Page last updated: 2024-10-25

clonidine and Inguinal Hernia

clonidine has been researched along with Inguinal Hernia in 16 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
"Tizanidine is a centrally acting α2-agonist with muscle relaxant properties."6.82Tizanidine for the management of acute postoperative pain after inguinal hernia repair: A placebo-controlled double-blind trial. ( Akkaya, T; Caparlar, C; Kulaçoğlu, H; Mercan, U; Yazicioğlu, D, 2016)
"We conclude that for elective inguinal hernia repair, postoperative analgesia obtained by bupivacaine wound infiltration was not improved by the addition of clonidine 150 micrograms."6.68Does the addition of clonidine affect duration of analgesia of bupivacaine wound infiltration in inguinal hernia surgery? ( Eckersall, S; Elliott, S; Fligelstone, L; Jothilingam, S, 1997)
"We conducted a controlled, prospective study of clonidine in caudal anaesthesia in 60 children, aged 1-10 years, undergoing elective inguinal hernia repair."5.12Clonidine addition prolongs the duration of caudal analgesia. ( Korkmaz, F; Solak, M; Toker, K; Yildiz, TS, 2006)
"Forty-four children aged 1-5 years consecutively scheduled for inguinal hernia repair, hydrocele repair or orchidopexy were randomly assigned to receive a caudal injection of either S(+)-ketamine 1 mg x kg(-1) (group K) or S(+)-ketamine 0."5.11Caudal analgesia in children: S(+)-ketamine vs S(+)-ketamine plus clonidine. ( Almenrader, N; Canneti, A; Haiberger, R; Passariello, M; Pietropaoli, P; Rubeo, L, 2004)
"Using a prospective, randomized, observer-blinded study design, 40 patients, aged 1-7 years, who were undergoing elective surgery for inguinal hernia repair or orchidopexy, were randomly allocated to receive either a caudal block (group C: n = 20; ropivacaine 0."5.10Spinal versus peripheral effects of adjunct clonidine: comparison of the analgesic effect of a ropivacaine-clonidine mixture when administered as a caudal or ilioinguinal-iliohypogastric nerve blockade for inguinal surgery in children. ( Conio, A; De Negri, P; Eksborg, S; Ivani, G; Lönnqvist, PA, 2002)
"Tizanidine is a centrally acting α2-agonist with muscle relaxant properties."2.82Tizanidine for the management of acute postoperative pain after inguinal hernia repair: A placebo-controlled double-blind trial. ( Akkaya, T; Caparlar, C; Kulaçoğlu, H; Mercan, U; Yazicioğlu, D, 2016)
"Clonidine has the potential to significantly prolong the duration of caudal epidural anesthesia."2.76Effect of epidural clonidine on minimum local anesthetic concentration (ED50) of levobupivacaine for caudal block in children. ( Alberighi, OD; Disma, N; Frawley, G; Mameli, L; Montobbio, G; Pistorio, A; Tuo, P, 2011)
" We randomized 45 patients to 3 groups receiving intrathecal hyperbaric bupivacaine 6 mg combined with saline (Group B), clonidine 15 micro g (Group BC15), or clonidine 30 micro g (Group BC30); all solutions were diluted with saline to 3 mL."2.71Clonidine combined with small-dose bupivacaine during spinal anesthesia for inguinal herniorrhaphy: a randomized double-blinded study. ( Axelsson, K; Dobrydnjov, I; Gupta, A; Holmström, B; Klockhoff, H; Matthiesen, P; Thörn, SE, 2003)
"We conclude that for elective inguinal hernia repair, postoperative analgesia obtained by bupivacaine wound infiltration was not improved by the addition of clonidine 150 micrograms."2.68Does the addition of clonidine affect duration of analgesia of bupivacaine wound infiltration in inguinal hernia surgery? ( Eckersall, S; Elliott, S; Fligelstone, L; Jothilingam, S, 1997)
"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 (16)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's2 (12.50)18.2507
2000's12 (75.00)29.6817
2010's2 (12.50)24.3611
2020's0 (0.00)2.80

