After bronchial drainage: reexpansion of left lower lobe and lingula. The patient had a history of smoking two or three packs of cigarettes a day. She was endotracheally intubated on admission. An exploratory laparotomy with repair of the liver lacerations and drainage by Shirley sumps was performed. The right lower extremity was placed in a cylinder cast. About eight hours after admission, the patient was extubated. Following extubation, a left lower-lobe atelectasis developed with diminished breath sounds over the left base. At that time, chest physical therapy was initiated. Treatment consisted of turning the patient on her right side, one-third turn from prone, in the Trendelenburg position for bronchial drainage with vigorous percussion and vibration. The patient was not cooperative and had a weak cough because of abdominal pain. Therefore, the chest physical therapist had to
After bronchial drainage: reexpansion of left lower lobe and lingula. The patient had a history of smoking two or three packs of cigarettes a day. She was endotracheally intubated on admission. An exploratory laparotomy with repair of the liver lacerations and drainage by Shirley sumps was performed. The right lower extremity was placed in a cylinder cast. About eight hours after admission, the patient was extubated. Following extubation, a left lower-lobe atelectasis developed with diminished breath sounds over the left base. At that time, chest physical therapy was initiated. Treatment consisted of turning the patient on her right side, one-third turn from prone, in the Trendelenburg position for bronchial drainage with vigorous percussion and vibration. The patient was not cooperative and had a weak cough because of abdominal pain. Therefore, the chest physical therapist had to
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