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Sedation is a necessary component of care for critically ill and
injured individuals. Sedatives assist in coping with mechanical
ventilation and other invasive devices, and help patients tolerate
procedures and noxious stimuli in the intensive care unit.
Sedatives are also useful in the control of agitation and delirium.
In addition to fundamental humane reasons, calming patients with
sedatives provides physiologic benefits, such as reducing oxygen
consumption expended during restlessness, and prevents dislodgement
of life-preserving tubes and catheters. When administering
sedatives to manage critically ill patients, clinicians must be
cognizant of the many complex issues surrounding their use. This
issue, edited by Consulting Editor, Dr. Jan Foster, provides
current updates in this area, including new guidelines and a focus
on delirium.
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