Publication Name	World Journal of Critical Care Medicine
Manuscript ID	116049
Country	Brazil

Category	Critical Care Medicine
Manuscript Type	Letter to the Editor
Article Title	Impact of the intensivist at the bedside: The case of rational use of benzodiazepines
Manuscript Source	Invited Manuscript
All Author List	Wagner Nedel
Funding Agency and Grant Number
Corresponding Author	Wagner Nedel, Assistant Professor, MD, PhD, Department of Intensive Care Unit, Conceição Hospital Group, Francisco Trein 596, Segundo Andar, Porto Alegre 91350200, Brazil. wagnernedel@gmail.com
Key Words	Intensive care unit; Sedation; Benzodiazepines; Midazolam; Critical care team
Core Tip	Continuous infusion of benzodiazepines, such as midazolam, is associated with worse outcomes in critically ill patients. This study indicates that management by a dedicated critical care team (CCT) significantly reduces the use of midazolam, thereby reducing the risk of delirium and coma. CCT is especially effective when combined with organizational strengths, such as low patient-to-nurse ratios. Ultimately, a “virtuous circle” of care, in which CCT is an important player, is essential for improving outcomes through precise patient-centered sedo-analgesia.
Citation	Nedel W. Impact of the intensivist at the bedside: The case of rational use of benzodiazepines. World J Crit Care Med 2026; In press

Received	2025-11-02 12:15
Peer-Review Started	2025-11-02 12:16
First Decision by Editorial Office Director	2025-12-09 08:38
Return for Revision	2025-12-09 08:38
Revised	2025-12-19 13:37
Publication Fee Transferred
Second Decision by Editor	2026-01-27 02:40
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director	2026-01-27 08:35
Articles in Press	2026-01-27 08:35
Edit the Manuscript by Language Editor
Typeset the Manuscript

ISSN	2220-3141(online)
Open Access	This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
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