Many drugs used in anaesthesia depress respiration.

Opioids reduce the respiratory centre’s response to CO2. Pinpoint pupils are often a clue that excessive amounts of opioids have been given.

Naloxone will antagonize the opioid-induced respiratory depression, but it will reverse the analgesic effects as well.

A relative or absolute overdose of benzodiazepines can be reversed with Flumazenil.

Doxapram, a ventilatory stimulant, can be considered for non-specific respiratory depression.

Often the volatile agent contributes to hypoventilation, so ensure there has been adequate washout of these agents. Their level can be determined on the monitor.

Naloxine
Flumazenil
Doxapram