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| Pediatric Tracheostomies For parents and caregivers of children with tracheostomies. Please limit discussion to seeking and sharing of information pertaining to tracheostomy care, medical issues, special needs, disabilities, networking and moral support. |

09-29-2009, 02:05 PM
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Join Date: Jan 2008
Location: Scotland
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monitoring decannulated kids
does anyone??
i am very nervous at putting emily to bed and not being able to hear her monitor clicking. we have all our equipment until clinic in 6 weeks or so, and tonight i have hooked her up.
what have others done? i know the hospital would say certianly DON'T monitor, but it's a scary prospect.
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*clare.
mum to emily 12/02/07 (placental abruption)
APGARS 0+1 (HIE gr.2/seizures) but she MADE IT! with the determination that we still see in her every day.
Grade III SGS - emergency tracheotomy July 2007.
2 stage LTR July 09 - DECANNED 27.9.09
tracheomalacia (GONE!! Sept08)
partial agenesis of the corpus callosum
residual VSDs post-surgery but lung pressures normal (Nov08),
?septo-optic dysplasia.
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09-29-2009, 06:31 PM
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Location: Virginia
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I'll be honest, Clare, I thought about it. But our ENT convinced me not to. We were monitored in the hospital long enough for them to be sure. I just bit the bullet and put the monitor in the closet. After all, I'd been sleeping in his room at the hospital for days on end, and the thing only went off when someone was bugging him.
BUT ... and this is the big but ...
I still keep the baby monitor turned at full volume, and I still listen to his breathing. Sometimes I get up in the middle of the night to listen, and sometimes I go into his room to be sure.
Sad, I know. But Alex is the only child I have ever had (although not the only one I ever cared for). I don't know how to be any other way. One thing this journey did was take from me the simple faith that I could lay my child to sleep at night and trust that he would be fine until morning.
I'm hoping to get that back someday.
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Karin
Alex's Mom
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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09-29-2009, 07:02 PM
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Join Date: Dec 2006
Location: Whitby, Ontario
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We also didn't monitor. We'd been on the peds floor for a week with no issues. We don't use a baby monitor but that is because we have sleep issues and I just sleep with him! LOL. Still!
You have to cut the cord eventually. How about putting her to sleep without it and then putting it on when you go to bed. Ease into it until you are confident!
Truth be known we own our monitor and we've only had it out once since Parker was decannulated and that was to spot check.
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09-29-2009, 07:15 PM
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Location: buffalo
Posts: 881
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I used the pulse ox for about 4 mo. after Aydens LTP,I was told he doesnt need it,but I DID!Its been 1 1/2 yrs now,no problems,but we still have his pulse ox for when hes sick,because his oxygen still drops when sick & it tells us when a trip to the ER in needed! Hey useing the pulse ox,didnt hurt & he was used to it anyway,after 5 yrs with a trach I just needed to be shure he was ok.................Angie
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 Ayden 6 yrs,tracheomalacia,G-T,nissen,rare type dwarfism ,resolved pierre robin,bronceomalacia,Single stage LTP May 2008,now decanned!!!  .Ava 2 years www.aydenava.blogspot.com
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09-29-2009, 08:13 PM
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Join Date: Oct 2006
Location: Ontario Canada
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OMG, I cannot imagine NOT using the pulse ox after decan. Jacob has been monitored since in the womb!  It is definitely going to be a tough withdrawal for us - do parents really put their kids to bed without any monitor???????!!!!!!!
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Mom to Jacob, 26 Weeker - Our miracle boy, hero  and the light of our lives  Born 06/25/06; trached 10/17/06 for bilateral vocal cord paralysis, laryngomalasia, tracheamalasia, acquired subglottic stenosis, Failed Double Stage LTP 2009, Failed Single Stage LTP 09/16/10, Retrached 10/03/10;CP.
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09-29-2009, 08:25 PM
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Location: Grafton, MA
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We used a pulse ox after Aaron single stage LTP and decannulation. This helped us to figure out that he had a complication that took several weeks to develop. Aaron's story here (scroll down to "Update - August, 1997")
For this reason, I think it's reasonable to at least do spot checks for a month or two for kids who have had reconstructive surgery. Some will probably disagree with me, but it was a very useful tool for us to have.
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Cindy - Mom to Aaron (age 19), trached for 4 years, subglottic stenosis, ADHD, learning disability, former 26 week preemie and identical twin to Eric (age 19), spastic quad CP, moderate MR, seizure disorder; Anthony (age 19), spastic quad CP, g-tube, seizure disorder, cortical vision impairment, profound MR; and Natasha (age 6) CP, cortical blindness, seizure disorder, profound MR, shunt, g-tube.
Home Page: http://www.bissells.com
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09-29-2009, 08:50 PM
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Join Date: Jan 2009
Location: X
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Oye.. I hadn't thought of when kiddos get decannulated and no longer "need" the pulse ox at night. I would agree with the weaning yourself down.
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09-29-2009, 09:15 PM
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Join Date: Feb 2007
Location: Seattle WA
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I supposed it's not fair for me to comment since we still have the trach but I know that if and when Ainsley gets hers out I will continue to use the pulse-ox until I've established that things are fine and then I'll stop after a few months. Funny really, considering that she typically sats in the 98-100% range and it never goes off (unless it's a false alarm) so I think I'm actually more comfortable with her not using it with the trach than I think I would be after decann.
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SUSAN - Mom to Ainsley (age 6 - DOB 10/18/06) + Evie (age 12) and Adrian (age 9). Adorable and Trached since 11/06 (scarred vocal cords & OSA) but capping with mixed success since 1/09, sagittal craniosynostosis (cranial reconstructions 1/07 & 7/07), MicKey G-tube 06/07, Nissen 10/08, unusual form of cerebellar hypoplasia, hip dysplasia (Surgery 11/07 & 4/10), ptosis(post-surgery).
Blog Link: http://ainsleyrae.blogspot.com/
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09-29-2009, 10:01 PM
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Location: Colorado
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Ayden has been decanned for a year and because of O2, we actually still have him connected. When he gets sick, he will more than likely need O2, therefore I feel that we cannot get rid of it. Does she need any O's when she is sick? I would be hesitant to get rid of it immediately, but we are pretty cautious... It's all a personal comfort...  Maybe start slow, like not connecting her for naps. (?) just a thought.
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Dawn

former 26 weeker -- 4/2006 -- trach, g-tube, nissen; came home 1/07 vented 24/7; Successfully decanned 8/8/2008 - 
Follow decan at: http://sleepy-dogs.blogspot.com/
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09-30-2009, 08:43 AM
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Join Date: Oct 2005
Location: St. Louis, MO
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We used it for a few weeks after decannulation, but Nathan didn't like it! We do have a pretty high tech digital baby monitor in his room that I will NEVER get rid of...I like knowing that we can hear him if he needs us. Last week he asked to use the pulse-ox, and so he used it for 2 nights and then stopped asking.
I do check on him before we go to bed every night. He is very, very quiet when he breathes so I watch to make sure his chest is moving up and down. I'm sure I will always be nervous when he sleeps...the cost of having such a traumatic start in life.
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Kristy
Nathan is 7! Trached at 2 hours old--laryngeal atresia. Double stage LTP 5/26/06, double stage LTP 1/23/09 and single stage LTP 4/21/09. Airway has restenosed, but we're still trach free 9/2012. Ding dong, the trach is gone!!
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