Sedation management (medicine and procedures used to keep patient asleep and calm) in critically ill patients has a significant impact on their short-term and long-term patients condition and disease status. Despite strong evidence and prescriptive international guidelines, there appears to be a huge difference in practices followed by doctors worldwide. However, there are no large-scale multinational data describing these practices in the intensive care unit (ICU).

Sandman study is international audit we will collect data in academic and non-academic ICUs from all over the world. In this study only data from the patients chart will be collected. Data regarding sedation (medicine and practices use to induce sleep in patients), analgesia (pain killers and methods use to reduce pain) and delirium (acute state of confusion), their rate of occurrence, various treatment modalities and guidelines followed in treatment will be collected to check whether clinicians stay adhere to guidelines or not.

Tata Memorial centre will be one of the participating centre. We will only collect the data related to patient’s demographics like ICU admission and discharge date, reason of admission, age sex, disease condition, treatment received during ICU stay a) like sedation medicine used, reason to use, dose and type of medicines used, b) medication used to treat agitation or restlessness and to treat psychological conditions. c) rate of occurrence of acute mental confusion among patient admitted in ICU, d) use of pain killer practices and medication used in ICU.

It is important to understand current practices around the world. The data generated from this study will inform research, educational and quality improvement initiatives for a diverse patient population and help in future patient management.