Nebulized fentanyl for respiratory symptoms in patients with COVID-19 (ventanyl trial)

<p dir="ltr">Patients with coronavirus disease (COVID-19) commonly experience distressing and challenging respiratory symptoms. Interventions such as oxygen therapy, oral opiates, and traditional nebulizers like ipratropium bromide and salbutamol are variable in their efficacy, and t...

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Main Author: Nissar Shaikh (11659441) (author)
Other Authors: Mohamad Y. Khatib (11659459) (author), Mohammad A. Al Wraidat (21322907) (author), Ahmed S. Mohamed (11659456) (author), Anood A. Al-Assaf (21322910) (author), Abdul Gafoor M. Tharayil (21322913) (author), Ahmad A. Abujaber (14586054) (author), Abdulqadir J. Nashwan (11659453) (author)
Published: 2022
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author Nissar Shaikh (11659441)
author2 Mohamad Y. Khatib (11659459)
Mohammad A. Al Wraidat (21322907)
Ahmed S. Mohamed (11659456)
Anood A. Al-Assaf (21322910)
Abdul Gafoor M. Tharayil (21322913)
Ahmad A. Abujaber (14586054)
Abdulqadir J. Nashwan (11659453)
author2_role author
author
author
author
author
author
author
author_facet Nissar Shaikh (11659441)
Mohamad Y. Khatib (11659459)
Mohammad A. Al Wraidat (21322907)
Ahmed S. Mohamed (11659456)
Anood A. Al-Assaf (21322910)
Abdul Gafoor M. Tharayil (21322913)
Ahmad A. Abujaber (14586054)
Abdulqadir J. Nashwan (11659453)
author_role author
dc.creator.none.fl_str_mv Nissar Shaikh (11659441)
Mohamad Y. Khatib (11659459)
Mohammad A. Al Wraidat (21322907)
Ahmed S. Mohamed (11659456)
Anood A. Al-Assaf (21322910)
Abdul Gafoor M. Tharayil (21322913)
Ahmad A. Abujaber (14586054)
Abdulqadir J. Nashwan (11659453)
dc.date.none.fl_str_mv 2022-01-04T03:00:00Z
dc.identifier.none.fl_str_mv 10.1097/md.0000000000028637
dc.relation.none.fl_str_mv https://figshare.com/articles/journal_contribution/Nebulized_fentanyl_for_respiratory_symptoms_in_patients_with_COVID-19_ventanyl_trial_/29020958
dc.rights.none.fl_str_mv CC BY 4.0
info:eu-repo/semantics/openAccess
dc.subject.none.fl_str_mv Biomedical and clinical sciences
Clinical sciences
Pharmacology and pharmaceutical sciences
Health sciences
Epidemiology
cough
COVID-19
dyspnea
nebulized fentanyl
normal saline 0.9%
throat pain
dc.title.none.fl_str_mv Nebulized fentanyl for respiratory symptoms in patients with COVID-19 (ventanyl trial)
dc.type.none.fl_str_mv Text
Journal contribution
info:eu-repo/semantics/publishedVersion
text
contribution to journal
description <p dir="ltr">Patients with coronavirus disease (COVID-19) commonly experience distressing and challenging respiratory symptoms. Interventions such as oxygen therapy, oral opiates, and traditional nebulizers like ipratropium bromide and salbutamol are variable in their efficacy, and therapy responses in patients are difficult to predict. The purpose of this study is to investigate the efficacy of nebulized fentanyl citrate on dyspnea, cough, and throat pain in patients with COVID-19 and evaluate the safety with any potential adverse events.</p><p dir="ltr">In COVID-19, about 59% of patients will exhibit cough, 35% generalized body ache and sore throat, and 31% dyspnea. Some methods such as nebulized lidocaine, magnesium sulfate, and systemic opioids have been used to manage the respiratory symptoms. It has been previously shown that fentanyl nebulizer has beneficial effect in improving shortness of breath in patients with chronic obstructive pulmonary disease. The proposed theory behind that was that fentanyl decreased the rate of spontaneous respiratory rate, diminished the brain stem chemoreceptor response to hypoxia and hypercarbia, in addition to exhibiting a modulating effect on the brain stem. Therefore, we hypothesize that nebulized fentanyl has superior effect in improving shortness of breath and relieving cough compared to normal saline, in addition to its advantageous throat pain relief, while exhibiting fewer side effects in patients with COVID 19 infection. Therefore, this phase-III, randomized, comparative, parallel assignment, single-blinded clinical trial aims at assessing the efficacy and safety of nebulized fentanyl to suppress cough, improve breathlessness, and relieve throat pain in patients with COVID-19.</p><h2>Other Information</h2><p dir="ltr">Published in: Medicine<br>License: <a href="http://creativecommons.org/licenses/by/4.0" target="_blank">http://creativecommons.org/licenses/by/4.0</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1097/md.0000000000028637" target="_blank">https://dx.doi.org/10.1097/md.0000000000028637</a></p>
