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clonidine and Complication, Intraoperative

clonidine has been researched along with Complication, Intraoperative in 32 studies

Clonidine: An imidazoline sympatholytic agent that stimulates ALPHA-2 ADRENERGIC RECEPTORS and central IMIDAZOLINE RECEPTORS. It is commonly used in the management of HYPERTENSION.
clonidine (amino form) : A clonidine that is 4,5-dihydro-1H-imidazol-2-amine in which one of the amino hydrogens is replaced by a 2,6-dichlorophenyl group.

Research Excerpts

ExcerptRelevanceReference
" In the subgroup analysis, clonidine reduced the incidence of myocardial ischemia in patients undergoing cardiac and noncardiac surgery."8.81Efficacy of clonidine for prevention of perioperative myocardial ischemia: a critical appraisal and meta-analysis of the literature. ( Kamae, I; Maekawa, M; Mikawa, K; Nishi, N; Nishina, K; Obara, H; Uesugi, T, 2002)
"Twenty-six patients undergoing ESS for chronic sinusitis and polyp removal were enrolled and randomly assigned to receive either oral clonidine or melatonin as preoperative premedication."5.19Improved quality of surgical field during endoscopic sinus surgery after clonidine premedication--a pilot study. ( Burduk, PK; Cywinski, JB; Kazmierczak, W; Kusza, K; Wawrzyniak, K, 2014)
" Our review, based on moderate-quality evidence, revealed that hypotension occurred frequently during the preoperative and postoperative periods, for both clonidine and dexmedetomidine."5.01Perioperative adverse events attributed to α2-adrenoceptor agonists in patients not at risk of cardiovascular events: systematic review and meta-analysis. ( Antunes, T; Demiri, M; Fletcher, D; Martinez, V, 2019)
" In the subgroup analysis, clonidine reduced the incidence of myocardial ischemia in patients undergoing cardiac and noncardiac surgery."4.81Efficacy of clonidine for prevention of perioperative myocardial ischemia: a critical appraisal and meta-analysis of the literature. ( Kamae, I; Maekawa, M; Mikawa, K; Nishi, N; Nishina, K; Obara, H; Uesugi, T, 2002)
"Problem of clofellinum (clonidine) usage in premedication in aged persons with arterial hypertension is discussed."3.72[Arterial hypertension intraoperative management in aged patients by different premedication variants]. ( Proshchaev, KI, 2004)
"A patient with essential hypertension treated with clonidine developed accelerated acute clonidine withdrawal syndrome during coronary artery bypass surgery."3.66Accelerated acute clonidine withdrawal syndrome during coronary artery bypass surgery. A case report. ( O'Connor, DE, 1981)
"Propofol was started at 50 to 100 microg/kg/min, and after endotracheal intubation, clonidine infusion was started (6 to 20 microg/h)."2.70Remifentanil-clonidine-propofol versus sufentanil-propofol anesthesia for coronary artery bypass surgery. ( Dörges, V; Gerlach, K; Hüppe, M; Kraatz, E; Saager, L; Schmitz, A; Schmucker, P; Uhlig, T, 2002)
"Clonidine was associated with a significant (P < 0."2.69Clonidine and cardiac surgery: haemodynamic and metabolic effects, myocardial ischaemia and recovery. ( Buckland, MR; Bujor, MA; Davis, BB; Esmore, DS; Hall, J; Holdgaard, HO; Hunt, JO; McRae, R; Moloney, J; Morgan, DJ; Myles, PS, 1999)
"Nefopam has no influence on the extubation time (WMD 0."2.52Nefopam for the prevention of perioperative shivering: a meta-analysis of randomized controlled trials. ( Liu, M; Lv, M; Qu, W; Wang, X; Wang, Y, 2015)
"Caudal block is a safe procedure commonly used for pediatric perioperative analgesia."2.48[Pediatric caudal anesthesia : importance and aspects of safety concerns]. ( Mauch, J; Weiss, M, 2012)
"Awake regional anaesthesia for inguinal hernia repair in former preterm infants is suggested to avoid life-threatening respiratory complications known to occur after general anaesthesia."1.31Apnoea in a former preterm infant after caudal bupivacaine with clonidine for inguinal herniorrhaphy. ( Fellmann, C; Gerber, AC; Weiss, M, 2002)

Research

Studies (32)

TimeframeStudies, this research(%)All Research%
pre-19904 (12.50)18.7374
1990's10 (31.25)18.2507
2000's10 (31.25)29.6817
2010's8 (25.00)24.3611
2020's0 (0.00)2.80

