Page last updated: 2024-10-27

fentanyl and Hypercapnia

fentanyl has been researched along with Hypercapnia in 31 studies

Fentanyl: A potent narcotic analgesic, abuse of which leads to habituation or addiction. It is primarily a mu-opioid agonist. Fentanyl is also used as an adjunct to general anesthetics, and as an anesthetic for induction and maintenance. (From Martindale, The Extra Pharmacopoeia, 30th ed, p1078)
fentanyl : A monocarboxylic acid amide resulting from the formal condensation of the aryl amino group of N-phenyl-1-(2-phenylethyl)piperidin-4-amine with propanoic acid.

Hypercapnia: A clinical manifestation of abnormal increase in the amount of carbon dioxide in arterial blood.

Research Excerpts

ExcerptRelevanceReference
"Patients receiving midazolam had a more than doubled risk of respiratory depression as mirrored by hypercapnia and acidosis, but not hypoxemia."7.88Midazolam addition to analgosedation for pulmonary vein isolation may increase risk of hypercapnia and acidosis. ( Bürkle, G; Ehrlich, JR; Feurich, F; Kaess, BM, 2018)
"To assess effects of anesthesia and opioids, we studied 13 children with obstructive sleep apnea (OSA, age 4."5.10Effects of OSA, inhalational anesthesia, and fentanyl on the airway and ventilation of children. ( Hinder, M; McBrien, F; Stewart, P; Waters, KA; Wharton, S, 2002)
"Respiratory effects, nausea, somnolence, and pruritus were compared during a 48-hr period of continuous epidural morphine (n = 34) and fentanyl (n = 32) infusion in 66 patients following elective total replacement of the hip or knee joint."5.07Side effects during continuous epidural infusion of morphine and fentanyl. ( Berghausen, EJ; Dumont, SW; Heine, MF; Huang, KC; Schroeder, JA; Tsueda, K; Vogel, RL; White, MJ, 1992)
"Patients receiving midazolam had a more than doubled risk of respiratory depression as mirrored by hypercapnia and acidosis, but not hypoxemia."3.88Midazolam addition to analgosedation for pulmonary vein isolation may increase risk of hypercapnia and acidosis. ( Bürkle, G; Ehrlich, JR; Feurich, F; Kaess, BM, 2018)
"Since its introduction into clinical practice, it has been known that fentanyl and other synthetic opioids may cause skeletal muscle rigidity."3.78Chest wall rigidity in two infants after low-dose fentanyl administration. ( Dewhirst, E; Naguib, A; Tobias, JD, 2012)
"Targeted temperature management after cardiac arrest requires deep sedation to prevent shivering and discomfort."1.46Isoflurane Sedation on the ICU in Cardiac Arrest Patients Treated With Targeted Temperature Management: An Observational Propensity-Matched Study. ( Engels, M; Jörres, A; Krannich, A; Kruse, J; Leithner, C; Nee, J; Petzinka, V; Schröder, T; Storm, C, 2017)
"In patients with chronic obstructive pulmonary disease (COPD), IF also elicits sustained decreases in the exercise ventilatory response but with little or no resultant CO2 retention due to concomitant decreases in physiological VD/VT (dead space-to-ventilation ratio)."1.42Type III-IV muscle afferents are not required for steady-state exercise hyperpnea in healthy subjects and patients with COPD or heart failure. ( Poon, CS; Song, G, 2015)
"We observed chest wall rigidity in 8 patients after low dosage of fentanyl (3-5 microg/kg body weight)."1.31Fentanyl-induced chest wall rigidity and laryngospasm in preterm and term infants. ( Bartmann, P; Fahnenstich, H; Kau, N; Steffan, J, 2000)
"Fentanyl was given intravenously in fractional doses, (fig 1), during NLA, and other general anaesthesias, for operation and diagnostic examination ( exeption of cardiosurgery), in children and adolescents from two month-to nineteen years of age, (tab."1.26[Naloxone as a drug for improving anesthesia results in children]. ( Cukier, K; Cwizewicz-Adamska, J; Czekuć, E; Rondio, Z; Ryterski, S, 1979)
"If naloxone 0."1.26Restlessness and shivering after naloxone reversal of fentanyl-supplemented anaesthesia. ( Tammisto, T; Tigerstedt, I, 1979)

