What a couple of days....we mean NIGHTS!

Recap of night #2 with Miguel Angel:
Our 12 hours with Miguel started at about 5 pm on the 21st. He had been intubated (a tube into his lungs) and he was being manually ventilated (someone sqeezing a ambu bag to give him air). So began our night of "bagging". The plan was to take turns through the night bagging. We planned to take 2 hour shifts (Amber and Lori) so that we would beable to get some more rest. We had only slept for 5 hours since our first night shift, so at 11 ish, the "non bagger" would sleep and then be awakened to switch. This was very difficult on the bagger. Knowing that if you fall asleep, the baby will not get air is a good motivator though. Still, it was hard but well worth it. We also didnt know if we would be relieved for day shift so some sleep was impairative. The night was lon but thankfully we got some day relief at about 7am. A honduran nurse (equiv. to an RN) was available to come in extra and be Miguels 1:1 care provider. After instructions in spanish (not very good:)) She understood and we were able to leave knowing he was in good hands. Dr. Sharron the pediatrician would be around and Sandy the nurse anesth. also. When we arrived back to the house, Richard was getting ready for work...Oh yeah, did we tell you Richard is working??!! More on that later!:) Well, apparently we were tired because we slept for 7 1/2 hours! Woke up at 430 pm feeling well rested. Thank you Lord!
Now, on to night #3 with Miguel:
We started our shift a 7 pm. Sandy was here and our report was that the baby was stable. No fever durring the day. He was requiring less oxygen but fighting the ventalation (good...but requires more taping and ajusting) We would like him to rest as much as possible until we extubate him, but he is a fighter and we love that about him. So the night went like this: We bagged him. Both Amber and Lori stayed up (again...well rested!) and we prayed. At about 2 am, his IV stopped working. Dr. Sharron came down after we attempted several times to get a new IV in and she tried too. Unsuccessful, so the question was...Do we place a central line? Our answer was yes. The real answer was maybe. Will the baby tolerate a proceedure like that. Will it change anything? Also, we found blood in the babys tummy. Not a good sign. So, baby Miguel got a hair cut for Iv access in his scalp. He has the coolest mohawk you have ever seen. Makes him look TOUGH! He has been receiving his antibiotics intra-muscularly and his feeding was turned off. We worry that he isnt getting any fluids. By morning, our relief arrived in the form of a nurse from the states who is here with another team and did not intend to do any clinical care. Her team is painting and repairing doors in the hospital. Not her though. She was a little nervous to care for such a sick baby since she has been in administration for many years but we reassured her and set her up for a good day. Then, it was time to make a plan. What do we do from here. How long can we keep this up in light of the fact we are supposed to travel to the islands tommorrow for clinic x 3 days. We knew we would have to cancel that trip or just one of us go....we couldn't just leave him with no one to bag him and just let him die because we had other plans. We were over his bedside explaining this to Penny and then it happened. Miguel Angel extubated himself (pulled out the tube.).........