Brendan's Discharge Summary

[Early Kids]

Sorry it's long, I did shorten it... he had 3 pages of info!!
Ok, I finally have it and have finally got the guts to read it. So here goes:

Birth weight 1545gms (56th %ile) Sex M Birth Gestational Age 30 weeks
Nursery discharge weight 2190gms
Birth head cicumference 29.5cms (82nd %ile) Length 40.5cms
Head cicumference on discharge 32.5cms

Presentation was Cephalic OA, and membranes were ruptured for 344.75 hours before delivery (2 weeks 0.36 days)
Delivery occured by SVD
Apgar Scores assigned were 2 at 1 minute and 4 at 5 minutes of age
Resuscitation required was intubation + ECM + Adrenaline +/- NaHCO3
Cord Blood pH was 7.12, pCO2 80 and BE 2.7

Maternal Factors this pregnancy were...
Antenatal steroids ->7 days from last dose to delivery
Amnionitis
Fever
Asthma
Miscellaneous - Fetal tachycardia
Antibiotics given pre-delivery
Spontaneous Preterm Labour
PPROM

Brendan's Nursery stay: Intensive Care 6 days Special Care 35 days

Respiratory diagnosis...
Hyaline Membrane Disease
Apnoea of Prematurity
Respiratory management...
Ventilation time 13hrs 23mins
CPAP time 67 hours
Survanta...
2 doses of surfactant used
Caffeine for 29 days

Haematological / Jaundice diagnosis...
Jaundice - Prematurity/Physiological
Peak measured bilirubin was 227 micromoles/L
Phototherapy for 147 hours
Haematological / Jaundice managements...
Fergon
Phototherapy

Neurological diagnosis...
Cardiorespiratory Depression at birth
Intraventricular Haemorrhage / PVL - Maximum IVH Grade was 0 (right) and 1 (left)
There was no PVL demostrated

Neurological managements...
Cranial U/S
26/02/2007 normal
05/03/2007 normal
22/03/2007 Tiny CP cyst in (L) caudothalamic groove probably the site of a tiny (L) SEH (resolving).
Eye examination
26/03/2007 no ROP
Lumbar Punture

Infection diagnosis....
Septicaemia
Aquired septicaemia at 8 days with Coagulase Negative Staphlociccus
Suspected infection
Infection managements...
Antiobiotics
course 1 for suspected infection 25/02/2007 to 01/03/2007
Penicillin 5 days
Gentamicin for 3 days
Course 2 for septicaemia from 07/03/07 to 12/03/07
Vancomycin for 6 days
Gentamicin for 4 days
Blood culture
25/02/07- grew no organisms
05/03/2007- grew Coagulase Negative Staphlococcus
07/03/07- grew Staphylococcus epidermidis

Metabolic/ Biochemical diagnosis...
Hypogycaemia
lowest measured blood glucose 2.0mmol/L
Metabolic/ Biochemical managments
parenteral dextrose

Vascular Access managements
Umbilical Arterial Catheter for a total of 38 hours
Umbilical Venous Catheter
Peripheral IV

Nutirtion managments
Parenteral Nutrition for 11 days

Naso-gastric feeds

[visitor1]

Wow...thats alot of info for Brendan....all i can say is you have a great little fighter for a DS!

[rosehannah]

Oh my gosh, grow strong little man.

[Snacks]

OMG, Sally, even though I know Brendan is doing really well now, I'm almost in tears reading all that! I can't imagine how hard it must have been on you. You and your little boy are so brave.
Have you gone over his records with a Dr before? I believe that can be helpful - the debriefing is so important even after time has passed.

[Early Kids]

Have you gone over his records with a Dr before? I believe that can be helpful - the debriefing is so important even after time has passed.

Thanks Snacks. I have only just received them and have some questions for his paed. Brendan's next Paed appt is on the 7th of May(1yr corrected).

I am sooo proud of him, I knew he was strong... but I had no idea of everything that was happening to him. It's so overwhelming at the time. I'm really glad I requested the info... it's helped answer some questions I had.

[Snacks]

I can well imagine how overwhelming it would be, even now as you begin to look at it all let alone back then.
I hope the paed takes the time to work through it all with you, and that you can continue to heal from the experience.

[Early Kids]

Snacks, Thanks so much for your kind words. I like to think the experience has made me a stronger person too. I am focusing on positives rather than negatives. Which really helps!

[Snacks]

Definitely! And the biggest positive of all would be seeing how far he has come