Authors

AuthorsStudies
Yazicioğlu, D1
Caparlar, C1
Akkaya, T1
Mercan, U1
Kulaçoğlu, H1
Rakesh, SV1
Rajeev, S1
Batra, YK1
Rao, KL1
Disma, N1
Frawley, G1
Mameli, L1
Pistorio, A1
Alberighi, OD1
Montobbio, G1
Tuo, P1
Fellmann, C1
Gerber, AC1
Weiss, M1
Ivani, G1
Conio, A1
De Negri, P1
Eksborg, S1
Lönnqvist, PA1
Dobrydnjov, I1
Axelsson, K1
Thörn, SE1
Matthiesen, P1
Klockhoff, H1
Holmström, B1
Gupta, A1
Hussain, AS1
Siddiqui, MS1
Hamdard, F1
Mayhew, JF1
Rochette, A2
Raux, O2
Troncin, R2
Dadure, C2
Verdier, R1
Capdevila, X2
Joshi, W1
Connelly, NR1
Freeman, K1
Reuben, SS1
Passariello, M1
Almenrader, N1
Canneti, A1
Rubeo, L1
Haiberger, R1
Pietropaoli, P1
Galante, D1
Beaussier, M1
Weickmans, H1
Abdelhalim, Z1
Lienhart, A1
Lubrano, JF1
Barbotte, E1
Yildiz, TS1
Korkmaz, F1
Solak, M1
Toker, K1
Elliott, S1
Eckersall, S1
Fligelstone, L1
Jothilingam, S1
Breschan, C1
Krumpholz, R1
Likar, R1
Kraschl, R1
Schalk, HV1

Clinical Trials (4)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Investigation of the Effectiveness of Tizanidine on Pain After Herniorrhaphy[NCT02016443]Phase 430 participants (Actual)Interventional2013-11-30Completed
Preemptive Single Dose Tizanidine and Ultrasound Guided Superficial Cervical Block on Pain After Thyroidectomy[NCT02725359]Phase 460 participants (Actual)Interventional2016-04-30Completed
ROPIVACAINE WITH CLONIDINE FOR PEDIATRIC RECTUS SHEATH BLOCKS- THE MAGIC COMBINATION? - A Double Blinded Prospective Study[NCT02439281]50 participants (Actual)Interventional2015-05-31Terminated (stopped due to The patients were discharged on the day of the surgery.)
Neonatal Spinal Anesthesia: Effects of the Addition of Clonidine[NCT01075490]Phase 4120 participants (Anticipated)Interventional2006-11-30Recruiting
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Average Pain Severity at the Umbilicus Laparoscopic Site

Numeric Rating Pain Scores ( 0-10), will be obtained every 2 hours after PACU discharge up to 18 hours or until hospital discharge, whichever occurs first. The pain score of 0, means no pain, is a good outcome , and a pain score of 10 is excruciating pain, a very bad outcome. The average of these scores will be evaluated.The pain scores will not longer be documented after the numbness went away. (NCT02439281)
Timeframe: Logistic regression of the 4 th pain score assessment

Interventionunits on a scale (Median)
Ropivacaine Group2
Ropivacaine/ Clonidine Group1.5

Change in Anxiety Scores

The investigators hypothesize that patient postoperative anxiety scores are lower in the Ropivacaine/Clonidine group and postoperative anxiety scores decrease more in Ropivacaine /Clonidine Group, than in Ropivacaine Group. (NCT02439281)
Timeframe: 6 hours after block placement

Interventionunits on a scale (Median)
Ropivacaine Group30
Ropivacaine/ Clonidine Group29

Complications Rate

The investigators expect no difference in incidence of complications (e.g. oversedation, hypotension, bradycardia episodes, etc.). (NCT02439281)
Timeframe: until study completion

InterventionParticipants (Count of Participants)
Ropivacaine/ Clonidine Group1
Ropivacaine Group1

Duration of Analgesia at Umbilicus Instrument Site-How Many Minutes Passed From the Time When the Blocks Where Performed Until Patient Reported Pain at Umbilicus

The investigators hypothesize that rectus sheath injections with ropivacaine/ clonidine would result in longer duration of analgesia and decreased pain scores compared to ropivacaine alone. (NCT02439281)
Timeframe: indicated by the first request for pain medication at umbilicus site

Interventionminutes (Median)
Ropivacaine/ Clonidine Group230
Ropivacaine Group240

Duration of Sensory Block (Paresthesia)

The investigators hypothesize that rectus sheath injections with ropivacaine and clonidine result in longer duration of sensory block (paresthesia) compared to ropivacaine alone. (NCT02439281)
Timeframe: Indicated by return of normal sensation (expected average of 12 hours after block placement).

