Page last updated: 2024-10-27

fentanyl and Lung Diseases

fentanyl has been researched along with Lung Diseases in 19 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.

Lung Diseases: Pathological processes involving any part of the LUNG.

Research Excerpts

ExcerptRelevanceReference
"The investigation of gas exchange, central hemodynamics and real oxygen transport has shown expediency of using ether and fluothane as main anesthetic drugs in operations on the lungs in patients with a compensated form of chronic pulmonary respiratory insufficiency."3.67[Clinico-physiological substantiation of using various methods of anesthesia in operations on the lungs in patients with chronic respiratory insufficiency]. ( Zverev, VV, 1985)
"To analyse the effects of combined acupuncture anesthesia on surgical dosage and serum interleukin-4 (IL-4), interleukin-10 (IL-10) of pneumonectomy patients."2.87Effect of Combined Acupuncture Anesthesia on Surgical Dosage and Serum IL-4, IL-10 of Pneumonectomy Patients. ( Shi, X; Xie, D; Zhang, Y, 2018)
"Fentanyl (20 μg) was administered to the patients just before the examination, and fentanyl (10 μg) and midazolam (1 mg) were added as needed during the procedure."1.43Safety and discomfort during bronchoscopy performed under sedation with fentanyl and midazolam: a prospective study. ( Hotta, K; Kiura, K; Kubo, T; Minami, D; Ninomiya, T; Ohashi, K; Sato, A; Tabata, M; Takigawa, N; Tanimoto, M; Watanabe, H, 2016)
"Propofol was administered with a target controlled infusion setting with the target blood concentration of 10 micrograms."1.32[Propofol anesthesia for fetal sedation]. ( Kubo, K; Murao, K; Nakao, S; Ohashi, A; Shingu, K; Takeyasu, A, 2004)

Research

Studies (19)

TimeframeStudies, this research(%)All Research%
pre-19903 (15.79)18.7374
1990's4 (21.05)18.2507
2000's7 (36.84)29.6817
2010's5 (26.32)24.3611
2020's0 (0.00)2.80

Authors

AuthorsStudies
Xie, D1
Shi, X1
Zhang, Y1
Minami, D1
Takigawa, N1
Watanabe, H1
Ninomiya, T1
Kubo, T1
Ohashi, K1
Sato, A1
Hotta, K1
Tabata, M1
Tanimoto, M1
Kiura, K1
Kurihara, Y1
Shime, N1
Miyazaki, T1
Hashimoto, S1
Tanaka, Y1
Biedrzycki, OJ1
Bevan, D1
Lucas, S1
Amr, YM1
Yousef, AA1
Alzeftawy, AE1
Messbah, WI1
Saber, AM1
Grannis, FW1
Quintard, H1
Tran-Marsalla, L1
Esquirole, C1
Ichai, C1
Guha, A1
Scawn, ND1
Rogers, SA1
Pennefather, SH1
Russell, GN1
Hansen, LN1
Ravn, JB1
Yndgaard, S1
Hung, CJ1
Liu, FY1
Shaiu, YC1
Kao, A1
Lin, CC1
Lee, CC1
Kubo, K1
Murao, K1
Takeyasu, A1
Ohashi, A1
Nakao, S1
Shingu, K1
Sanborn, PA1
Michna, E1
Zurakowski, D1
Burrows, PE1
Fontaine, PJ1
Connor, L1
Mason, KP1
Major, CP1
Greer, MS1
Russell, WL1
Roe, SM1
Bimston, DN1
McGee, JP1
Liptay, MJ1
Fry, WA1
Berger, S1
Murr, R1
Schürer, L1
Enzenbach, R1
Peter, K1
Baethmann, A1
Baktai, G1
Székely, E1
Márialigeti, T1
Kovács, L1
Zverev, VV1
Bergmann, H1
Shanin, IuN1
Rudenko, MI1
Volkov, IuN1
Matusevich, MIa1
Zvegintsev, VN1

Clinical Trials (3)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Effect of the Programmed Intermittent Epidural Bolus Versus Continuous Epidural Infusion on the Quality of Postoperative Recovery in Patients Undergoing VATS Lobectomy[NCT05930405]252 participants (Anticipated)Interventional2023-10-01Recruiting
Role of Scheduled Intravenous Acetaminophen for Postoperative Pain Management in an Enhanced Recovery After Surgery (ERAS) Population: A Prospective, Randomized, Double-Blind and Placebo-Controlled Clinical Trial[NCT03198871]Phase 4180 participants (Actual)Interventional2018-05-24Completed
Can Medical Clowns Prevent the Usage of Sedation During the Performance of EEG in Young Children[NCT05257096]100 participants (Anticipated)Interventional2019-05-01Recruiting
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Intensive Care Delirium Screening Checklist (ICDSC)

