Evidence map›Paper›PMID 35724513›Full record

ArticleBiomedicine & pharmacotherapy = Biomedecine & pharmacotherapie2022

L-NAC reverses of the adverse effects of fentanyl infusion on ventilation and blood-gas chemistry.

Paulina M Getsy, Santhosh M Baby, Walter J May, Tristan H J Lewis, James N Bates, Yee-Hsee Hsieh, Benjamin Gaston, Stephen J Lewis

Open access · goldAbstract read
In one paragraph

Article in Biomedicine & pharmacotherapy = Biomedecine & pharmacotherapie, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
1.8field-weighted citation impact, top 16% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 19 citations in OpenAlex.

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  5. Fentanyl overdose: Temporal effects and prognostic factors in SKH1 mice.Basic & clinical pharmacology & toxicology · 2024
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 4 institutions in 1 country.

Paulina M GetsyDepartment of Pediatrics, Case Western Reserve University, Cleveland, OH 44106, USA.
Santhosh M BabyGalleon Pharmaceuticals, Inc., 213 Witmer Road, Horsham, PA 19044, USA. Electronic address: santhosh.m.baby@galvani.bio.
Walter J MayPediatric Respiratory Medicine, University of Virginia School of Medicine, Charlottesville, VA 22908, USA.
Tristan H J LewisDepartment of Pediatrics, Case Western Reserve University, Cleveland, OH 44106, USA.
James N BatesDepartment of Anesthesiology, University of Iowa Hospitals and Clinics, Iowa City, IA 52242, USA.
Yee-Hsee HsiehDivision of Pulmonary, Critical Care and Sleep Medicine, Case Western Reserve University, Cleveland, OH 44106, USA.
Benjamin GastonHerman B Wells Center for Pediatric Research, Indiana University School of Medicine, Indianapolis, IN 46202, USA.
Stephen J LewisDepartment of Pediatrics, Case Western Reserve University, Cleveland, OH 44106, USA; Department of Pharmacology, Case Western Reserve University, Cleveland, OH 44106, USA. Electronic address: sjl78@case.edu.
Case Western Reserve University · USIndiana University – Purdue University Indianapolis · USUniversity of Iowa Hospitals and Clinics · USUniversity of Virginia · US

Funding

S-nitrosothiol signaling in pulmonary epithelial cellsP01HL101871 · NHLBI · UNIVERSITY OF VIRGINIA · PI GASTON, BENJAMIN, LEWIS, STEPHEN JOHN · 2011 to 2015
$8.7M
Optimization of novel thioesters as a therapeutic strategy for combating opioid overdoses and abuseU01DA051373 · NIDA · CASE WESTERN RESERVE UNIVERSITY · PI LEWIS, STEPHEN JOHN · 2020 to 2022
$1.5M
Sudaxine as an analgesia sparing respiratory stimulant for use in critical careR61HL154136 · NHLBI · INDIANA UNIVERSITY INDIANAPOLIS · PI GASTON, BENJAMIN, LEWIS, STEPHEN JOHN · 2020 to 2021
$1.1M
NHLBI NIH HHS P01 HL101871NHLBI NIH HHS R61 HL154136NIDA NIH HHS U01 DA051373
6 · The paper itself

Abstract

There is an urgent need for development of drugs that are able to reverse the adverse effects of opioids on breathing and arterial blood-gas (ABG) chemistry while preserving opioid analgesia. The present study describes the effects of bolus injections of N-acetyl-L-cysteine (L-NAC, 500 μmol/kg, IV) on ventilatory parameters, ABG chemistry, Alveolar-arterial (A-a) gradient, sedation (righting reflex) and analgesia status (tail-flick latency assay) in unanesthetized adult male Sprague Dawley rats receiving a continuous infusion of fentanyl (1 μg/kg/min, IV). Fentanyl infusion elicited pronounced disturbances in (1) ventilatory parameters (e.g., decreases in frequency of breathing, tidal volume and minute ventilation), (2) ABG chemistry (decreases in pH, pO

Indexed as

Analgesics, OpioidFentanylAcetylcysteineAnimalsHumansLysineMalePainRatsRats, Sprague-DawleyAcetylcysteineAnalgesics, OpioidFentanylLysineN-acetylcysteine lysinateFentanyl infusionN-acetyl-L-cysteineOpioid-induced respiratory depressionRats

Identifiers

PMID35724513
PMCPMC9458628
OpenAlexW4283008410

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.