case_images: PMC11743170_01
case_images: Chest radiography revealed pneumonia. (A) Chest radiograph and (B) computed tomography.
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case_images: PMC11743170_01_fmed-11-1505114-g001.jpg
case_images: fig1
case_images: A chest computed tomography (CT) showed severe pneumonia mainly in the inferior lung lobes (Figure 1).
case_images: EIT measurements show ventilation in the dorsal area. (A) EIT assessment of ventilation function in the 45  lateral decubitus position; (B) EIT assessment of ventilation function in the prone position on day 3; (C) EIT assessment of ventilation function in the prone position on day 7; and (D) EIT assessment of ventilation function in successful weaning on day 28.
case_images: fmed-11-1505114-g002.jpg
case_images: PMC11743170_01_fmed-11-1505114-g002.jpg
case_images: fig2
case_images: The measurement revealed suboptimal ventilation in the dorsal regions (Figure 2A). As the oxygenation further declined, we utilized a prone position with the head up and feet down at 30  for 16 h daily as EIT showed the most even ventilation distribution across all four regions in this configuration (Figure 2B). On day 7, optimal ventilation in an upright position according to EIT (Figure 2C) prompted sitting respiratory training. On day 28, EIT showed increased ventilation with uniform distribution (Figure 2D).
case_images: Photograph of the patient in a wheelchair during early mobilization.
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case_images: PMC11743170_01_fmed-11-1505114-g003.jpg
case_images: fig3
case_images: With the help of an electric lift-off shift weighing machine, the patient independently completed the transfer from the bedside to the wheelchair (Figure 3).