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November 1, 1998Journal of Applied Physiology

Nociceptive mechanisms modulate ozone-induced human lung function decrements

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Why the study?

Do opioid-receptor agonists reverse ozone-induced chest pain and lung function decrements in healthy volunteers?

Population

62 healthy volunteers (18-59 yr) known to be 'weak' (WR; n = 20) and 'strong' ozone responders (SR; n = 42).

Comparison

Naloxone for weak responders, or sufentanil for… vs Saline iv.

Design

RCT, Randomly assigned to intervention or saline., Double-blind

Follow-up

Immediate post-exposure

Authors

APAnthony N. PassannanteUniversity of North Carolina at Chapel HillMHMilan J. HazuchaUniversity of North Carolina at Chapel HillPBPhilip A. BrombergUniversity of North Carolina at Chapel Hill

Discussion

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Implication

Rapid reversal supports opioid agonists for irritant exposures; confirms nociceptive mechanisms in ozone-induced inspiratory inhibition.

Structured PICO

Do opioid-receptor agonists reverse ozone-induced chest pain and lung function decrements in healthy volunteers?

P
Population
62 healthy volunteers (18-59 yr) known to be 'weak' (WR; n = 20) and 'strong' ozone responders (SR; n = 42).
I
Intervention
Naloxone (0.15 mg/kg iv) for weak responders, or sufentanil (0.2 microgram/kg iv) for strong responders, administered immediately after post-ozone spirometry.
C
Comparator
Saline iv.
O
Outcome
Reversal of ozone-induced chest pain and spirometric effects (forced expiratory volume in 1 s).surrogate

Nociceptive mechanisms play a key role in modulating ozone-induced inhibition of inspiration in strong responders.

Cite This Study

Passannante et al. (1998) studied this question.

synapsesocial.com/papers/6a7d778af71d7d96a037cc88https://doi.org/10.1152/jappl.1998.85.5.1863
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Contribution of vagal afferents to respiratory reflexes evoked by acute inhalation of ozone in dogs1993 · 52 citations
  2. 2Inhibition of cholinergic neurotransmission in human airways by opioids1992 · 54 citations
  3. 3Selective reduction of second pain sensations by systemic morphine in humans1986 · 137 citations
  4. 4Pulmonary Function and Symptom Responses after 6.6-Hour Exposure to 0.12 ppm Ozone with Moderate Exercise1988 · 196 citations
  5. 5Acute inhalation of ozone stimulates bronchial C-fibers and rapidly adapting receptors in dogs1993 · 110 citations