A 52 yo M is in the ICU s/p CABG x3 with a covered open chest secondary to sepsis on IV antibiotics. He has been sedated on a ventilator for more than a week and has not stooled for at least seven days. He has been on multiple different bowel regimens, all of which have failed to produce any stool. Portable abdominal x-rays show significant amounts of impacted stool throughout his large and small bowel, and it is likely that he has an ileus. He is treated at 3 pm with myofascial release of the thoracic inlet, rib raising, paraspinal inhibition to the lumbar region and release of the celiac, superior and inferior mesenteric ganglia. By 7 pm he begins stooling copiously, and by monday his xray indicates a bowel devoid of impacted stool.
Techniques: Pedal pump and Thoracic pump
A pediatric patient is intubated as a result of respiratory distress while being treated for pneumonia. He has also been tachycardic and has a nasogastric tube.
3A. In which sympathetic regions is he most likely to demonstrate somatic dysfunction?