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 …

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 …

Respiratory depression and spinal opioids

RC Etches, AN Sandler, MD Daley - Canadian journal of anaesthesia, 1989 - Springer
Administration of epidural and intrathecal opioids may provide excellent postoperative
analgesia, but a minority of patients will suffer dangerous respiratory depression. This …

The frequency and timing of respiratory depression in 1524 postoperative patients treated with systemic or neuraxial morphine

A Shapiro, E Zohar, R Zaslansky, D Hoppenstein… - Journal of clinical …, 2005 - Elsevier
STUDY OBJECTIVE: To describe the frequency and timing of intravenous patient-controlled
analgesia (IV-PCA) or neuraxial morphine–induced postoperative respiratory depression …

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 …

[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 …

[HTML][HTML] Countering opioid-induced respiratory depression by non-opioids that are respiratory stimulants

MZ Imam, A Kuo, MT Smith - F1000Research, 2020 - ncbi.nlm.nih.gov
Strong opioid analgesics are the mainstay of therapy for the relief of moderate to severe
acute nociceptive pain that may occur post-operatively or following major trauma, as well as …

Delayed respiratory depression in a child after caudal epidural morphine

EJ Krane - Anesthesia & Analgesia, 1988 - journals.lww.com
Discussion The delayed respiratory depressant effect of spinal opioids was first reported in
humans shortly after the introduction of epidural and subarachnoid morphine into clinical …

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 …

Respiratory depression after neuraxial opioids in the obstetric setting

B Carvalho - Anesthesia & Analgesia, 2008 - journals.lww.com
Neuraxial opioids have contributed significantly to improved labor and postcesarean
delivery analgesia. In the obstetric population, epidural and intrathecal opioids are …