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Rebuttal From Dr VinayakRebuttal From Dr Vinayak

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):1095-1096. doi:10.1378/chest.12-1998
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Dr Kress’s1 concluding comments regarding sedation management with continuous agents are irrefutable: (1) The evidence strongly supports a practice that interrupts sedation daily when continuous sedation is used. (2) As to choice of agent, the upcoming consensus sedative guideline revisions will significantly downsize the role of benzodiazepines compared with agents with more rapid offset pharmacology. Yet it remains unclear whether all ventilated patients need a continuous sedative drug as part of their management.

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