More theatre time

William has been out of sorts. He had high fevers last night and this morning both drains were blocked. His chest x-ray showed fluid was compressing both lungs and his oxygen requirements were rising.
The recent blood cultures grew staphylococcus aureus in both samples, one of which is coagulase negative. This means he will be on antibiotics for quite some time and so it was arranged for a long line to be put in while he is in theatre. This is a bit like a central line into his arm which can stay in for a while.

He was fasted overnight and eventually went to theatre at about 5:30pm. At about 7:30pm the cardiothoracic fellow wandered into the ward to tell me he was in recovery.
Will never wakes up happy from anaesthetics but he was not too bad all things considered. We got him back to the ward and the new line kept occluding - probably some kinking of the line which a new dressing may fix but we nursed it through and will address that tomorrow when he wakes.
The new drains have been working well and before he even left recovery he had drained over 200ml from his left side. His right side is draining less as it unblocked itself just before theatre.
Whilst it is not great that Wil had to go to theatre today and it is not great news that he will be on intravenous antibiotics for a complicated infection, he is being treated appropriately and we are all set for further improvement.