As soon as I posted that, we had rounds and they decided to give him a "holiday" off the paralytic. They did a test called the "train-of-four" where they put electrodes on a nerve on his arm and give him a
shock "stimulus". It's supposed to make his hand twitch between one and four times. Well, his hand twitched zero times. So we've gone from too active to "uh-oh". Hence the vecuronium holiday.
Don't you think Vecuronium Holiday sounds like something the Romans would do to, like, celebrate Jupiter or someone? Or maybe it's a place in a Roman house where you go to sit and complain about things.
The Attending told us that ten years ago they used to keep kids sedated and paralyzed like this for 14 days, no exceptions, after airway surgeries. Holy shit. I think we did it for 14 days or so when Ike was first trached. That is just brutal and awful. So, hooray for it not being ten years ago.
Now I am going to go stand by the bed and await the Vecuronium Holiday. Perhaps we can send you a postcard.