“…Systemic opioids also depress ventilation in animals by mechanisms, including central- (Campbell et al, 1995) and vagal afferent-mediated (Kaczy ska and Szereda-Przestaszewska, 2005) depression of ventilatory drive; skeletal muscle rigidity in the chest-wall and abdomen (Seamman, 1983; Niedhart et al, 1989; Bowdle, 1998); increases in pulmonary airway resistance (Willette et al, 1983); and increases in upper airway resistance via closure of the larynx (Willette et al, 1982, 1987; Bennett et al, 1997). Moreover, agonist-induced activation of central and peripheral opioid receptors blunt the hypoxic ventilatory response (see Zhang et al, 2009), and opioids such morphine and fentanyl inhibit carotid body chemoafferent activity and depress the responses of these afferents to hypoxic and hypercapnic challenges (McQueen and Rubeiro, 1980, 1981; Zimpfer et al, 1983; Kirby and McQueen, 1986; Mayer et al, 1989). Opioids including morphine also negatively affect ventilation-perfusion in the lungs of rabbits (Shafford and Schadt, 2008), pigs (Hannon and Bossone, 1991), dogs (Copland et al, 1987) and rats (Ling et al, 1985; Szikszay et al, 1986).…”