Snapshot A 55-year-old alcoholic man presents to the emergency department acutely altered. Upon initial workup it is noted that the patient has a Glasgow coma scale of 7 and is hypoxic and hypercapneic. He is subsequently intubated and mechanically ventilated. Secondary exam reveals a patient covered in vomit and urine who smells like alcohol. (Acute respiratory distress syndrome). Introduction Clinical definition login to view 1 more bullet Therapeutic indications for intubation and mechanical ventilation include login to view 5 more bullets Main modes login to view 15 more bullets Complications Cardiovascular impairment login to view 1 more bullet Barotrauma (trauma from high pressures) login to view 12 more bullets Ventilator-induced lung injury (atelectrauma or trauma caused by atelectasis) login to view 1 more bullet Acid-base status derangements login to view 6 more bullets Infections login to view 6 more bullets