Case Report

Extended Infusion of Dexmedetomidine to an Infant at Sixty Times the Intended Rate

Table 2

Medical Conditions Which Contraindicate Dexmedetomidine Sedation.

Active, uncontrolled gastroesophageal reflux—an aspiration risk
Active, uncontrolled vomiting—an aspiration risk
Current (or within past 3 months) history of apnea requiring an apnea monitor
Active, current respiratory issues that are different from the baseline status (pneumonia, exacerbation of asthma, bronchiolitis, and respiratory synctitial virus)
Unstable cardiac status (life threatening arrhythmias, abnormal cardiac anatomy, and significant cardiac dysfunction)
Craniofacial anomaly, which could make it difficult to effectively establish a mask airway for positive pressure ventilation if needed
Current use of digoxin
Uncontrolled hypertension
Moya Moya Disease
New-onset stroke