IRCT20210906052394N1 IRCT 2021-10-18 Scientific Association of Islamic Azad University, Aliabad Katoul Branch Implementation of pain control instructions on sedation and duration of mechanical ventilation in patients admitted to the intensive care unit The effect of implementing pain control instructions on sedation and duration of mechanical ventilation in patients admitted to the intensive care unit of Hakim Jorjani Hospital in 2020 2021-09-11 anticipated 20 Complete https://irct.ir/trial/58561 interventional Randomization: N/A, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Supportive. N/A Condition 1: Pain Control. Condition 2: Sedation. Condition 3: Mechanical Ventilation. Intervention 1: Intervention group: The patient is evaluated every 4 hours according to the Pain Control Instruction. If the patient needs pain relief (pain assessment with Pain Behavioral Scale), morphine 1 to 5 mg is used intravenously and Repeat every 10 minutes if needed. Maximum to 10 milligram per kilogram per hour is used. If the patient is not relieved with this amount of drug, it is evaluated using the Richmond sedation criterion and if necessary, 1 to 4 milligram of midazolam is injected intravenously. Repeat every 15 minutes if needed. Maximum to 10 milligram per houre can be used. At the threshold of separation from the mechanical ventilation device, the patient's sedation is discontinued and if necessary, fentanyl is infused at a dose of 1 micrograms per kilogram per hour. 4 hours after separation from the mechanical ventilator, using the Bern checklist, if a patient scores above 17, we use a single dose of intravenous dexamethasone (0.1 milligram per kilogram). Intervention 2: Control group: "The control group continues to receive sedations as directed by the physician and does not receive any additional medications or placebos. No - There is not a plan to make this available Justification or reason for not sharing IPD is There is no more information.