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 OPERATIVE REPORT       PREOPERATIVE DIAGNOSIS: Atelectasis of the left lower lobe. PROCEDURE

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 OPERATIVE REPORT      

PREOPERATIVE DIAGNOSIS: Atelectasis of the left lower lobe.

PROCEDURE PERFORMED: Fiberoptic bronchoscopy with brushings and cell washings.

PROCEDURE: The patient was already sedated, on a ventilator, and intubated; so his bronchoscopy was done through the ET tube. It was passed easily down to the carina. About 2 to 2.5 cm above the carina, we could see the trachea, which appeared good, as was the carina. In the right lung, all segments were patent and entered, and no masses were seen. The left lung, however, had petechial ecchymotic areas scattered throughout the airways. The tissue was friable and swollen, but no mucous plugs were noted, and all the airways were open, just somewhat swollen. No abnormal secretions were noted at all.

Brushings were taken as well as washings, including some with Mucomyst to see whether we could get some distal mucous plug, but nothing really significant was returned. The specimens were sent to appropriate cytological and bacteriological studies. The patient tolerated the procedure fairly well.  

SCIENCE
HEALTH SCIENCE
NURSING
CODING HIT215

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