Authors

AuthorsStudies
Demiri, M1
Antunes, T1
Fletcher, D1
Martinez, V1
Duncan, D1
Sankar, A1
Beattie, WS2
Wijeysundera, DN2
Wawrzyniak, K1
Burduk, PK1
Cywinski, JB1
Kusza, K1
Kazmierczak, W1
Devereaux, PJ1
Lv, M1
Wang, X1
Qu, W1
Liu, M1
Wang, Y1
Aouad, MT1
Moukaddem, FH1
Akel, SR1
Kanazi, GE1
Garg, R1
Rakesh, SV1
Rajeev, S1
Batra, YK1
Rao, KL1
Bender, JS1
Yarwood, J1
Bartholomew, K1
Ramos, R1
Ureña, A1
Rivas, F1
Macia, I1
Rosado, G1
Pequeño, S1
Masuet, C1
Badia, M1
Miguel, M1
Delgado, MA1
Escobar, I1
Moya, J1
Mauch, J1
Weiss, M2
Fellmann, C1
Gerber, AC1
Gerlach, K1
Uhlig, T1
Hüppe, M1
Kraatz, E1
Saager, L1
Schmitz, A1
Dörges, V1
Schmucker, P1
Boussofara, M1
Mtaallah, MH1
Nefaa, MN1
Kaddour, C1
Proshchaev, KI1
Talke, PO1
Lobo, EP1
Stapelfeldt, C1
Brown, R1
O'Connor, DE1
Flacke, JW2
Flacke, WE1
Stühmeier, KD1
Mainzer, B1
Cierpka, J1
Sandmann, W1
Tarnow, J1
Nishikawa, T1
Quintin, L1
de Kock, M1
Ghignone, M1
Joris, JL1
Chiche, JD1
Canivet, JL1
Jacquet, NJ1
Legros, JJ1
Lamy, ML1
Myles, PS1
Hunt, JO1
Holdgaard, HO1
McRae, R1
Buckland, MR1
Moloney, J1
Hall, J1
Bujor, MA1
Esmore, DS1
Davis, BB1
Morgan, DJ1
Nishina, K1
Mikawa, K1
Uesugi, T1
Obara, H1
Maekawa, M1
Kamae, I1
Nishi, N1
Chadha, R1
Padmanabhan, V1
Joseph, A1
Mohandas, K1
Bravo, EL1
Johnson, VG1
Romanoff, ME1
Gombotz, H1
Bonnet, F1
Diallo, A1
Catoire, P1
Belon, M1
Saada, M1
Guilbaud, M1
Stieglitz, P1
Magioncalda, A1
Setti, S1
Cecchi, A1
Tampoia, V1
Bennio, M1
Visani, L1

Clinical Trials (6)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Impact of Intraoperative Goal-directed Blood Pressure Management and Dexmedetomidine on Outcomes of High-risk Patients After Major Abdominal Surgeries: a 2×2 Factorial Randomized Controlled Trial[NCT03933306]Phase 4496 participants (Actual)Interventional2019-05-20Active, not recruiting
Effect of Pre-operative Oral Steroids on Blood Loss in Endoscopic Sinus Surgery for Chronic Rhinosinusitis Without Polyps[NCT05095961]Phase 2/Phase 30 participants (Actual)Interventional2023-03-31Withdrawn (stopped due to Technical difficulties encountered with recording intraoperative blood loss; unable to proceed with study.)
A Large, International, Placebo-controlled, Factorial Trial to Assess the Impact of Clonidine and Acetyl-salicylic Acid (ASA) in Patients Undergoing Noncardiac Surgery Who Are at Risk of a Perioperative Cardiovascular Event[NCT01082874]Phase 310,010 participants (Actual)Interventional2010-07-31Completed
Comparative Study Between Nefopam and Ondansteron for Prevention of Post Spinal Shivering. A Randomized Controlled Trial.[NCT04870541]Phase 4150 participants (Anticipated)Interventional2020-12-01Recruiting
Comparison of the Impacts of Prolonged Low-pressure and Standard-pressure Pneumoperitoneum on Myocardial and Pulmonary Injuries After Robot-assisted Surgery in the Trendelenburg Position: a Bi-center, Randomized Controlled Trial[NCT02600481]280 participants (Anticipated)Interventional2016-01-31Not yet recruiting
Phase II Study of Axitinib (AG-013736) With Evaluation of the VEGF-pathway in Metastatic, Recurrent or Primary Unresectable Pheochromocytoma/Paraganglioma[NCT01967576]Phase 214 participants (Actual)Interventional2013-10-19Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Composite of All-cause Mortality and Nonfatal MI

