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Mechanisms by which opioids may reduce dyspnea

Mechanisms by which opioids may reduce dyspnea
Decreased metabolic rate and ventilatory requirements
Reduced medullary sensitivity to hypercarbia or hypoxia
Blunted medullary response to hypercarbia or hypoxia
Alteration of neurotransmission within medullary respiratory centre
Cortical sedation (suppression of respiratory awareness)
Analgesia - reduction of pain-induced respiratory drive
Anxiolytic effects
Blunted afferent transmission from pulmonary mechanoreceptor to the CNS
Vasodilation (improved cardiac function)
Mech_opioids_may_red_dys.htm
CNS: central nervous system.
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