Research

Studies (31)

TimeframeStudies, this research(%)All Research%
pre-199011 (35.48)18.7374
1990's4 (12.90)18.2507
2000's4 (12.90)29.6817
2010's11 (35.48)24.3611
2020's1 (3.23)2.80

Authors

AuthorsStudies
Mikhaeil, JS1
Pepper, CG1
Hayward, GC1
Kaess, BM1
Feurich, F1
Bürkle, G1
Ehrlich, JR1
Agrafiotis, M1
Tryfon, S1
Siopi, D1
Chassapidou, G1
Galanou, A1
Tsara, V1
Poon, CS1
Song, G1
Cornelius, B1
Sakai, T1
Krannich, A1
Leithner, C1
Engels, M1
Nee, J1
Petzinka, V1
Schröder, T1
Jörres, A1
Kruse, J1
Storm, C1
Amann, M2
Blain, GM1
Proctor, LT1
Sebranek, JJ1
Pegelow, DF1
Dempsey, JA1
Kaufman, MP1
Parkes, MJ1
Runnels, S1
Morgan, DE1
Trinity, JD1
Fjeldstad, AS1
Wray, DW1
Reese, VR1
Richardson, RS1
Drummond, GB1
Dhonneur, G1
Kirov, K1
Duvaldestin, P1
Dewhirst, E1
Naguib, A1
Tobias, JD1
Sarang, A1
Dinsmore, J1
Vasilakos, K1
Wilson, RJ1
Kimura, N1
Remmers, JE1
McPherson, RW1
Traystman, RJ1
Rafferty, TD1
Marrero, O1
Nardi, D1
Schachter, EN1
Mentelos, R1
Hastings, A1
Roselli, D1
Flecknell, PA1
John, M1
Mitchell, M1
Shurey, C1
Simpkin, S1
Comstock, MK1
Carter, JG1
Moyers, JR1
Stevens, WC1
Mora, CT1
Torjman, M1
White, PF1
Lemmen, RJ1
Semmekrot, BA1
Fahnenstich, H1
Steffan, J1
Kau, N1
Bartmann, P1
Waters, KA1
McBrien, F1
Stewart, P1
Hinder, M1
Wharton, S1
Ainslie, SG1
Eisele, JH1
Corkill, G1
Rondio, Z1
Czekuć, E1
Ryterski, S1
Cukier, K1
Cwizewicz-Adamska, J1
Tammisto, T1
Tigerstedt, I1
White, MJ1
Berghausen, EJ1
Dumont, SW1
Tsueda, K1
Schroeder, JA1
Vogel, RL1
Heine, MF1
Huang, KC1
Mills, CA2
Flacke, JW2
Flacke, WE2
Bloor, BC2
Liu, MD1
Miller, JD1
Davis, LJ1
Keith, L1
Silver, A1
Becker, M1
Michenfelder, JD1
Theye, RA1
Benzer, H1
Kunz, H1
Lempert, J1
Mayrhofer, O1
Muhar, F1

Clinical Trials (3)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
A Phase 3, Multicenter, Randomized, Controlled, Open Label, Assessor-Blinded Study to Evaluate the Efficacy and Safety of Inhaled Isoflurane Delivered Via the Sedaconda ACD-S Compared to Intravenous Propofol for Sedation of Mechanically Ventilated Intensi[NCT05327296]Phase 3235 participants (Anticipated)Interventional2022-06-30Recruiting
A Phase 3, Multicenter, Randomized, Controlled, Open Label, Assessor-Blinded Study to Evaluate the Efficacy and Safety of Inhaled Isoflurane Delivered Via the Sedaconda ACD-S Compared to Intravenous Propofol for Sedation of Mechanically Ventilated Intensi[NCT05312385]Phase 3235 participants (Anticipated)Interventional2022-04-28Recruiting
Comparison of Dexmedetomidine and Propofol-Remifentanil Conscious Sedation for Awake Craniotomy for Tumor Surgery: a Randomized Controlled Trial[NCT01545297]50 participants (Actual)Interventional2012-11-30Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trials