(NCT01082874)
Timeframe: 30 days

Interventionparticipants (Number)
Active Clonidine and Active ASA173
Active Clonidine and Placebo ASA194
Placebo Clonidine and Active ASA178
Placebo Clonidine and Placebo ASA161

Number of Participants With Serious and Non-serious Adverse Events Assessed by the Common Terminology Criteria in Adverse Events (CTCAE v4.0)

Here is the count of participants with serious and non-serious adverse events assessed by the Common Terminology Criteria in Adverse Events (CTCAE v4.0). A non-serious adverse event is any untoward medical occurrence. A serious adverse event is an adverse event or suspected adverse reaction that results in death, a life threatening adverse drug experience, hospitalization, disruption of the ability to conduct normal life functions, congenital anomaly/birth defect or important medical events that jeopardize the patient or subject and may require medical or surgical intervention to prevent one of the previous outcomes mentioned. (NCT01967576)
Timeframe: Date treatment consent signed to date off study, approximately 54 months and 29 days.

InterventionParticipants (Count of Participants)
1/Arm 1-Axitinib14

Progression - Free Survival (PFS)

PFS is defined as the duration of time from start of treatment to time of progression or death, whichever comes first. Disease progression was assessed by the Response Evaluation Criteria in Solid Tumors (RECIST) and is defined as at least a 20% increase in the sum of the diameters of target lesions, taking as reference the smallest sum on study (this includes the baseline sum if that is the smallest on study). In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm. (Note: the appearance of one or more new lesions is also considered progressions). (NCT01967576)
Timeframe: time from start of treatment to time of progression or death, up to 5 years and 9 months

Interventionmonths (Median)
1/Arm 1-Axitinib7.7

Number of Participants With Clinical Response (Partial Response + Complete Response)

Response was assessed by the Response Evaluation Criteria in Solid Tumors (RECIST). Partial Response (PR) is at least a 30% decrease in the sum of the diameters of target lesions, taking as reference the baseline sum diameters. Complete Response (CR) is disappearance of all target lesions. Any pathological lymph nodes (whether target or no-target) must have reduction in short axis to <10 mm. Stable Disease (SD) is neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD, taking as reference the smallest sum diameters while on study. Progressive Disease (PD) is at least a 20% increase in the sum of the diameters of target lesions, taking as reference the smallest sum on study (this includes the baseline sum if that is the smallest on study). (NCT01967576)
Timeframe: Patients were assessed every 12 weeks (+/- week) up to 40.6 months

InterventionParticipants (Count of Participants)
Confirmed Partial ResponseComplete ResponseStable DiseaseProgressive Disease
1/Arm 1-Axitinib5052

Reviews

9 reviews available for clonidine and Complication, Intraoperative

ArticleYear
Perioperative adverse events attributed to α2-adrenoceptor agonists in patients not at risk of cardiovascular events: systematic review and meta-analysis.
    British journal of anaesthesia, 2019, Volume: 123, Issue:6

    Topics: Adrenergic alpha-2 Receptor Agonists; Bradycardia; Clonidine; Dexmedetomidine; Humans; Hypotension;

2019
Alpha-2 adrenergic agonists for the prevention of cardiac complications among adults undergoing surgery.
    The Cochrane database of systematic reviews, 2018, 03-06, Volume: 3

    Topics: Adrenergic alpha-Agonists; Clonidine; Dexmedetomidine; Heart Diseases; Humans; Imidazoles; Intraoper

2018
Nefopam for the prevention of perioperative shivering: a meta-analysis of randomized controlled trials.
    BMC anesthesiology, 2015, Jun-09, Volume: 15

    Topics: Analgesics, Non-Narcotic; Anesthesia; Clonidine; Humans; Intraoperative Complications; Nefopam; Rand

2015
Alpha-2 adrenergic agonists for the prevention of cardiac complications among patients undergoing surgery.
    The Cochrane database of systematic reviews, 2009, Oct-07, Issue:4

    Topics: Adrenergic alpha-Agonists; Clonidine; Dexmedetomidine; Heart Diseases; Humans; Imidazoles; Intraoper

2009
[Pediatric caudal anesthesia : importance and aspects of safety concerns].
    Der Anaesthesist, 2012, Volume: 61, Issue:6

    Topics: Adjuvants, Anesthesia; Anesthesia, Caudal; Anesthesia, Conduction; Anesthetics, Local; Child; Child,