Number of patients who score greater than a 4 on the 0-8 point ICDSC scale to assess delirium scores. 8 separate levels of signs for delirium assessed (1. altered level of consciousness, 2. inattention, 3. disorientation, 4. hallucination, delusion, or psychosis, 5. psychomotor agitation or retardation, 6. inappropriate speech or mood, 7. sleep-wake cycle disturbance, 8. symptom fluctuation), with 0 points awarded when patient does not exhibit above signs of delirium and 1 point awarded per confirmed sign of delirium. Score then totaled, 0 = normal, 1-3 = subsyndromal delirium, 4-8 = delirium. (NCT03198871)
Timeframe: The delirium scores will first be measured every 12 hours for 72 hours after surgery.

InterventionParticipants (Count of Participants)
Acetaminophen Injectable Product0
Sodium Chloride 0.9%, Intravenous0

Number of Participants With Readmission to the Hospital

If the patient is readmitted to the hospital after being fully discharged, the event will be recorded. (NCT03198871)
Timeframe: From the time of consent until 30 days post-operatively

InterventionParticipants (Count of Participants)
Acetaminophen Injectable Product9
Sodium Chloride 0.9%, Intravenous10

Postoperative Pain Intensity

Number of patients with unsatisfactory pain relief defined as average numeric rating scale (NRS) more than 5 will be compared between the two groups. This may include patients using IVPCA for pain relief during the first 48 hours postoperative. (NCT03198871)
Timeframe: PACU admission every thirty minutes until discharge to the floor and thereafter every four hours for first 24-hour, then every six hours until 48 hours and then every twelve hours until 72 hours postoperatively.

InterventionParticipants (Count of Participants)
Acetaminophen Injectable Product33
Sodium Chloride 0.9%, Intravenous42

Time to Ambulation

The time it takes for the patient to successfully ambulate post-surgery will be measured. (NCT03198871)
Timeframe: From date of PACU admission until the date of first documented ambulation, assessed up to 72 hours postoperatively

Interventionhours (Median)
Acetaminophen Injectable Product18.82
Sodium Chloride 0.9%, Intravenous17.38

Time to Bowel Movement

The time it takes for the first bowel movement postoperatively will be measured. (NCT03198871)
Timeframe: From time patient left operating room until the time of first documented bowel movement, assessed up to hospital discharge

Interventionhours (Median)
Acetaminophen Injectable Product46.30
Sodium Chloride 0.9%, Intravenous64.66

Time to Hospital Discharge

The time it takes for the patient to be fully discharged from the hospital post-surgery will be measured. (NCT03198871)
Timeframe: From date of randomization until the date of hospital discharge or 30 days postoperatively, whichever comes first

Interventiondays (Median)
Acetaminophen Injectable Product4.08
Sodium Chloride 0.9%, Intravenous4.94

Time to Oral Intake

The time it takes for the patient to ingest orally post-surgery will be measured. (NCT03198871)
Timeframe: From date of randomization until the date of first documented oral intake, assessed up to 72 hours postoperatively

Interventionhours (Median)
Acetaminophen Injectable Product12.15
Sodium Chloride 0.9%, Intravenous9.40

Time to Readiness for Discharge From Post Anesthesia Care Unit (PACU)

The time from PACU admission to PACU discharge to the floor will be measured. (NCT03198871)
Timeframe: From time of PACU admission until the time of discharge, assessed up to 24 hours postoperatively

Interventionminutes (Median)
Acetaminophen Injectable Product129.00
Sodium Chloride 0.9%, Intravenous152.50

Patient Satisfaction

Overall patient satisfaction as well as satisfaction relating to pain management and cost analyses will be measured. These will be measured with a numerical rating scale (NRS) with 0- being worst satisfaction and 10 - best satisfaction. (NCT03198871)
Timeframe: These measurements will be taken at time of discharge up to 30 days, whichever comes first

,
Interventionscore on a scale (Median)
Patient satisfaction score, overallPatient Satisfaction score, pain management
Acetaminophen Injectable Product1010
Sodium Chloride 0.9%, Intravenous1010

Post-operative Emesis

Frequency of emesis and rescue antiemetic requirement will be documented (NCT03198871)
Timeframe: These will be evaluated from the time of PACU admission until 72 hours postoperatively.

