If the patient's birth year ends in an even number, the order set will open the control arm. Here, the ICU resident will be able to order a midazolam continuous infusion using existing orders, and a fentanyl infusion. The midazolam infusion order is standardly dosed at 1 mg/hr and titrated to RASS -1. This order can be found under "MIDAZOLAM Infusion 50 mg/50 mL 0.9% sodium chloride". Fentanyl is standardly dosed at 25 mcg/hr and will be titrated to the CPOT for pain control per nursing protocol. This order can be found under "Fentanyl Infusion Order Set". This differs slightly from current practice with the addition of the CPOT scale in that previously nursing had titrated both sedative and narcotic to RASS and now fentanyl will be titrated specifically to pain; however, this is a change being adopted hospital wide and will be the current practice for the institution at the time of the study or shortly after launch of the study. Additionally, current practice is for nursing to administer infusions and titrate to RASS at their discretion by either increasing/decreasing the rate, bolus/pushing additional medication, or both. To standardize tracking of medication doses an as needed order has also been created to be used in conjunction with the infusion order to support this practice and accurately capture medication administered in the control arm. Patients that are admitted to the ICU on a continuous propofol infusion will be converted to the midazolam infusion or intermittent protocol within twenty-four hours or be excluded from the study. During weekdays this will be performed by the clinical pharmacist; during weekends, this will be performed by the ICU resident. If a patient must be taken off a midazolam protocol they will be excluded from the study.