Why are narcotics given in low doses to patients with laryngectomies?

Narcotics are given in low doses to patients with laryngectomies to manage pain while minimizing side effects that could compromise respiratory function. These patients may already have altered airway dynamics and reduced respiratory capacity, so high doses of narcotics could lead to respiratory depression or sedation. Additionally, low doses help avoid complications associated with opioid use, such as constipation and dependency, while still providing adequate pain relief during recovery.