Interventionminutes (Median)
Ropivacaine/ Clonidine Group823.5
Ropivacaine Group540

Medication Consumption

Total intravenous morphine equivalents mg/kg (NCT02439281)
Timeframe: 18 hours after surgery

Interventionmg/kg (Median)
Ropivacaine/ Clonidine Group0.20
Ropivacaine Group0.22

Satisfaction With Pain Control From Patient

The investigators hypothesize that rectus sheath injections with ropivacaine/ clonidine would result in better satisfaction with pain control. (NCT02439281)
Timeframe: Prior to hospital discharge (up to 24 hours after surgery)

Interventionunits on a scale (Median)
Ropivacaine/ Clonidine Group9
Ropivacaine Group9

Trials

11 trials available for clonidine and Inguinal Hernia

ArticleYear
Tizanidine for the management of acute postoperative pain after inguinal hernia repair: A placebo-controlled double-blind trial.
    European journal of anaesthesiology, 2016, Volume: 33, Issue:3

    Topics: Acute Pain; Adult; Aged; Analgesics; Clonidine; Double-Blind Method; Female; Hernia, Inguinal; Herni

2016
Tizanidine for the management of acute postoperative pain after inguinal hernia repair: A placebo-controlled double-blind trial.
    European journal of anaesthesiology, 2016, Volume: 33, Issue:3

    Topics: Acute Pain; Adult; Aged; Analgesics; Clonidine; Double-Blind Method; Female; Hernia, Inguinal; Herni

2016
Tizanidine for the management of acute postoperative pain after inguinal hernia repair: A placebo-controlled double-blind trial.
    European journal of anaesthesiology, 2016, Volume: 33, Issue:3

    Topics: Acute Pain; Adult; Aged; Analgesics; Clonidine; Double-Blind Method; Female; Hernia, Inguinal; Herni

2016
Tizanidine for the management of acute postoperative pain after inguinal hernia repair: A placebo-controlled double-blind trial.
    European journal of anaesthesiology, 2016, Volume: 33, Issue:3

    Topics: Acute Pain; Adult; Aged; Analgesics; Clonidine; Double-Blind Method; Female; Hernia, Inguinal; Herni

2016
Effect of epidural clonidine on minimum local anesthetic concentration (ED50) of levobupivacaine for caudal block in children.
    Paediatric anaesthesia, 2011, Volume: 21, Issue:2

    Topics: Adjuvants, Anesthesia; Adrenergic alpha-Agonists; Analgesia, Epidural; Anesthesia, Caudal; Anestheti

2011
Spinal versus peripheral effects of adjunct clonidine: comparison of the analgesic effect of a ropivacaine-clonidine mixture when administered as a caudal or ilioinguinal-iliohypogastric nerve blockade for inguinal surgery in children.
    Paediatric anaesthesia, 2002, Volume: 12, Issue:8

    Topics: Amides; Analgesia; Anesthesia, Caudal; Anesthetics, Combined; Anesthetics, Local; Child; Child, Pres

2002
Clonidine combined with small-dose bupivacaine during spinal anesthesia for inguinal herniorrhaphy: a randomized double-blinded study.
    Anesthesia and analgesia, 2003, Volume: 96, Issue:5

    Topics: Adrenergic alpha-Agonists; Adult; Anesthesia, General; Anesthesia, Spinal; Anesthetics, Local; Bupiv

2003
Clonidine prolongs spinal anesthesia in newborns: a prospective dose-ranging study.
    Anesthesia and analgesia, 2004, Volume: 98, Issue:1

    Topics: Adrenergic alpha-Agonists; Anesthesia, Spinal; Anesthetics, Local; Bupivacaine; Clonidine; Dose-Resp

