Opioids and the control of respiration

KTS Pattinson - British journal of anaesthesia, 2008 - academic.oup.com
Respiratory depression limits the use of opioid analgesia. Although well described clinically,
the specific mechanisms of opioid action on respiratory control centres in the brain have …

Understanding and countering opioid‐induced respiratory depression

JT Bateman, SE Saunders… - British journal of …, 2023 - Wiley Online Library
Respiratory depression is the proximal cause of death in opioid overdose, yet the
mechanisms underlying this potentially fatal outcome are not well understood. The goal of …

Averting opioid-induced respiratory depression without affecting analgesia

A Dahan, R van der Schrier, T Smith, L Aarts… - …, 2018 - pubs.asahq.org
The ventilatory control system is highly vulnerable to exogenous administered opioid
analgesics. Particularly respiratory depression is a potentially lethal complication that may …

[HTML][HTML] Opioid-induced respiratory depression: reversal by non-opioid drugs

R Van Der Schier, M Roozekrans… - F1000prime …, 2014 - ncbi.nlm.nih.gov
The human body is critically dependent on the ventilatory control system for adequate
uptake of oxygen and removal of carbon dioxide (CO 2). Potent opioid analgesics, through …

Differential impact of two critical respiratory centres in opioid‐induced respiratory depression in awake mice

AG Varga, BT Reid, BL Kieffer… - The Journal of …, 2020 - Wiley Online Library
Key points The main cause of death from opioid overdose is respiratory depression due to
the activation of µ‐opioid receptors (MORs). We conditionally deleted MORs from neurons in …

Non-analgesic effects of opioids: opioid-induced respiratory depression

M Boom, M Niesters, E Sarton, L Aarts… - Current …, 2012 - ingentaconnect.com
Opioids induce respiratory depression via activation of μ-opioid receptors at specific sites in
the central nervous system including the pre-Bötzinger complex, a respiratory rhythm …

Mechanisms of opioid-induced respiratory depression

BA Baldo, MA Rose - Archives of toxicology, 2022 - Springer
Opioid-induced respiratory depression (OIRD), the primary cause of opioid-induced death, is
the neural depression of respiratory drive which, together with a decreased level of …

Neural basis of opioid-induced respiratory depression and its rescue

S Liu, DI Kim, TG Oh, GM Pao, JH Kim… - Proceedings of the …, 2021 - National Acad Sciences
Opioid-induced respiratory depression (OIRD) causes death following an opioid overdose,
yet the neurobiological mechanisms of this process are not well understood. Here, we show …

[HTML][HTML] Opioid-induced respiratory depression in humans: a review of pharmacokinetic–pharmacodynamic modelling of reversal

MH Algera, J Kamp, R van der Schrier… - British Journal of …, 2019 - Elsevier
Background Opioids are potent painkillers but come with serious adverse effects ranging
from addiction to potentially lethal respiratory depression. A variety of drugs with separate …

Neuraxial morphine and respiratory depression: finding the right balance

P Sultan, MC Gutierrez, B Carvalho - Drugs, 2011 - Springer
Morphine is a drug commonly administered via the epidural or intrathecal route, and is
regarded by many as the 'gold-standard'single-dose neuraxial opioid due to its …