Stephen J.LurieMD, PhD, Contributing EditorIndividualAuthor
Copyright 2000 American Medical Association. All Rights Reserved.
Applicable FARS/DFARS Restrictions Apply to Government Use.2000
In Reply: The importance of Dr Ramsay's comments
cannot be overemphasized. Care of the critically ill patient requires many
interventions that are invasive and uncomfortable. In addition, despite optimum
care, many patients do not survive their intensive care stay. Thus, ensuring
patient comfort could be considered our first objective: first make them comfortable
and then make them better. How is this to be achieved? As an initial step,
we need a reliable, valid, and objective measure of changes in comfort levels
over time. Second, we need to know which interventions will allow us to most
readily achieve the target level of sedation defined by the scoring system
and their associated potential for harm.
Fontanarosa PB, Keenan SP. Measuring Level of Sedation in the Intensive Care Unit—Reply. JAMA. 2000;284(4):441-442. doi:10.1001/jama.284.4.436