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Editorials: Point/Counterpoint Editorials |

Counterpoint: Should All ICU Patients Receive Continuous Sedation? NoICU and Continuous Sedation? No

Ajeet G. Vinayak, MD
Author and Funding Information

From Georgetown University Hospital.

Correspondence to: Ajeet G. Vinayak, MD, Georgetown University Hospital, 4th Floor Main Bldg, 3800 Reservoir Rd NW, Washington, DC 20007; e-mail: vinayak@gunet.georgetown.edu


Financial/nonfinancial disclosures: The author has reported to CHEST that no potential conflicts of interest exist with any companies/organizations whose products or services may be dis­cussed in this article.

Reproduction of this article is prohibited without written permission from the American College of Chest Physicians. See online for more details.


Chest. 2012;142(5):1092-1094. doi:10.1378/chest.12-1997
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Sedative drug administration is considered part of the standard care of critically ill patients. Nowhere is this more evident than in the treatment of those requiring mechanical ventilation. The overarching concerns addressed by sedation include mitigating patient discomfort and facilitating ventilation, along with other parts of routine ICU care. Emphasizing the importance of these goals, a retrospective analysis of the 174 ICUs contributing data to Project IMPACT (Cerner Corp) showed that the use of IV infusions of sedative agents nearly doubled over the years 2001 to 2007, even when accounting for severity of illness.1

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