2012
[Clonidine and anesthesia].
    La Tunisie medicale, 2004, Volume: 82, Issue:3

    Topics: Adrenergic alpha-Agonists; Analgesia; Analgesics; Analgesics, Non-Narcotic; Anesthesia; Anesthetics,

2004
[Preoperative evaluation of patients with heart dysfunction and preanesthetic medication].
    Masui. The Japanese journal of anesthesiology, 1996, Volume: 45 Suppl

    Topics: Adrenergic alpha-Agonists; Anesthesia, General; Clonidine; Coronary Disease; Heart Failure; Heart Fu

1996
Efficacy of clonidine for prevention of perioperative myocardial ischemia: a critical appraisal and meta-analysis of the literature.
    Anesthesiology, 2002, Volume: 96, Issue:2

    Topics: Adrenergic alpha-Agonists; Clinical Trials as Topic; Clonidine; Humans; Intraoperative Complications

2002
[Management of peroperative hypertensive crises].
    Annales francaises d'anesthesie et de reanimation, 1988, Volume: 7, Issue:2

    Topics: Adrenergic beta-Antagonists; Anesthesia, General; Calcium Channel Blockers; Clonidine; Coronary Dise

1988

Trials

7 trials available for clonidine and Complication, Intraoperative

ArticleYear
Improved quality of surgical field during endoscopic sinus surgery after clonidine premedication--a pilot study.
    International forum of allergy & rhinology, 2014, Volume: 4, Issue:7

    Topics: Adult; Arterial Pressure; Chronic Disease; Clonidine; Endoscopy; Female; Heart Rate; Hemodynamics; H

2014
Rationale and design of the PeriOperative ISchemic Evaluation-2 (POISE-2) trial: an international 2 × 2 factorial randomized controlled trial of acetyl-salicylic acid vs. placebo and clonidine vs. placebo in patients undergoing noncardiac surgery.
    American heart journal, 2014, Volume: 167, Issue:6

    Topics: Aged; Aspirin; Clonidine; Double-Blind Method; Female; Humans; Intraoperative Complications; Male; M

2014
Remifentanil-clonidine-propofol versus sufentanil-propofol anesthesia for coronary artery bypass surgery.
    Journal of cardiothoracic and vascular anesthesia, 2002, Volume: 16, Issue:6

    Topics: Adjuvants, Anesthesia; Adrenergic alpha-Agonists; Aged; Analgesics, Opioid; Anesthesia Recovery Peri

2002
Small, oral dose of clonidine reduces the incidence of intraoperative myocardial ischemia in patients having vascular surgery.
    Anesthesiology, 1996, Volume: 85, Issue:4

    Topics: Administration, Oral; Adrenergic alpha-Agonists; Adult; Aged; Aged, 80 and over; Blood Pressure; Clo

1996
Hemodynamic changes induced by laparoscopy and their endocrine correlates: effects of clonidine.
    Journal of the American College of Cardiology, 1998, Volume: 32, Issue:5

    Topics: Adrenergic alpha-Agonists; Adult; Aged; Carbon Dioxide; Catecholamines; Cholecystectomy, Laparoscopi

1998
Clonidine and cardiac surgery: haemodynamic and metabolic effects, myocardial ischaemia and recovery.
    Anaesthesia and intensive care, 1999, Volume: 27, Issue:2

    Topics: Adrenergic alpha-Agonists; Aged; Anesthetics, Intravenous; Clonidine; Coronary Artery Bypass; Creati

1999
Oral clonidine pretreatment for haemodynamic stability during craniotomy.
    Anaesthesia and intensive care, 1992, Volume: 20, Issue:3

    Topics: Administration, Oral; Adult; Clonidine; Craniotomy; Female; Humans; Hypertension; Intraoperative Com

1992

Other Studies

16 other studies available for clonidine and Complication, Intraoperative

ArticleYear
Respiratory failure in a former preterm infant following high spinal anesthesia with bupivacaine and clonidine.
    Paediatric anaesthesia, 2008, Volume: 18, Issue:10

    Topics: Adrenergic alpha-Agonists; Anesthesia, Spinal; Anesthetics, Local; Bupivacaine; Clonidine; Humans; I

2008
Be vigilant during use of intrathecal clonidine in former preterm infants.
    Paediatric anaesthesia, 2009, Volume: 19, Issue:1

    Topics: Analgesics; Anesthesia, Spinal; Clonidine; Humans; Infant; Infant, Newborn; Infant, Premature; Injec

