The purpose of this article is to explore the management of coexisting brain insult and acute lung injury to help
guide clinicians in balancing what may appear to be competing goals. First, contemporary management of
mechanically ventilated patients with either brain or lung injury diagnoses is reviewed, followed by a review of
intracranial pressure and acute lung injury/acute respiratory distress syndrome. The article ends with a discussion
of a literature review regarding possible treatment balance when the two conditions coexist