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.