Successful recruitment in severe unilateral pneumonia using airway pressure release ventilation and lateral decubitus position

A 25 year-old Caucasian male with no past medical history of note presented with tetraplegia after hitting his head following a dive into a shallow pool. An MRI of the cervical spine showed bilateral facet dislocation of C4/C5 with spinal cord injury and edema from C4 to C6. A posterior facet joint reduction, instrumentation and fusion, anterior C4/C5 discectomy and fusion was performed forty-eight hours later and he was transferred to the surgical intensive care unit (SICU) for postoperative ventilation.
On day two of SICU admission, he developed left sided pneumonia as evident by fever, purulent secretions and new infiltrates