Anatomy of a head tilt. The right ear is lower than the left, Louie tilts his head to the right.
The head tilt is consistent through all ranges of head movement, looking up down and even side to side.
|One back rub before surgery.|
As soon as I opened Louie's mouth there it was! Hiding, lurking all pink and tumor-like behind the soft palate, a big giant polyp!
I intubated Louie and then used a soft tipped hook to gently pull the soft palate forward so I could get a better idea of how big and how easily this thing could be removed. Even though Louie was just going under anesthesia pulling and moving the mass caused him to cough and swallow. Removing a polyp is a 2-3 person task, one to hold the head and mouth open, another to hold a light, and me, well I need both hands to try to fit into a tiny kitten mouth..
|The polyp, at almost 2 inches long!|
|Waking up with the chest elevated.|
|The polyp is as big as Louie's face!|
|Looking down Louie's throat, nice, clear open airway!|
|Louie's endotracheal tube remains in place AND inflated as he wakes up.|
I hold him with his head down and gently coupage (cup your hands and pat the sides of the thorax to break up and help expel any stuff that doesn't belong in your lungs), as he starts to wake up. We also keep a bulb syringe next to him to suck up any saliva in the back of the mouth.
Louie wakes up smiling! And breathing quietly for the first time!
Every patient gets a kiss after surgery, (lol, like it or not...)