Randomization: Patients will be randomized upon admission to the ICU based on birth year. Patients with a birth year ending in an even number will be randomized to the control arm and patients with a birth year ending in an odd number will be randomized to the trial arm. This randomization will occur during placement of initial sedation/pain medication orders and will be done via an order-set with two initial options (even birth year vs. odd birth year) which will open up to have sub-orders containing the medications dosed in either a continuous or intermittent fashion, respectively.