,
InterventionParticipants (Count of Participants)
Emesis incidence 0-72 hoursAntiemetic use
Acetaminophen Injectable Product1231
Sodium Chloride 0.9%, Intravenous1445

Post-operative Nausea

Nausea will be evaluated by nausea score from 0 to 10, with 0 equaling no nausea and 10 equaling the worst nausea imaginable. (NCT03198871)
Timeframe: These will be evaluated from the time of PACU admission until 72 hours postoperatively.

,
Interventionscore on a scale (Mean)
Nausea score POD 1 (am visit)Nausea score POD 1 (pm visit)Nausea score POD 2 (am visit)Nausea score POD 2 (pm visit)Nausea score POD 3 (am visit)Nausea score POD 3 (pm visit)
Acetaminophen Injectable Product1.130.490.710.550.320.56
Sodium Chloride 0.9%, Intravenous0.600.920.750.690.660.78

SF-12 Health Survey

Survey to assess patient's overall health (via a combination of mental and physical health assessment) at 30 days post-discharge. Two summary scores are reported from the SF-12 - a mental component score (MCS-12) and a physical component score (PCS-12). The scores may be reported as Z-scores (difference compared to the population average, measured in standard deviations). The United States population average PCS-12 and MCS-12 are both 50 points. The United States population standard deviation is 10 points. So each 10 increment of 10 points above or below 50, corresponds to one standard deviation away from the average (NCT03198871)
Timeframe: These measurements will take place at 30-days post hospital discharge

,
InterventionZ-scores (difference compared to the pop (Median)
SF 12 Physical scoreSF 12 Mental score
Acetaminophen Injectable Product38.7254.02
Sodium Chloride 0.9%, Intravenous38.0752.08

Total Post-operative Narcotic Consumption

Rescue analgesia will be given according to institutional pain management protocol. Unit of Measure recorded as OME (Oral Morphine Equivalent) consumption in mg. (NCT03198871)
Timeframe: From time of PACU admission until the time of discharge and 72-hours postoperatively, whichever comes first

,
Interventionmg (Median)
0-24 hours24-48 hours48-72 hours0-48 hours0-72 hours
Acetaminophen Injectable Product27.431.33074105.00
Sodium Chloride 0.9%, Intravenous364537.588.8127.1

Reviews

2 reviews available for fentanyl and Lung Diseases

ArticleYear
Fatal overdose due to prescription fentanyl patches in a patient with sickle cell/beta-thalassemia and acute chest syndrome: A case report and review of the literature.
    The American journal of forensic medicine and pathology, 2009, Volume: 30, Issue:2

    Topics: Accidents; Acute Disease; Administration, Cutaneous; Adult; Analgesics, Opioid; beta-Thalassemia; Dr

2009
[Indications and contraindications for neuroleptoanalgesia].
    Wiener medizinische Wochenschrift (1946), 1967, Jul-08, Volume: 117, Issue:27

    Topics: Abdomen; Analgesics; Animals; Benperidol; Eye Diseases; Fentanyl; Haloperidol; Humans; Isonipecotic

1967

Trials

5 trials available for fentanyl and Lung Diseases

ArticleYear
Effect of Combined Acupuncture Anesthesia on Surgical Dosage and Serum IL-4, IL-10 of Pneumonectomy Patients.
    Journal of the College of Physicians and Surgeons--Pakistan : JCPSP, 2018, Volume: 28, Issue:11

    Topics: Acupuncture Analgesia; Anesthetics, Intravenous; Blood Pressure; Enzyme-Linked Immunosorbent Assay;

2018
Effect of preincisional epidural fentanyl and bupivacaine on postthoracotomy pain and pulmonary function.
    The Annals of thoracic surgery, 2010, Volume: 89, Issue:2

    Topics: Adult; Aged; Analgesia, Epidural; Analgesics, Opioid; Anesthetics, Local; Blood Glucose; Bupivacaine

2010
Gastric emptying in post-thoracotomy patients receiving a thoracic fentanyl-bupivacaine epidural infusion.
    European journal of anaesthesiology, 2002, Volume: 19, Issue:9

    Topics: Aged; Aged, 80 and over; Analgesia, Epidural; Anesthetics, Combined; Anesthetics, Intravenous; Anest

2002
Continuous paravertebral extrapleural infusion for post-thoracotomy pain management.
    Surgery, 1999, Volume: 126, Issue:4

