In cases where patient portable bronchoscopy is damaged or absance, a process that we think can be used endotracheal intubation method to treat total atelectasis . Total preliminary unprepared 10-15 minutes can be done with an experienced team. It is a process that can be carried out with mild sedation and patient is able to maintain saturation 90-95 with nasal oxygen after the procedure. In the absence of treatment of the patient with total or near total atelectasis , due to respiratory failure and aggravated pneumonia and mortality rates will increase. This article, when intensive care unit (ICU) bronchoscopy is impaired we performed three patients with right and left lung total atelectasis pre and post interventional procedure chest radiographs were evaluated.