4 trials available for fentanyl and Hypercapnia

ArticleYear
Group III and IV muscle afferents contribute to ventilatory and cardiovascular response to rhythmic exercise in humans.
    Journal of applied physiology (Bethesda, Md. : 1985), 2010, Volume: 109, Issue:4

    Topics: Adult; Analgesics, Opioid; Analysis of Variance; Bicycling; Blood Pressure; Double-Blind Method; Ele

2010
Sedative and ventilatory effects of midazolam infusion: effect of flumazenil reversal.
    Canadian journal of anaesthesia = Journal canadien d'anesthesie, 1995, Volume: 42, Issue:8

    Topics: Adult; Ambulatory Care; Anesthetics, Intravenous; Double-Blind Method; Female; Fentanyl; Flumazenil;

1995
Effects of OSA, inhalational anesthesia, and fentanyl on the airway and ventilation of children.
    Journal of applied physiology (Bethesda, Md. : 1985), 2002, Volume: 92, Issue:5

    Topics: Analgesics, Opioid; Anesthetics, Inhalation; Apnea; Carbon Dioxide; Child; Child, Preschool; Drug Sy

2002
Side effects during continuous epidural infusion of morphine and fentanyl.
    Canadian journal of anaesthesia = Journal canadien d'anesthesie, 1992, Volume: 39, Issue:6

    Topics: Adult; Aged; Aged, 80 and over; Analgesia, Epidural; Carbon Dioxide; Female; Fentanyl; Hip Prosthesi

1992

Other Studies

27 other studies available for fentanyl and Hypercapnia

ArticleYear
Mechanisms of opioid-induced respiratory depression in sleep apnoea: new insights for anaesthesiology.
    The Journal of physiology, 2020, Volume: 598, Issue:18

    Topics: Analgesics, Opioid; Anesthesiology; Fentanyl; Humans; Hypercapnia; Hypoxia; Respiratory Hypersensiti

2020
Midazolam addition to analgosedation for pulmonary vein isolation may increase risk of hypercapnia and acidosis.
    International journal of cardiology, 2018, 05-15, Volume: 259

    Topics: Acidosis; Aged; Anesthetics, Intravenous; Drug Therapy, Combination; Female; Fentanyl; Follow-Up Stu

2018
Successful management of drug-induced hypercapnic acidosis with naloxone and noninvasive positive pressure ventilation.
    The American journal of emergency medicine, 2015, Volume: 33, Issue:2

    Topics: Acidosis; Aged; Analgesics, Opioid; Combined Modality Therapy; Fentanyl; Humans; Hypercapnia; Male;

2015
Type III-IV muscle afferents are not required for steady-state exercise hyperpnea in healthy subjects and patients with COPD or heart failure.
    Respiratory physiology & neurobiology, 2015, Sep-15, Volume: 216

    Topics: Analgesics, Opioid; Electromyography; Exercise; Female; Fentanyl; Heart Failure; Heart Rate; Humans;

2015
Inadvertent Endobronchial Intubation in a Patient With a Short Neck Length.
    Anesthesia progress, 2015,Summer, Volume: 62, Issue:2

    Topics: Anesthetics, Intravenous; Bronchi; Cholecystectomy, Laparoscopic; Fentanyl; Humans; Hypercapnia; Int

2015
Isoflurane Sedation on the ICU in Cardiac Arrest Patients Treated With Targeted Temperature Management: An Observational Propensity-Matched Study.
    Critical care medicine, 2017, Volume: 45, Issue:4

