Cassie has continued to remain stable. The Respiratory team evaluated her this morning to perform an extubation. However, she did not pass the final evaluation by the team and has remained intubated throughout the day. The ICU team requested a consult by the ENT team to assess her for a temporary tracheostomy. She will continue to be evaluated each day this week to perform an extubation, but if she is unable to pass the assessment the ENT team will conduct a tracheostomy. This morning she was very awake and aware meeting with the family and sitting at a 45 degree angle. Since her blood pressure has continued to be more stable the ICU team is sitting her more upright, which allows her to breathe easier.
Throughout the day her blood pressure continued to decline, which resulted in the ICU team having to increase the blood presser medication. She must continue to maintain a high blood pressure to ensure there is blood flow throughout her entire body. While her blood pressure dipped, her blood became more acidic. This is caused by her being unable to expel CO2 in her breaths. Cassie also had to be supported in a light setting by the ventilator to reduce this acid. Overnight the ICU team will look to reduce her use of blood pressers and take her back off the ventilator.
Lastly, rheumatology confirmed that she does not have Vasculitis and at this time are still unsure why her initial heart was unable to restart following her original valve replacement surgery.

Comments
7 responses to “Cassie’s Journey – April 29th”
We continue to think about Cassie and pray for recovery. The Ohlrich family is in our daily thoughts and prayers. We are here for you for anything you need. Eric and Jenny.
Always good to hear the good reports. Our prayers continue for you and your family. And prayers of thanksgiving to your ICU team.
Cassie and family – We continue to pray … for peace, comfort and wisdom. Blessings to you all as you feel God’s daily presence. ♥️🙏
Sending so much love your way!! I’m focusing on all of the positives and can’t wait for more. 💚💚💚
Kurt…. We are praying for Cassie and God’s strength for your whole family 🙏🏻🙏🏻🙏🏻🙏🏻
Dallas and Cheryl
We continue to pray for strength and healing everyday. You are all in our thoughts often.
What a roller coaster! You ALL are thought of dearly every day! We pray God’s healing hand upon Cassie. We pray for strength in family members to keep being positive. We pray for ALL medical staff attending Cassie that they are guided to do whatever is needed for her healing.
We praise you, God, that we are able to bring all these things to you in prayer and we KNOW that you hear us!
❤️
Much love to all!