Fentanyl Disrupts Vagal Control of Airway Tone to Induce Transient Obstruction

Fentanyl disrupts respiratory-autonomic integration by enhancing parasympathetic vagal drive, producing a central, opioid receptor-mediated mechanism of airway constriction. Targeting vagal pathways may therefore represent a promising adjunctive strategy for improving airway patency and ventilatory recovery during opioid overdose reversal.

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Publication Details

Journal
Acta Physiologica
Published
2025-10-15
DOI
https://doi.org/10.1111/apha.70119
Primary Topic
Neuroscience of respiration and sleep
Type
article
Field-Weighted Citation Impact
0.00

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article

Fentanyl Disrupts Vagal Control of Airway Tone to Induce Transient Obstruction

Richard C. Parks, Michelle Fog Andersen, Nicholas J. Burgraff, Mackenna L. Hatfield
Acta Physiologica
Neuroscience of respiration and sleep
article

Fentanyl Disrupts Vagal Control of Airway Tone to Induce Transient Obstruction

Richard C. Parks, Michelle Fog Andersen, Nicholas J. Burgraff, Mackenna L. Hatfield
article en

Abstract

Fentanyl disrupts respiratory-autonomic integration by enhancing parasympathetic vagal drive, producing a central, opioid receptor-mediated mechanism of airway constriction. Targeting vagal pathways may therefore represent a promising adjunctive strategy for improving airway patency and ventilatory recovery during opioid overdose reversal.

Acta PhysiologicaVol. 241(11)
University of Wisconsin System (US), University of Wisconsin–Madison (US)
National Institutes of Health
Openalex Percentile: Top 70%
Neuroscience of respiration and sleep
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