It seems common sense to me that if there is a tube down, and lines in, and suction going on, that a person will be uncomfortable and in pain and should have pain relief.
I even looked up these guidelines for assessing pain in an unconscious person or a person who is 'waking up'
So why do they subject a waking up person to hours and hours and hours of discomfort and pain in icu before extubating? No wonder everyone gets nightmares and pst. Patients are being treated worse than animals. This need to be seriously addressed.