Xavien Velazquez is on the brink of have a good time his first birthday. It’s a milestone for each little one however particularly significant for this little boy who has spent greater than half his life away from house receiving look after bronchopulmonary dysplasia (BPD), a persistent lung illness characterised by respiratory misery that’s most frequently seen in newborns who’re born early and have underdeveloped lungs. Because of the groups within the Divisions of New child Medication and Pulmonary Medication at Boston Kids’s Hospital, Xavien is house, completely happy, and thriving in time for his large day.
Charting the course after an early arrival
Xavien arrived unexpectedly at 26 weeks and spent the next two months within the neonatal intensive care unit (NICU) at his delivery hospital. His dad and mom, Evelyn and Sersy, had been by his aspect each minute of these lengthy days and had been devoted to bringing him house.
“From the second he was born, he was intubated,” Evelyn recollects of seeing Xavien have an endotracheal tube positioned in his airway. The tube was linked to a ventilator which mechanically introduced oxygen to Xavien’s lungs to assist him breathe. However even with the ventilator help, Xavien’s coronary heart price and oxygen ranges would drop usually, and he generally wanted CPR to get better. After repeated incidents, Evelyn and Sersy knew their son wanted extra assist. The day lastly got here once they had had sufficient.
“He had an episode the place he fully left us,” Sersy says. “All his ranges hit zero for a little bit bit.” After Xavien was stabilized, the NICU crew and his dad and mom agreed that he ought to transfer to Boston Kids’s, the place he may obtain the extremely specialised care he wanted.
The switch course of from western Massachusetts noticed Xavien and his dad and mom arrive at Boston Kids’s in the midst of the night time. Regardless of the time, the New child Medication crew went straight to work and inside hours decided that Xavien’s BPD was difficult by tracheomalacia, a collapse of the massive airways.
“Tracheomalacia could be a complication of persistent air flow help like Xavien had skilled,” says Dr. Jonathan Levin, a doctor in Pulmonary Medication and New child Medication who helps oversee Xavien’s care. “As soon as we recognized tracheomalacia, we had been in a position to regulate his ventilator settings to cease him from having these scary episodes.” The pulmonology crew additionally decided that Xavien was a candidate for tracheopexy to open his collapsing airway. Tracheopexy is a surgical process that opens and helps the trachea by securing a part of it to the backbone.
Evelyn and Sersy had been thrilled and relieved to have solutions so quickly after arriving at Boston Kids’s. However getting Xavien to surgical procedure wouldn’t be as fast: He would want to achieve full-term gestation (40 weeks) earlier than he may endure the tracheopexy and he was nonetheless a month and half from his due date.
“The crew instructed us that we had been going to be there with them for some time,” says Sersy.
A custom-made, long-term strategy
What came to visit the following few months was a cautious stability of new child drugs and respiratory help, together with a tracheostomy which freed up Xavien’s mouth and face and allowed him to develop his oral-motor abilities, take part in bodily and occupational remedy, and work together extra together with his dad and mom.
In January — 5 months after he was born and two months after his due date — Xavien had his tracheopexy. The process efficiently opened his airways, and his robust restoration meant that the pulmonary drugs crew may begin considerably weaning his ventilator settings, with a long-term purpose of weaning him off air flow fully.
No place like house
In March, Evelyn and Sersy introduced Xavien house for the primary time.
Sometimes, infants are discharged to a rehabilitation hospital after a tracheopexy, however Xavien’s crew was impressed by his restoration and progress and felt that Evelyn and Sersy had been outfitted to handle his care at house. Their readiness was due largely to their steadfast dedication to being by Xavien’s aspect and collaborating in his care.
“We had been allowed to take action a lot of his care whereas we had been in Boston that nearly all the things he wanted we had been already doing,” Sersy says. “Not a lot of the stuff we’re doing for him at house is new to us.”
At house, Evelyn and Sersy are supported by telehealth and residential visits from Xavien’s care crew and by the coaching they acquired by way of the Power Pulmonary and Ventilator Program.
At the moment – solely weeks away from his first birthday — Xavien enjoys taking part in, music, and story time, and he lights up the room together with his smile.
“He’s simply the happiest child,” Evelyn says. Provides Sersy: “He’s a social butterfly.”
Discover the Division of New child Medication at Boston Kids’s.