    Topics: Administration, Inhalation; Administration, Intravenous; Aged; Anesthetics, Inhalation; Anesthetics,

2017
Isoflurane Sedation on the ICU in Cardiac Arrest Patients Treated With Targeted Temperature Management: An Observational Propensity-Matched Study.
    Critical care medicine, 2017, Volume: 45, Issue:4

    Topics: Administration, Inhalation; Administration, Intravenous; Aged; Anesthetics, Inhalation; Anesthetics,

2017
Isoflurane Sedation on the ICU in Cardiac Arrest Patients Treated With Targeted Temperature Management: An Observational Propensity-Matched Study.
    Critical care medicine, 2017, Volume: 45, Issue:4

    Topics: Administration, Inhalation; Administration, Intravenous; Aged; Anesthetics, Inhalation; Anesthetics,

2017
Isoflurane Sedation on the ICU in Cardiac Arrest Patients Treated With Targeted Temperature Management: An Observational Propensity-Matched Study.
    Critical care medicine, 2017, Volume: 45, Issue:4

    Topics: Administration, Inhalation; Administration, Intravenous; Aged; Anesthetics, Inhalation; Anesthetics,

2017
Control of breathing during dynamic exercise by thin fiber muscle afferents.
    Journal of applied physiology (Bethesda, Md. : 1985), 2010, Volume: 109, Issue:4

    Topics: Analgesics, Opioid; Bicycling; Exercise; Feedback, Physiological; Fentanyl; Hemodynamics; Hemoglobin

2010
Has intrathecal fentanyl no effects during arm exercise?
    Journal of applied physiology (Bethesda, Md. : 1985), 2011, Volume: 110, Issue:3

    Topics: Adult; Analgesics, Opioid; Electromyography; Exercise; Feedback, Physiological; Fentanyl; Heart Rate

2011
On the contribution of group III and IV muscle afferents to the circulatory response to rhythmic exercise in humans.
    The Journal of physiology, 2011, Aug-01, Volume: 589, Issue:Pt 15

    Topics: Adult; Blood Pressure; Carbon Dioxide; Cardiac Output; Exercise; Feedback; Fentanyl; Heart Rate; Hem

2011
Effects of airway occlusion on breathing muscle electromyogram signals, during isoflurane anaesthesia, with and without the effects of fentanyl and hypercapnia.
    British journal of anaesthesia, 2011, Volume: 107, Issue:6

    Topics: Abdominal Muscles; Adult; Aged; Airway Obstruction; Analgesics, Opioid; Anesthetics, Inhalation; Car

2011
Chest wall rigidity in two infants after low-dose fentanyl administration.
    Pediatric emergency care, 2012, Volume: 28, Issue:5

    Topics: Analgesics, Opioid; Dose-Response Relationship, Drug; Female; Fentanyl; Follow-Up Studies; Humans; H

2012
Anaesthesia for awake craniotomy--evolution of a technique that facilitates awake neurological testing.
    British journal of anaesthesia, 2003, Volume: 90, Issue:2

    Topics: Adolescent; Adult; Aged; Analgesics, Opioid; Anesthesia; Anesthetics, Combined; Conscious Sedation;

2003
Ancient gill and lung oscillators may generate the respiratory rhythm of frogs and rats.
    Journal of neurobiology, 2005, Feb-15, Volume: 62, Issue:3

    Topics: Action Potentials; Analysis of Variance; Animals; Biological Clocks; Brain Stem; Dose-Response Relat

2005
Fentanyl and cerebral vascular responsivity in dogs.
    Anesthesiology, 1984, Volume: 60, Issue:3

    Topics: Animals; Blood Pressure; Brain; Carbon Dioxide; Cerebrovascular Circulation; Dogs; Female; Fentanyl;

1984
Relationship between transcutaneous and arterial carbon dioxide tension in adult patients anesthetized with nitrous oxide-fentanyl and nitrous oxide-enflurane.
    Anesthesia and analgesia, 1981, Volume: 60, Issue:7

