Jac still on CPAP and no milk

Jac has remained on the CPAP all day today. He he has decreased breathe sounds in the bottom lobes of his lungs which is probably an indication that he is continuing to take more shallow breathes and is not expanding his lungs fully. This is sort of like when adults do the same thing - breathing from the top of our chest and not down into our stomach. If his respiratory sounds are better tomorrow they make take him off CPAP and put him back on high flow nasal cannulae.

Last night they stopped his feeds because his stomach had blown up with a lot of air. They did not find much residual food in his stomach and so the feeding intolerance is probably caused by the air pumped into his stomach by the CPAP and not by gut. He had gone up on his feeds a lot - from 1 ml every 3 hours to 2 ml per hour so when they start him again they might try a more conservative 1 ml per hour.

There are no plans to restart his feeds until he is off the CPAP though as Dr. T would prefer to not change two things at once. So they will get him to the high flow nasal cannulae and then if that is fine they will restart the feeds.