This case involves a female patient with a history of alcohol abuse that presented to the hospital with abdominal pain. She was diagnosed with acute pancreatitis and developed alcohol withdrawal soon after starting her treatment. She was admitted to the ICU and put on a Lorazepam sedative drip as well as BiPAP ventilation. After a few hours, the patient showed enough improvement that she was taken off the BiPAP. In the middle of the night, the patient was found unresponsive. She was given a chest X-ray, which showed a large fluid build-up in her lungs. The patient subsequently went into cardiopulmonary arrest resulting in total loss of brain function. An expert in ICU nursing was requested to discuss the type of ICU monitoring for patients with alcohol withdrawal and opine on whether intubation was necessary under these circumstances.