Neuroanesthesia & neurocritical care

Intraoperative Clonidine in Spine Surgery: A Randomised Controlled Trial

Acta Anaesthesiol ScandPublished Randomised controlled trial

Authors' conclusion

A single dose of intraoperative clonidine did not reduce post-operative opioid consumption or pain intensity in patients undergoing spine surgery.

Study context

Population
Patients undergoing spine surgery at Aarhus University Hospital, Denmarkavailable for analysis
Participants
120 patients
Comparison
Single dose of intraoperative IV clonidine vs placebo
  • Clonidinen = 61
  • Placebon = 59reference
Primary endpoint
Opioid consumption
Follow-up
First 3 h after surgery
Methodological detailsdouble-blinded, placebo-controlled
  • Double-blinded
  • Placebo-controlled

Primary result

As reported in the abstract

Post-operative IV morphine equivalents · within 3 h

P = 0.58

Secondary outcomes

OutcomeClonidinePlaceboP value
Pain intensity at rest · upon arrival at the PACU4 (range or IQR (as printed) 0–5.5)3 (range or IQR (as printed) 0–5)P = 0.20

Other secondary outcomes

No differences between clonidine and placebo in any secondary outcome except hypotension

Safety

Events

OutcomeClonidinePlacebo
Hypotension2413

Hypotension

More frequent with clonidine

Original publication

Intraoperative Clonidine in Spine Surgery: A Randomised Controlled Trial. Acta Anaesthesiol Scand. Published 7 May 2025. doi:10.1111/aas.70048

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