05, CTR 4/06, LTP 1/07. Decannulated 1/19/2007!! Gearing up for reconstruction #4; Also Mom to Brianna, 2/22/98: fmr 24-weeker, a little dramaqueen. My amazing gifts.
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Old 05-17-2008, 12:13 PM
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I would see if they can add the methadone. I think part of it is a waiting game. Hang in there. The other thing is that most hospitals have a 1 hour policy with their window for these meds. Make sure they are on the dot if you see that Seamus is starting to get worse as you know his next dose is coming up.
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Old 05-17-2008, 12:13 PM
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Thanks- he is sleeping right now after ativan/morphine and benedryl. He was itching so bad- he opened up his neck incision. The say they are going to give him ativan/morphine all day and then start the ativan/methodone tonight. They are trying to stay ahead of it. I think he was so over tired from beine awake 32 hours straight....I hope they have him "captured" or ahead of it as they say!!! Thanks for the support!!! What these poor kids go through!
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Old 05-17-2008, 01:52 PM
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I don't have any suggestions medically beyond what you've already heard. But, on the "let's distract the child" approach, here is a thought.

If you have computer access to download something from Itunes, I recommend getting the Bunnytown Season 1. It does miracles for Alex -- it got him through post op palate surgery when the nurses made him "prove his pain" before they would order the blasted meds (which then takes another hour to get there at the least....)

It wasn't a perfect solution, but it did help calm him down even during the worst of it. I wish I could mail you DVR so you could just watch our episodes. I don't think it is out on DVD yet, but I do know it is downloadable on Itunes.

Child Life here at the hospital I'm sititng in is looking to get DVDs as soon as they come out. They say it is "better than Baby Einstein."

Here's a for the mommy.
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Alex born 6/19/2007, PRS, Trached and GTube at 3 weeks, palate repaired 12/20/2007, failed decannulation 5/7/08 due to undiagnosed suprastomal collapse, jaw distraction 9/9/08 (insertion) to 10/30/08 (removal). Single Stage LTP 2/17/09 and now member of the Naked Neck Club. Need a laugh? Check out http://itsallgoodtoday.blogspot.com/

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Old 05-17-2008, 02:09 PM
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As you know I'm new at this.... but what kind of withdrawls? what are they caused from?
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Old 05-17-2008, 03:38 PM
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Quote:
Originally Posted by lil' G's mom View Post
As you know I'm new at this.... but what kind of withdrawls? what are they caused from?
Seamus just had an LTP surgery to reconstruct his trachea. My son had one 5 weeks ago. It requires about a week of being fully sedated and on a vent. So the withdrawals are from the sedation meds. Just like hard core drug addicts go thru. Hence the methadone. It isn't pretty, but for some of our kids it is the only option to get the trach out.
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Old 05-17-2008, 04:57 PM
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Cedric was intubated once for a week and was sedated as well. He was on methadone after that see if they could add it.
Michelle
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Old 05-17-2008, 08:11 PM
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Thank You guys... that was a tough day!!! I feel like he is a little better. He is sleeping now (because of benedryl) whatever works!!!!
They are giving him ativan and morphine every 2 hours and will switch to ativan methodone tomorrow. I was so scared that it wasn't normal.. I don't want to scare anyone on the boards but "heads up." It wa sa tough 32 hours but my "super man" is beginning to crash... Thank you again. I can always count on my "trach" friends.
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Mom to Seamus (11/15/06) trached at 5 months for subglottic stenosis and Devin 13 years old. My boys are wild! Single LTP on May 8 2008- successful decann. awoken MAy 16 NO TRACH!!!!!!!!!
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