    Topics: Adolescent; Adult; Aged; Anesthesia, Inhalation; Carbon Dioxide; Enflurane; Fentanyl; Humans; Hyperc

1981
Neuroleptanalgesia in the rabbit.
    Laboratory animals, 1983, Volume: 17, Issue:2

    Topics: Acidosis; Animals; Butyrophenones; Diazepam; Drug Combinations; Etorphine; Fentanyl; Hypercapnia; Me

1983
Rigidity and hypercarbia associated with high dose fentanyl induction of anesthesia.
    Anesthesia and analgesia, 1981, Volume: 60, Issue:5

    Topics: Anesthesia, Intravenous; Fentanyl; Humans; Hypercapnia; Muscle Rigidity

1981
Muscle rigidity causing life-threatening hypercapnia following fentanyl administration in a premature infant.
    European journal of pediatrics, 1996, Volume: 155, Issue:12

    Topics: Analgesics, Opioid; Anesthetics, Intravenous; Fentanyl; Humans; Hypercapnia; Infant, Newborn; Infant

1996
Fentanyl-induced chest wall rigidity and laryngospasm in preterm and term infants.
    Critical care medicine, 2000, Volume: 28, Issue:3

    Topics: Fentanyl; Humans; Hypercapnia; Hypoxia; Infant, Newborn; Infant, Premature; Laryngismus; Naloxone; N

2000
Fentanyl concentrations in brain and serum during respiratory acid--base changes in the dog.
    Anesthesiology, 1979, Volume: 51, Issue:4

    Topics: Alkalosis, Respiratory; Anesthesia, General; Animals; Blood-Brain Barrier; Brain; Dogs; Fentanyl; Ha

1979
[Naloxone as a drug for improving anesthesia results in children].
    Problemy medycyny wieku rozwojowego, 1979, Volume: 9

    Topics: Adolescent; Anesthesia, Intravenous; Child; Child, Preschool; Depression, Chemical; Female; Fentanyl

1979
Restlessness and shivering after naloxone reversal of fentanyl-supplemented anaesthesia.
    Acta anaesthesiologica Scandinavica, 1979, Volume: 23, Issue:1

    Topics: Adult; Aged; Akathisia, Drug-Induced; Anesthesia, General; Body Temperature; Female; Fentanyl; Homeo

1979
Narcotic reversal in hypercapnic dogs: comparison of naloxone and nalbuphine.
    Canadian journal of anaesthesia = Journal canadien d'anesthesie, 1990, Volume: 37, Issue:2

    Topics: Analysis of Variance; Animals; Blood Pressure; Dogs; Epinephrine; Fentanyl; Heart Rate; Hypercapnia;

1990
Cardiovascular effects of fentanyl reversal by naloxone at varying arterial carbon dioxide tensions in dogs.
    Anesthesia and analgesia, 1988, Volume: 67, Issue:8

    Topics: Animals; Blood Pressure; Carbon Dioxide; Cardiac Output; Dogs; Epinephrine; Fentanyl; Heart Rate; Hy

1988
Anesthesia for laparoscopy.
    The Journal of reproductive medicine, 1974, Volume: 12, Issue:6

    Topics: Alphaprodine; Anesthesia; Anesthesia, Epidural; Anesthesia, General; Anesthesia, Local; Anesthetics;

1974
Effects of fentanyl, droperidol, and innovar on canine cerebral metabolism and blood flow.
    British journal of anaesthesia, 1971, Volume: 43, Issue:7

    Topics: Animals; Benperidol; Blood Flow Velocity; Brain; Carbon Dioxide; Cerebrovascular Circulation; Dogs;

1971
[On the significance of oxygen supply in drug induced central respiratory depression].
    Wiener klinische Wochenschrift, 1967, Jun-16, Volume: 79, Issue:24

    Topics: Animals; Apnea; Carbon Dioxide; Fentanyl; Hypercapnia; Hypoxia; Neuroleptanalgesia; Oxygen Consumpti

1967