Although it has been more than 165 years since the first introduction of modern anesthesia to the clinic, there is surprisingly little understanding about the exact mechanisms by which general anesthetics induce uncon...Although it has been more than 165 years since the first introduction of modern anesthesia to the clinic, there is surprisingly little understanding about the exact mechanisms by which general anesthetics induce unconsciousness. As a result, we do not know how general anesthetics produce anesthesia at different levels. The main handicap to understanding the mechanisms of general anesthesia is the diversity of chemically unrelated compounds including diethyl ether and halogenated hydrocarbons, gases nitrous oxide, ketamine, propofol, benzodiazepines and etomidate, as well as alcohols and barbiturates. Does this imply that general anesthesia is caused by many different mechanisms? Until now, many receptors, molecular targets and neuronal transmission pathways have been shown to contribute to mechanisms of general anesthesia. Among these molecular targets, ion channels are the most likely candidates for general anesthesia, in particular γ-aminobutyric acid type A, potassium and sodium channels, as well as ion channels mediated by various neuronal transmitters like acetylcholine, amino acids amino-3-hydroxy-5-methyl-4-isoxazolpropionic acid or N-methyl-D-aspartate. In addition, recent studies have demonstrated the involvement in general anesthesia of other ion channels with distinct gating properties suchas hyperpolarization-activated, cyclic- nucleotide-gated channels. The main aim of the present review is to summarize some aspects of current knowledge of the effects of general anesthetics on various ion channels.展开更多
In this paper, the ratio of powers in the frequency bands of β2 and θ waves in EEG signals (termed as the β2/θ -ratio) was introduced as a potential enhancement in measuring anesthesia depth. The β2/θ -ratio was...In this paper, the ratio of powers in the frequency bands of β2 and θ waves in EEG signals (termed as the β2/θ -ratio) was introduced as a potential enhancement in measuring anesthesia depth. The β2/θ -ratio was compared to the relative β-ratio which had been commercially used in the BIS monitor. Sensitivity and reliability of the β2/θ -ratio and EEG measurement locations were analyzed for their effectiveness in measuring anesthesia depth during different stages of propofol induced anesthesia (awake, induction, maintenance, and emergence). The analysis indicated that 1) the relative β -ratio and β2/θ-ratio derived from the prefrontal, frontal, and the central cortex EEG signals were of substantial sensitivity for capturing anesthesia depth changes. 2) Certain channel positions in the frontal part of the cortex, such as , had the combined benefits of substantial sensitivity and noise resistance. 3) The β2/θ-ratio captured the initial excitation, while the relative β -ratio did not. 4) In the maintenance and emergence stages, the β2/θ -ratio showed improved reliability. Implications: The ratio of powers in EEG frequency bands and derived from the frontal cortex EEG channels has combined benefits of substantial sensitivity and noise resistance in measuring anesthesia depth.展开更多
In the current study,we sought to investigate whether T-type Ca^(2+)channels(TCCs)in the brain are involved in generating post-anesthetic hyperexcitatory behaviors(PAHBs).We found that younger rat pups(postnatal days ...In the current study,we sought to investigate whether T-type Ca^(2+)channels(TCCs)in the brain are involved in generating post-anesthetic hyperexcitatory behaviors(PAHBs).We found that younger rat pups(postnatal days 9-11)had a higher incidence of PAHBs and higher PAHB scores than older pups(postnatal days16-18)during emergence from sevoflurane anesthesia.The power spectrum of the theta oscillations(4 Hz-8 Hz)in the prefrontal cortex was significantly enhanced in younger pups when PAHBs occurred,while there were no significant changes in older pups.Both the power of theta oscillations and the level of PAHBs were significantly reduced by the administration of TCC inhibitors.Moreover,the sensitivity of TCCs in the medial dorsal thalamic nucleus to sevoflurane was found to increase with age by investigating the kinetic properties of TCCs in vitro.TCCs were activated by potentiated GABAergic depolarization with a sub-anesthetic dose of sevoflurane(1%).These data suggest that(1)TCCs in the brain contribute to the generation of PAHBs and the concomitant electroencephalographic changes;(2)the stronger inhibitory effect of sevoflurane contributes to the lack of PAHBs in older rats;and(3)the contribution of TCCs to PAHBs is not mediated by a direct effect of sevoflurane on TCCs.展开更多
