Abstract
Dear Editor, The problem of analgosedation in Intensive Care Units is as old as the Intensive Care Unit itself, but it is only in recent years that the importance of the "fifth vital parameter" in terms of association has been recognized not only as immediate complications such as agitation and delirium but also in the long term with post-traumatic stress disorder, chronic pain, and reduced quality of life after discharge, so much so as to recognize the need to adopt pain and agitation control scales even in non-communicating patients or patients with altered mental status.1[...]
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