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| - | Am Rev Respir Dis. 1989 Jan;139(1):126-33.
| + | |
| - | Effects of oral morphine on breathlessness and exercise tolerance in patients with chronic obstructive pulmonary disease.
| + | |
| - | Light RW, Muro JR, Sato RI, Stansbury DW, Fischer CE, Brown SE.
| + | |
| - | Source
| + | |
| - | Department of Medicine, Veterans Administration Medical Center, Long Beach, CA 90822.
| + | |
| - | Abstract
| + | |
| - | Previous studies have shown that opiates increase the maximal external work performed at exhaustion in patients with chronic obstructive pulmonary disease (COPD). The mechanism responsible for this improvement in exercise tolerance is unknown. The purpose of this study was to determine the effects of an oral morphine solution (0.8 mg/kg) on the exercise tolerance, perception of dyspnea, and arterial blood gases of patients with COPD. Thirteen eucapnic patients with stable COPD (FEV1 = 0.99 +/- 0.48) underwent duplicate incremental cycle ergometer tests to exhaustion (Emax) after the ingestion of placebo and after the ingestion of morphine. After the ingestion of morphine, the maximal workload increased by 18% (p less than 0.001) and the VO2 increased by 19.3% (p less than 0.001). Ten of the 13 patients had a higher ventilation at Emax after morphine ingestion. Despite the higher ventilation at Emax after morphine, the mean Borg score was not significantly higher. At Emax after morphine ingestion, the PaO2 (65.8 +/- 11.6 mm Hg) was significantly lower and the PaCO2 (43.5 +/- 8.3 mm Hg) was significantly higher than at Emax after placebo (71.9 +/- 15.5 and 38.3 +/- 8.5, respectively). When data at the highest equivalent workload were analyzed, the ventilation and the Borg scores were significantly lower, whereas the VO2 and VCO2 were comparable. From this study, we conclude that the administration of opiates can substantially increase the exercise capacity of patients with COPD. The improved exercise tolerance appears to be related to both a higher PaCO2 resulting in lowered ventilation requirements for a given workload and also to a reduced perception of breathlessness for a given level of ventilation.
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| - | Lack of effect of dextromethorphan on breathlessness and exercise performance in patients with chronic obstructive pulmonary disease (COPD).
| + | |
| - | [Eur Respir J. 1991]
| + | |
| - | Effect of naloxone on maximal exercise performance and control of ventilation in COPD.
| + | |
| - | [Chest. 1989]
| + | |
| - | Lung function and exercise gas exchange in chronic heart failure.
| + | |
| - | [Circulation. 1997]
| + | |
| - | Effects of inhaled anticholinergic drug on dyspnea and gas exchange during exercise in patients with chronic obstructive pulmonary disease.
| + | |
| - | [Chest. 1993]
| + | |
| - | Inhaled bronchodilators reduce dynamic hyperinflation during exercise in patients with chronic obstructive pulmonary disease.
| + | |
| - | [Am J Respir Crit Care Med. 1996]
| + | |
| - | See reviews...
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| - | Cited by 9 PubMed Central articles
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| - | Effect of nebulized morphine on dyspnea of mustard gas-exposed patients: a double-blind randomized clinical trial study.
| + | |
| - | [Pulm Med. 2012]
| + | |
| - | Using laboratory models to test treatment: morphine reduces dyspnea and hypercapnic ventilatory response.
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| - | [Am J Respir Crit Care Med. 2011]
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| - | Killing the symptom without killing the patient.
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| - | Am Rev Respir Dis. 1989 Jan;139(1):126-33.
| + | |
| - | Effects of oral morphine on breathlessness and exercise tolerance in patients with chronic obstructive pulmonary disease.
| + | |
| - | Light RW, Muro JR, Sato RI, Stansbury DW, Fischer CE, Brown SE.
| + | |
| - | Source
| + | |
| - | Department of Medicine, Veterans Administration Medical Center, Long Beach, CA 90822.
