After a successful intubation, your patient is mechanically ventilated with a patent airway and his vital signs stabilize. While transporting your patient, you notice a sawtooth pattern to the ventilator waveform. The patient’s cough is not “junky” and his oxygen saturation remains stable. You may be thinking your patient needs some sedation to help him synchronize with the ventilator. But hold on—perhaps you are missing something.