Table 3.

PST-DEX Protocol Hemodynamic Alternations: Interventions and Outcomes

Patient	Hypotension	Bradycardia	Intervention	Outcome
1	During night shift BP decreased triggered alert parameter notification		Dexmedetomidine infusion suspended overnight for approximately 8 hours; restarted in morning	No further hemodynamic alterations; continued on protocol
2	During night shift BP decrease triggered alert parameter notification	During night shift HR decrease triggered alert parameter notification	Patient remained stable and did not require any additional intervention other than continued observation	No further hemodynamic alterations; continued on protocol
3	During night shift BP decrease triggered alert parameter notification		Dexmedetomidine infusion suspended for approximately 1.5 hours; restarted without incident	No further hemodynamic alterations; continued on protocol
4		HR decreased more than 30% triggered alert parameter notification	Patient remained stable and did not require any additional intervention other than continued observation	No further hemodynamic alterations; continued on protocol
5	Diastolic BP consistently below 50 overnight triggered alert parameter notification		500mL saline bolus plus Dexmedetomidine infusion suspended for approximately 2 hours; restarted without incident	No further hemodynamic alterations; continued on protocol