a Patient with COPD Exacerbation Presents with Severe Dyspnea, Tachypnea and Prolonged Expiration. Arterial Blood Gas Analysis Reveals Severe Hypoxemia and Hypercapnia. Despite Initial Bronchodilator Therapy, the Patient’s Respiratory Distress Worsens. Chest X-ray Shows Hyperinflation and Flattened Diaphragm. Due to Progressive Respiratory Failure and the Patient Requires Advanced Respiratory Support