2009
Cephalad migration of intrathecal clonidine in an infant undergoing bilateral herniorrhaphy.
    Canadian journal of anaesthesia = Journal canadien d'anesthesie, 2009, Volume: 56, Issue:8

    Topics: Adrenergic alpha-Agonists; Clonidine; Hernia, Inguinal; Humans; Infant; Injections, Spinal; Intraope

2009
Systemic effects of topical ophthalmic agents.
    British journal of anaesthesia, 2010, Volume: 105, Issue:2

    Topics: Adrenergic alpha-Agonists; Child; Clonidine; Humans; Intraoperative Complications; Ophthalmic Soluti

2010
Impact of T3 thoracoscopic sympathectomy on pupillary function: a cause of partial Horner's syndrome?
    Surgical endoscopy, 2012, Volume: 26, Issue:4

    Topics: Adolescent; Adult; Clonidine; Equipment Design; Horner Syndrome; Humans; Hyperhidrosis; Intraoperati

2012
Apnoea in a former preterm infant after caudal bupivacaine with clonidine for inguinal herniorrhaphy.
    Paediatric anaesthesia, 2002, Volume: 12, Issue:7

    Topics: Anesthesia, Caudal; Anesthetics, Combined; Apnea; Bupivacaine; Clonidine; Hernia, Inguinal; Humans;

2002
[Arterial hypertension intraoperative management in aged patients by different premedication variants].
    Advances in gerontology = Uspekhi gerontologii, 2004, Volume: 13

    Topics: Aged; Antihypertensive Agents; Clonidine; Female; Humans; Hypertension; Intraoperative Complications

2004
Intraoperative clonidine administration to neurosurgical patients.
    Anesthesia and analgesia, 2005, Volume: 101, Issue:3

    Topics: Adrenergic alpha-Agonists; Anesthesia Recovery Period; Clonidine; Humans; Intraoperative Complicatio

2005
Accelerated acute clonidine withdrawal syndrome during coronary artery bypass surgery. A case report.
    British journal of anaesthesia, 1981, Volume: 53, Issue:4

    Topics: Acute Disease; Clonidine; Coronary Artery Bypass; Humans; Hypertension; Hypotension; Intraoperative

1981
Clonidine prevention of myocardial ischemia during cardiac surgery: will this change outcome?
    Journal of cardiothoracic and vascular anesthesia, 1993, Volume: 7, Issue:4

    Topics: Bradycardia; Cardiac Output; Cardiac Pacing, Artificial; Clonidine; Coronary Artery Bypass; Heart; H

1993
Safety of alpha2-agonists?
    Anesthesia and analgesia, 1998, Volume: 87, Issue:2

    Topics: Adrenergic alpha-Agonists; Animals; Clonidine; Hemodynamics; Humans; Hypotension; Intraoperative Com

1998
Pheochromocytoma: new concepts and future trends.
    Kidney international, 1991, Volume: 40, Issue:3

    Topics: Acidosis, Lactic; Adrenal Gland Neoplasms; Adult; Animals; Antihypertensive Agents; Antineoplastic C

1991
Case 2--1991. A 50-year-old man undergoing a right thoracotomy experiences unexpected intraoperative hypotension due to a drug interaction.
    Journal of cardiothoracic and vascular anesthesia, 1991, Volume: 5, Issue:2

    Topics: Blood Pressure; Captopril; Clonidine; Drug Interactions; Heart Rate; Humans; Hypotension; Intraopera

1991
[Sinus node inhibitors in coronary surgery].
    Herz, 1990, Volume: 15, Issue:5

    Topics: Aged; Anti-Arrhythmia Agents; Arrhythmias, Cardiac; Clonidine; Coronary Artery Bypass; Female; Heart

1990
[Incidence of tourniquet pain from spinal anesthesia with a combination of bupivacaine and clonidine].
    Annales francaises d'anesthesie et de reanimation, 1989, Volume: 8 Suppl

    Topics: Anesthesia, Spinal; Bupivacaine; Clonidine; Drug Combinations; Humans; Intraoperative Complications;

1989
[Use of clonidine in the prevention of intraoperative hypertensive crisis. Study on cardiopathic and hypertensive patients subjected to cataract surgery under local anesthesia].
    La Clinica terapeutica, 1986, Apr-30, Volume: 117, Issue:2

    Topics: Aged; Anesthesia, Local; Cataract Extraction; Clonidine; Female; Heart Diseases; Humans; Hypertensio

1986