| + | |
| - | Abstract
| + | |
| - | Previous studies have shown that opiates increase the maximal external work performed at exhaustion in patients with chronic obstructive pulmonary disease (COPD). The mechanism responsible for this improvement in exercise tolerance is unknown. The purpose of this study was to determine the effects of an oral morphine solution (0.8 mg/kg) on the exercise tolerance, perception of dyspnea, and arterial blood gases of patients with COPD. Thirteen eucapnic patients with stable COPD (FEV1 = 0.99 +/- 0.48) underwent duplicate incremental cycle ergometer tests to exhaustion (Emax) after the ingestion of placebo and after the ingestion of morphine. After the ingestion of morphine, the maximal workload increased by 18% (p less than 0.001) and the VO2 increased by 19.3% (p less than 0.001). Ten of the 13 patients had a higher ventilation at Emax after morphine ingestion. Despite the higher ventilation at Emax after morphine, the mean Borg score was not significantly higher. At Emax after morphine ingestion, the PaO2 (65.8 +/- 11.6 mm Hg) was significantly lower and the PaCO2 (43.5 +/- 8.3 mm Hg) was significantly higher than at Emax after placebo (71.9 +/- 15.5 and 38.3 +/- 8.5, respectively). When data at the highest equivalent workload were analyzed, the ventilation and the Borg scores were significantly lower, whereas the VO2 and VCO2 were comparable. From this study, we conclude that the administration of opiates can substantially increase the exercise capacity of patients with COPD. The improved exercise tolerance appears to be related to both a higher PaCO2 resulting in lowered ventilation requirements for a given workload and also to a reduced perception of breathlessness for a given level of ventilation.
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| - | PMID: 2492170 [PubMed - indexed for MEDLINE]
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| - | The following setswitch user interface control may not be accessible. Tab to the next button to revert the control to an accessible version.Destroy user interface controlAdd to Favorites
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| - | Related citations in PubMed
| + | |
| - | Lack of effect of dextromethorphan on breathlessness and exercise performance in patients with chronic obstructive pulmonary disease (COPD).
| + | |
| - | [Eur Respir J. 1991]
| + | |
| - | Effect of naloxone on maximal exercise performance and control of ventilation in COPD.
| + | |
| - | [Chest. 1989]
| + | |
| - | Lung function and exercise gas exchange in chronic heart failure.
| + | |
| - | [Circulation. 1997]
| + | |
| - | Effects of inhaled anticholinergic drug on dyspnea and gas exchange during exercise in patients with chronic obstructive pulmonary disease.
| + | |
| - | [Chest. 1993]
| + | |
| - | Inhaled bronchodilators reduce dynamic hyperinflation during exercise in patients with chronic obstructive pulmonary disease.
| + | |
| - | [Am J Respir Crit Care Med. 1996]
| + | |
| - | See reviews...
| + | |
| - | See all...
| + | |
| - | Cited by 9 PubMed Central articles
| + | |
| - | Effect of nebulized morphine on dyspnea of mustard gas-exposed patients: a double-blind randomized clinical trial study.
| + | |
| - | [Pulm Med. 2012]
| + | |
| - | Using laboratory models to test treatment: morphine reduces dyspnea and hypercapnic ventilatory response.
| + | |
| - | [Am J Respir Crit Care Med. 2011]
| + | |
| - | Killing the symptom without killing the patient.
| + | |
| - | [Can Fam Physician. 2010]
| + | |
| - | See all...
| + | |
| - | Related information
| + | |
| - | Related Citations
| + | |
| - | Compound
| + | |
| - | Compound (MeSH Keyword)
| + | |
| - | Substance
| + | |
| - | Substance (MeSH Keyword)
| + | |
| - | Cited in PMC
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| - | Recent activity
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| - | Clear Turn Off
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| - | Effects of oral morphine on breathlessness and exercise tolerance in patients wi...
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| - | suppose someone gave you a pen - a sealed, solid-colored pen. you couldn't see how much ink it had. it might run dry after the first few tentative words or last just long enough to create a masterpiece （or several） that would last forever and make a difference in the scheme of things.
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| - | <li>as Asia's largest iron ore</li>
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| - | <li>accident disaster weather</li>
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| - | <li>"you are the George washington. cultural</li>
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| - | BEIJING, March 15 (Xinhua) -- The presidium of the first session of the 12th National People's Congress (NPC) on Friday tabled the candidate list for the new cabinet to the NPC delegations for discussion.
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| - | Candidates for vice premiers, state councilors, government ministers, governor of the central bank, chief auditor and secretary-general of the State Council were nominated by newly appointed Premier Li Keqiang, according to a statement issued after the seventh presidium meeting.
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Currently, this service is ranked #1 out of 5 services in the Article Submission category. We calculate a Marketplace Rank for every service and we use it to determine how much business to send to each service.
With our current levels of supply and demand, given your service's Marketplace Rank, we expect this service to earn approximately $1,091 per week, on average.
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During the last 7 days, you had some blasts have to be redelivered because you did not return enough correct URLs one the first attempt. Partial failures really bad to our customers, so we treat these almost as badly as full failures. Please make sure you deliver blasts correctly the first time.
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Your service is priced higher than 1 other service(s) in this category. Even if you have a better cost-per-link, it helps your Marketplace Rank to have a lower overall price. Consider offering a smaller blast: half the links for half the cost. Just make sure that doing this doesn't hurt any other measures of quality (delivery time, etc.).
Your average delivery time for a blast is 1.4 days. See if you can improve delivery times.
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