Hi, I'm an ICU trained RN from Singapore. In the ICU at my side, most patients are sedated especially when they've just been intubated. But we do check on the sedation score to ensure that the patients are too overly drowsy. We titrate the sedation till the patient is comfortable and not struggling with the vent. If the patient is awake and calm, we might even turn off the sedation. Especially so when the anaesthtists plan to extubate the the patients. However, we do practice restraining our ventilated patients unless the patient has been with us for a long time and we are sure that he/she will not yank out his tube...:uhoh21: