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

Table 1

Vital Signs at time points (minutes) prior to, during, and following initiation of the dexmedetomidine bolus and infusion.

	Presedation/Baseline	0	5	10	15	20	25	30	35	40	45
NIBP	85/60	118/79	123/85	143/87	126/82	122/84	127/86	124/72	117/79	107/67	106/57
MAP (mmHg)	68	92	100	108	103	95	95	89	88	76	68
Heart Rate (BPM)	110	77	75	78	82	85	79	85	89	93	90
RR (breaths/min)	20	17	13	24	13	14	14	16	18	18	18
O2 Saturation	100%	97%	96%	96%	96%	97%	97%	98%	98%	99%	99%
EKG	NSR	NSR	NSR	NSR	NSR	NSR	NSR	NSR	NSR	NSR	NSR

NSR: Normal Sinus Rhythm
MAP: noninvasive mean arterial blood pressure
RR: Respiratory rate
0–10 minutes: The dexmedetomidine bolus administered
10–20 minutes: The dexmedetomidine infusion initiated and completed
20–45 minutes: The recovery room period until discharge criteria, defined as a minimum modified Aldrete Score 9, are achieved.