Cassie continued to remain stable and got around 6 hours of rest last night. She is continuing to get more rest as her pain management is currently under control. She still has a large amount of fluid in her body that needs to be removed before extubation can be considered. However the ICU team is unable to begin fluid removal medication until they are able to reduce her reliance on blood pressure medications. Her left leg continues to be a concern to the medical staff and they are continuing to consider the need of amputation or skin grafts.
A pathology report confirmed that Cassie’s previous heart suffered from medium vessel vasculitis, which they believe could be a contributing factor to her original heart failure and the cause of the left leg compartment syndrome. However, more pathology testing is required to confirm if this continues to affect the rest of her body. Vasculitis is an autoimmune disease that will be treated with the same medication that she must take post-transplant. Rheumatology will come and visit her today to determine if any further steps need to be taken to address the vasculitis.
The ICU team goals of the day are to reduce her blood pressure medication and temporarily turning off the ventilation to allow her to breathe on her own.
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