Volume 18, Issue 9 pp. 888-890

One hundred times the intended dose of caudal clonidine in three pediatric patients

CARI MEYER

CARI MEYER

University of Wisconsin School of Medicine and Public Health, Clinical Science Center, Madison, WI, USA

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RACHEL CAMBRAY

RACHEL CAMBRAY

University of Wisconsin School of Medicine and Public Health, Clinical Science Center, Madison, WI, USA

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First published: 28 July 2008
Citations: 19
Cari Meyer, University of Wisconsin School of Medicine and Public Health, B6/319 Clinical Science Center, 600 Highland Avenue, Madison, WI 53792-3272, USA (email: [email protected]).

Summary

We report three sequential cases in which children received 100 times the intended dose of clonidine in their single shot caudals. Although all experienced excessive somnolence for up to 24 h, none had respiratory depression, oxygen desaturation, supplemental oxygen requirement, or hemodynamic instability. These cases suggest a large margin of safety exists for caudally administered clonidine in healthy children.

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