In few other areas of medicine is the saying "you can't getsomething for nothing" more true than in the intensive careunit. Modern advances in critical care have offered patientsopportunities for survival that did not exist in earlier eras.The invasive therapeutic interventions and round-the-clock monitoringthat constitute these advances, however, have created a potentiallyharrowing experience for many patients. The price often paidfor survival includes sleep deprivation, pain, anxiety, depression,agitation, and delirium. Unfortunately, no data support thepresumption that naturally occurring amnesia protects patientsfrom these discomforts. More than 70 percent of patients vividlyrecollect . . . [Full Text of this Article]
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