This case involves a 55-year-old woman who underwent a colonoscopy secondary to the discovery of polyps. The patient was put under general anesthesia for the procedure. Following the procedure, the patient aspirated and developed respiratory distress syndrome. As a result, she was left on a permanent ventilator. An experienced post-GI anesthesia recovery nurse was sought to review the facts and discuss whether the CRNA deviated from the standard of care.