    Topics: Anesthesia, Epidural; Anesthetics, Local; Bupivacaine; Catheterization; Fentanyl; Forced Expiratory

1999
Use of midazolam ('Dormicum') and flumazenil ('Anexate') in paediatric bronchology.
    Current medical research and opinion, 1992, Volume: 12, Issue:9

    Topics: Anesthesia; Atropine; Bronchoscopy; Child, Preschool; Chronic Disease; Drug Administration Schedule;

1992

Other Studies

12 other studies available for fentanyl and Lung Diseases

ArticleYear
Safety and discomfort during bronchoscopy performed under sedation with fentanyl and midazolam: a prospective study.
    Japanese journal of clinical oncology, 2016, Volume: 46, Issue:9

    Topics: Adult; Aged; Aged, 80 and over; Bronchoscopy; Female; Fentanyl; Hemodynamics; Humans; Hypnotics and

2016
Clinical and hemodynamic factors associated with the outcome of early extubation attempts after right heart bypass surgery.
    Interactive cardiovascular and thoracic surgery, 2009, Volume: 8, Issue:6

    Topics: Analgesics, Opioid; Anesthesia, General; Cardiotonic Agents; Female; Fentanyl; Heart Bypass, Right;

2009
Invited commentary.
    The Annals of thoracic surgery, 2010, Volume: 89, Issue:2

    Topics: Analgesia, Epidural; Analgesics, Opioid; Anesthetics, Local; Bupivacaine; Carbon Dioxide; Double-Bli

2010
[Economic and clinical impact of a controlled sedation procedure in an intensive care unit].
    Annales francaises d'anesthesie et de reanimation, 2012, Volume: 31, Issue:10

    Topics: Adult; Aged; Clinical Protocols; Conscious Sedation; Costs and Cost Analysis; Critical Care; Databas

2012
Early extubation after single-lung transplantation: analysis of the first 106 cases.
    Journal of cardiothoracic and vascular anesthesia, 2003, Volume: 17, Issue:1

    Topics: Adult; Aged; Analgesia, Epidural; Analgesics, Opioid; Anesthetics, Combined; Female; Fentanyl; Force

2003
Assessing transient pulmonary injury induced by volatile anesthetics by increased lung uptake of technetium-99m hexamethylpropylene amine oxime.
    Lung, 2003, Volume: 181, Issue:1

    Topics: Adult; Aged; Anesthetics, Inhalation; Anesthetics, Intravenous; Endothelium, Vascular; Female; Fenta

2003
[Propofol anesthesia for fetal sedation].
    Masui. The Japanese journal of anesthesiology, 2004, Volume: 53, Issue:3

    Topics: Adult; Anesthesia, Intravenous; Anesthesia, Obstetrical; Anesthetics, Intravenous; Cesarean Section;

2004
Adverse cardiovascular and respiratory events during sedation of pediatric patients for imaging examinations.
    Radiology, 2005, Volume: 237, Issue:1

    Topics: Cardiovascular System; Child, Preschool; Chloral Hydrate; Conscious Sedation; Diagnostic Imaging; Fe

2005
Postoperative pulmonary complications and morbidity after abdominal aneurysmectomy: a comparison of postoperative epidural versus parenteral opioid analgesia.
    The American surgeon, 1996, Volume: 62, Issue:1

    Topics: Aged; Aged, 80 and over; Analgesia; Analgesia, Epidural; Analgesics, Opioid; Aortic Aneurysm, Abdomi

1996
Brain surface pO2 and rCBF in rabbits with a focal cerebral lesion and pulmonary hypoxia under fentanyl-, isoflurane- or thiopental-anesthesia.
    Advances in experimental medicine and biology, 1992, Volume: 317

    Topics: Anesthesia, General; Animals; Brain; Brain Injuries; Cerebral Cortex; Fentanyl; Hypoxia; Isoflurane;

1992
[Clinico-physiological substantiation of using various methods of anesthesia in operations on the lungs in patients with chronic respiratory insufficiency].
    Vestnik khirurgii imeni I. I. Grekova, 1985, Volume: 134, Issue:6

    Topics: Anesthesia, General; Chronic Disease; Ether; Fentanyl; Halothane; Hemodynamics; Humans; Lung Disease

1985
[Neuroleptanalgesia in surgery on the organs of the chest].
    Vestnik khirurgii imeni I. I. Grekova, 1969, Volume: 103, Issue:9

    Topics: Adolescent; Adult; Aged; Benperidol; Fentanyl; Humans; Lung Diseases; Methods; Middle Aged; Mitral V

1969