eu_rights_str_mv openAccess
id Manara2_1ab44d7fe67cdec4bea7ba00dd70b261
identifier_str_mv 10.1097/md.0000000000028637
network_acronym_str Manara2
network_name_str Manara2
oai_identifier_str oai:figshare.com:article/29020958
publishDate 2022
repository.mail.fl_str_mv
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rights_invalid_str_mv CC BY 4.0
spelling Nebulized fentanyl for respiratory symptoms in patients with COVID-19 (ventanyl trial)Nissar Shaikh (11659441)Mohamad Y. Khatib (11659459)Mohammad A. Al Wraidat (21322907)Ahmed S. Mohamed (11659456)Anood A. Al-Assaf (21322910)Abdul Gafoor M. Tharayil (21322913)Ahmad A. Abujaber (14586054)Abdulqadir J. Nashwan (11659453)Biomedical and clinical sciencesClinical sciencesPharmacology and pharmaceutical sciencesHealth sciencesEpidemiologycoughCOVID-19dyspneanebulized fentanylnormal saline 0.9%throat pain<p dir="ltr">Patients with coronavirus disease (COVID-19) commonly experience distressing and challenging respiratory symptoms. Interventions such as oxygen therapy, oral opiates, and traditional nebulizers like ipratropium bromide and salbutamol are variable in their efficacy, and therapy responses in patients are difficult to predict. The purpose of this study is to investigate the efficacy of nebulized fentanyl citrate on dyspnea, cough, and throat pain in patients with COVID-19 and evaluate the safety with any potential adverse events.</p><p dir="ltr">In COVID-19, about 59% of patients will exhibit cough, 35% generalized body ache and sore throat, and 31% dyspnea. Some methods such as nebulized lidocaine, magnesium sulfate, and systemic opioids have been used to manage the respiratory symptoms. It has been previously shown that fentanyl nebulizer has beneficial effect in improving shortness of breath in patients with chronic obstructive pulmonary disease. The proposed theory behind that was that fentanyl decreased the rate of spontaneous respiratory rate, diminished the brain stem chemoreceptor response to hypoxia and hypercarbia, in addition to exhibiting a modulating effect on the brain stem. Therefore, we hypothesize that nebulized fentanyl has superior effect in improving shortness of breath and relieving cough compared to normal saline, in addition to its advantageous throat pain relief, while exhibiting fewer side effects in patients with COVID 19 infection. Therefore, this phase-III, randomized, comparative, parallel assignment, single-blinded clinical trial aims at assessing the efficacy and safety of nebulized fentanyl to suppress cough, improve breathlessness, and relieve throat pain in patients with COVID-19.</p><h2>Other Information</h2><p dir="ltr">Published in: Medicine<br>License: <a href="http://creativecommons.org/licenses/by/4.0" target="_blank">http://creativecommons.org/licenses/by/4.0</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1097/md.0000000000028637" target="_blank">https://dx.doi.org/10.1097/md.0000000000028637</a></p>2022-01-04T03:00:00ZTextJournal contributioninfo:eu-repo/semantics/publishedVersiontextcontribution to journal10.1097/md.0000000000028637https://figshare.com/articles/journal_contribution/Nebulized_fentanyl_for_respiratory_symptoms_in_patients_with_COVID-19_ventanyl_trial_/29020958CC BY 4.0info:eu-repo/semantics/openAccessoai:figshare.com:article/290209582022-01-04T03:00:00Z
spellingShingle Nebulized fentanyl for respiratory symptoms in patients with COVID-19 (ventanyl trial)
Nissar Shaikh (11659441)
Biomedical and clinical sciences
Clinical sciences
Pharmacology and pharmaceutical sciences
Health sciences
Epidemiology
cough
COVID-19
dyspnea
nebulized fentanyl
normal saline 0.9%
throat pain
status_str publishedVersion
title Nebulized fentanyl for respiratory symptoms in patients with COVID-19 (ventanyl trial)
title_full Nebulized fentanyl for respiratory symptoms in patients with COVID-19 (ventanyl trial)
title_fullStr Nebulized fentanyl for respiratory symptoms in patients with COVID-19 (ventanyl trial)
title_full_unstemmed Nebulized fentanyl for respiratory symptoms in patients with COVID-19 (ventanyl trial)
title_short Nebulized fentanyl for respiratory symptoms in patients with COVID-19 (ventanyl trial)
title_sort Nebulized fentanyl for respiratory symptoms in patients with COVID-19 (ventanyl trial)
topic Biomedical and clinical sciences
Clinical sciences
Pharmacology and pharmaceutical sciences
Health sciences
Epidemiology
cough
COVID-19
dyspnea
nebulized fentanyl
normal saline 0.9%
throat pain