文摘Although it has been more than 165 years since the first introduction of modern anesthesia to the clinic, there is surprisingly little understanding about the exact mechanisms by which general anesthetics induce unconsciousness. As a result, we do not know how general anesthetics produce anesthesia at different levels. The main handicap to understanding the mechanisms of general anesthesia is the diversity of chemically unrelated compounds including diethyl ether and halogenated hydrocarbons, gases nitrous oxide, ketamine, propofol, benzodiazepines and etomidate, as well as alcohols and barbiturates. Does this imply that general anesthesia is caused by many different mechanisms? Until now, many receptors, molecular targets and neuronal transmission pathways have been shown to contribute to mechanisms of general anesthesia. Among these molecular targets, ion channels are the most likely candidates for general anesthesia, in particular γ-aminobutyric acid type A, potassium and sodium channels, as well as ion channels mediated by various neuronal transmitters like acetylcholine, amino acids amino-3-hydroxy-5-methyl-4-isoxazolpropionic acid or N-methyl-D-aspartate. In addition, recent studies have demonstrated the involvement in general anesthesia of other ion channels with distinct gating properties suchas hyperpolarization-activated, cyclic- nucleotide-gated channels. The main aim of the present review is to summarize some aspects of current knowledge of the effects of general anesthetics on various ion channels.
文摘In this paper, the ratio of powers in the frequency bands of β2 and θ waves in EEG signals (termed as the β2/θ -ratio) was introduced as a potential enhancement in measuring anesthesia depth. The β2/θ -ratio was compared to the relative β-ratio which had been commercially used in the BIS monitor. Sensitivity and reliability of the β2/θ -ratio and EEG measurement locations were analyzed for their effectiveness in measuring anesthesia depth during different stages of propofol induced anesthesia (awake, induction, maintenance, and emergence). The analysis indicated that 1) the relative β -ratio and β2/θ-ratio derived from the prefrontal, frontal, and the central cortex EEG signals were of substantial sensitivity for capturing anesthesia depth changes. 2) Certain channel positions in the frontal part of the cortex, such as , had the combined benefits of substantial sensitivity and noise resistance. 3) The β2/θ-ratio captured the initial excitation, while the relative β -ratio did not. 4) In the maintenance and emergence stages, the β2/θ -ratio showed improved reliability. Implications: The ratio of powers in EEG frequency bands and derived from the frontal cortex EEG channels has combined benefits of substantial sensitivity and noise resistance in measuring anesthesia depth.
基金supported by the National Natural Science Foundation,Beijing,People’s Republic of China(81671058 and 81730031 to YW and 81401089 to MD)the National Research Foundation of Korea grants funded by the Republic of Korea(2019R1I1A1A01057744 to YK)the Foundation of Shanghai Municipal Science and Technology Commission(19ZR1407500 to FS)。
文摘In the current study,we sought to investigate whether T-type Ca^(2+)channels(TCCs)in the brain are involved in generating post-anesthetic hyperexcitatory behaviors(PAHBs).We found that younger rat pups(postnatal days 9-11)had a higher incidence of PAHBs and higher PAHB scores than older pups(postnatal days16-18)during emergence from sevoflurane anesthesia.The power spectrum of the theta oscillations(4 Hz-8 Hz)in the prefrontal cortex was significantly enhanced in younger pups when PAHBs occurred,while there were no significant changes in older pups.Both the power of theta oscillations and the level of PAHBs were significantly reduced by the administration of TCC inhibitors.Moreover,the sensitivity of TCCs in the medial dorsal thalamic nucleus to sevoflurane was found to increase with age by investigating the kinetic properties of TCCs in vitro.TCCs were activated by potentiated GABAergic depolarization with a sub-anesthetic dose of sevoflurane(1%).These data suggest that(1)TCCs in the brain contribute to the generation of PAHBs and the concomitant electroencephalographic changes;(2)the stronger inhibitory effect of sevoflurane contributes to the lack of PAHBs in older rats;and(3)the contribution of TCCs to PAHBs is not mediated by a direct effect of sevoflurane on TCCs.
