Excessive sedation is harmful, Drs Ely, Dittus, and Girard, and I agree. Much of what is administered in terms of sedation by caregivers aims to relieve suffering, from a position of authority and decision making. In the critically ill patient, the temptation to maintain deep sedation aims to avoid movement, hoping that complications such as self-extubation may be avoided,1 when, in fact, no association exists between wakefulness and removal of catheters or devices.2 The concern that the patient may be experiencing discomfort should indeed be followed by an assessment of the origin of the discomfort rather than by an effort to mask it. This requires a certain degree of stoicism, as well as the skills and interest to identify the source of the patient’s distress. It is apparent that overly sedated patients do not recover quickly or well. Although excess sedation is harmful, benzodiazepine use is not.