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Is intensive care becoming too intensive?

Each month some new iatrogenic complication of intensive care is reported.1,2 One begins to wonder if our care may not be getting too intensive, to the point that we are paying no attention to the possible therapeutic value of rest and sleep.
 The sleeping, quiescent fetus develops in an intrauterine environment of low, but relatively stable, oxygen tension. The sick, prematurely born infant enters an environment vastly different from that to which he/she is accustomed.
 Picture yourself in a brightly lit room, nude, defenseless, and your eyes hurting from silver nitrate. You are blindfolded, chilly, and surrounded by a tepid fog.