Key result
Systemic morphine depressed eupneic breathing by 30-60% but did not depress gasping, decreasing the rate of successful recovery from anoxia to 80% compared with 100% in the sham group.
Why the study?
The study was designed to examine the effects of systemic morphine on the pattern and morphology of gasping breathing during respiratory autoresuscitation from transient anoxia.
Does systemic morphine depress gasping breathing during respiratory autoresuscitation from transient anoxia in anesthetized adult rats?
Does systemic morphine depress gasping breathing during respiratory autoresuscitation from transient anoxia in anesthetized adult rats?
Absolute Event Rate: 80% vs 100%
Morphine spares gasping autoresuscitation despite eupneic suppression in rats; leaves open relevance to human opioid effects or resuscitation.
The goal of this study was to examine the effects of systemic morphine on the pattern and morphology of gasping breathing during respiratory autoresuscitation from transient anoxia. We hypothesized that systemic morphine levels sufficient to cause significant depression of eupnea would also cause depression of gasping breathing. Respiratory and cardiovascular variables were studied in 20 spontaneously breathing pentobarbital-anaesthetized adult male rats. Sham (saline) injections caused no significant change in resting respiratory or cardiovascular variables ( n = 10 rats). Morphine, on the other hand, caused significant depression of eupneic breathing, with ventilation and peak inspiratory flow decreased by ∼30–60%, depending on the background condition ( n = 10 rats). In contrast, morphine did not depress gasping breathing. Duration of primary apnea, time to restore eupnea, the number and amplitude of gasping breaths, average and maximum peak flows, and volume of gasping breaths were not significantly different postinjection in either condition. Blood pressures were all significantly lower following morphine injection at key time points in the process of autoresuscitation. Last, rate of successful recovery from anoxia was 80% in the morphine group (8/10 rats) compared with 100% (10/10 rats) in the sham group, postinjection. We conclude that the mechanisms and/or anatomic correlates underlying generation of gasping rhythm are distinct from those underlying eupnea, allowing gasping to remain robust to systemic morphine levels causing significant depression of eupnea. Morphine nevertheless decreases likelihood of recovery from transient anoxia, possibly as a result of decreased tissue perfusion pressures at critical time points during the process of respiratory autoresuscitation.
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Shoemaker et al. (2020) studied transient anoxia (n=20). Systemic morphine vs. Sham (saline) was evaluated on Successful recovery from anoxia. Systemic morphine depressed eupneic breathing by 30-60% but did not depress gasping, decreasing the rate of successful recovery from anoxia to 80% compared with 100% in the sham group.
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