2004
Analgesic effect of clonidine added to bupivacaine 0.125% in paediatric caudal blockade.
    Paediatric anaesthesia, 2004, Volume: 14, Issue:6

    Topics: Adrenergic alpha-Agonists; Analgesics; Anesthesia, Caudal; Anesthetics, Local; Bupivacaine; Child, P

2004
Caudal analgesia in children: S(+)-ketamine vs S(+)-ketamine plus clonidine.
    Paediatric anaesthesia, 2004, Volume: 14, Issue:10

    Topics: Adrenergic alpha-Agonists; Analgesia; Anesthesia Recovery Period; Anesthesia, Caudal; Anesthetics, D

2004
Inguinal herniorrhaphy under monitored anesthesia care with ilioinguinal-iliohypogastric block: the impact of adding clonidine to ropivacaine.
    Anesthesia and analgesia, 2005, Volume: 101, Issue:6

    Topics: Adrenergic alpha-Agonists; Adult; Aged; Amides; Anesthetics, Local; Clonidine; Double-Blind Method;

2005
Clonidine added to bupivacaine in neonatal spinal anesthesia: a prospective comparison in 124 preterm and term infants.
    Paediatric anaesthesia, 2005, Volume: 15, Issue:12

    Topics: Adjuvants, Anesthesia; Analgesics; Anesthesia, Spinal; Anesthetics, Local; Bupivacaine; Clonidine; H

2005
Clonidine added to bupivacaine in neonatal spinal anesthesia: a prospective comparison in 124 preterm and term infants.
    Paediatric anaesthesia, 2005, Volume: 15, Issue:12

    Topics: Adjuvants, Anesthesia; Analgesics; Anesthesia, Spinal; Anesthetics, Local; Bupivacaine; Clonidine; H

2005
Clonidine added to bupivacaine in neonatal spinal anesthesia: a prospective comparison in 124 preterm and term infants.
    Paediatric anaesthesia, 2005, Volume: 15, Issue:12

    Topics: Adjuvants, Anesthesia; Analgesics; Anesthesia, Spinal; Anesthetics, Local; Bupivacaine; Clonidine; H

2005
Clonidine added to bupivacaine in neonatal spinal anesthesia: a prospective comparison in 124 preterm and term infants.
    Paediatric anaesthesia, 2005, Volume: 15, Issue:12

    Topics: Adjuvants, Anesthesia; Analgesics; Anesthesia, Spinal; Anesthetics, Local; Bupivacaine; Clonidine; H

2005
Clonidine addition prolongs the duration of caudal analgesia.
    Acta anaesthesiologica Scandinavica, 2006, Volume: 50, Issue:4

    Topics: Adjuvants, Anesthesia; Anesthesia, Caudal; Anesthetics, Local; Bupivacaine; Child; Child, Preschool;

2006
Does the addition of clonidine affect duration of analgesia of bupivacaine wound infiltration in inguinal hernia surgery?
    British journal of anaesthesia, 1997, Volume: 79, Issue:4

    Topics: Adrenergic alpha-Agonists; Aged; Analgesia; Anesthetics, Local; Bupivacaine; Clonidine; Double-Blind

1997

Other Studies

5 other studies available for clonidine and Inguinal Hernia

ArticleYear
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
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
Postoperative apnoea in an ex-premature infant: is it only related to clonidine?
    Paediatric anaesthesia, 2003, Volume: 13, Issue:8

    Topics: Analgesics; Anesthesia, Caudal; Anesthesia, General; Anesthetics, Local; Apnea; Bupivacaine; Clonidi

2003
Preoperative apnea in a preterm infant after caudal block with ropivacaine and clonidine.
    Paediatric anaesthesia, 2005, Volume: 15, Issue:8

    Topics: Amides; Analgesics; Anesthesia, Caudal; Anesthetics, Local; Apnea; Bradycardia; Clonidine; Hernia, I

2005
Can a dose of 2microg.kg(-1) caudal clonidine cause respiratory depression in neonates?
    Paediatric anaesthesia, 1999, Volume: 9, Issue:1

    Topics: Adrenergic alpha-Agonists; Amides; Anesthesia, Caudal; Anesthesia, Inhalation; Anesthetics, Local; A

1999