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March 13, 2013

Sedation Interruption for Mechanically Ventilated Patients

Author Affiliations

Letters Section Editor: Jody W. Zylke, MD, Senior Editor.

Author Affiliations: Service de Réanimation Médicale, Groupe Hospitalier Henri Mondor, Créteil, France (Dr Brun-Buisson; Christian.brun-buisson@hmn.aphp.fr); Assistance Publique-Hôpitaux de Paris, Université Paris-Est Créteil, France (Dr Schortgen).

JAMA. 2013;309(10):981. doi:10.1001/jama.2013.995

To the Editor: Dr Mehta and colleagues1 demonstrated that within the context of a nurse-driven protocol for titrating sedation and analgesia with hourly evaluation, adding daily interruption of sedation increased nurses' workload with no additional benefit on patient outcomes. The study raises a few questions not addressed by the authors in the discussion.