Isoflurane causes "flickering" of the acetylcholine receptor channel: observations using the patch clamp.

Abstract:

:The authors investigated the effects of a volatile anesthetic (isoflurane) on the functional properties of a well characterized membrane ion channel (the acetylcholine receptor channel), using the patch clamp electrophysiological method together with local microperfusion of isoflurane. They found that isoflurane causes single acetylcholine receptor channels to "flicker" rapidly between open and closed states, reminiscent of the kinetic pattern induced by local anesthetics. The mean amplitude of currents flowing through open channels was unchanged. Although these observations initially suggested that isoflurane blocks open ion channels, closer analysis of the "isoflurane pattern" revealed features inconsistent with classical open channel block: the duration of bursts of channel openings is shortened, and that of the brief closures within bursts lengthens as the concentration of isoflurane is increased. The authors suggest that isoflurane exerts its characteristic effects on the kinetic properties of acetylcholine receptor channel by an allosteric mechanism. In addition, and apart from their mechanistic significance, these effects may underlie the known potentiation by isoflurane of curariform neuromuscular blockade.

journal_name

Anesthesiology

journal_title

Anesthesiology

authors

Brett RS,Dilger JP,Yland KF

doi

10.1097/00000542-198808000-00003

subject

Has Abstract

pub_date

1988-08-01 00:00:00

pages

161-70

issue

2

eissn

0003-3022

issn

1528-1175

journal_volume

69

pub_type

杂志文章
  • Intrathecal sufentanil for labor analgesia does not cause a sympathectomy.

    abstract:BACKGROUND:Intrathecal sufentanil (ITS) is frequently used to provide analgesia during labor. Decreases in blood pressure and sensory changes in this circumstance suggest that ITS may have a local anesthetic effect and thus cause a sympathectomy. To determine whether ITS given to laboring women causes a sympathectomy, ...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-199710000-00022

    authors: Riley ET,Walker D,Hamilton CL,Cohen SE

    更新日期:1997-10-01 00:00:00

  • Differences between aortic and radial artery pressure associated with cardiopulmonary bypass.

    abstract::Previous investigators have identified an aortic-to-radial artery pressure gradient thought to develop during rewarming and discontinuation of cardiopulmonary bypass. The authors measured mean aortic and radial artery pressures before, during, and after cardiopulmonary bypass in 30 patients, to determine when the pres...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-199207000-00009

    authors: Rich GF,Lubanski RE Jr,McLoughlin TM

    更新日期:1992-07-01 00:00:00

  • Metabolism of ketamine stereoisomers by human liver microsomes.

    abstract::Ketamine is used clinically as a racemic mixture of optical isomers that differ in their analgesic properties and psychomimetic effects. Administered individually, or together as the racemate, ketamine enantiomers differ in their hepatic clearance and duration of anesthetic effect. S(+) ketamine exhibits a greater cle...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-199212000-00022

    authors: Kharasch ED,Labroo R

    更新日期:1992-12-01 00:00:00

  • Postoperative pain facilitates nonthermoregulatory tremor.

    abstract:BACKGROUND:Spontaneous tremor is relatively common in normothermic patients after operation and has been attributed to many causes. The hypothesis that nonthermoregulatory shivering-like tremor is facilitated by postoperative pain was tested. In addition, the effects of intravenous lidocaine on nonthermoregulatory trem...

    journal_title:Anesthesiology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/00000542-199910000-00017

    authors: Horn EP,Schroeder F,Wilhelm S,Sessler DI,Standl T,von dem Busche K,Schulte am Esch J

    更新日期:1999-10-01 00:00:00

  • A new noninvasive method to measure blood pressure: results of a multicenter trial.

    abstract:BACKGROUND:Blood pressure (BP) monitoring with arterial waveform display requires an arterial cannula. We evaluated a new noninvasive device, Vasotrac (Medwave, Arden Hills, MN) that provides BP measurements approximately every 12-15 beats and displays pulse rate and a calibrated arterial waveform for each BP measureme...

    journal_title:Anesthesiology

    pub_type: 杂志文章,多中心研究

    doi:10.1097/00000542-199909000-00021

    authors: Belani K,Ozaki M,Hynson J,Hartmann T,Reyford H,Martino JM,Poliac M,Miller R

    更新日期:1999-09-01 00:00:00

  • Hemodynamic predictors of myocardial ischemia during halothane anesthesia for coronary-artery revascularization.

    abstract::The authors undertook a prospective study of 30 patients undergoing halothane anesthesia for coronary-artery revascularization to ascertain which clinically monitored hemodynamic variables--or combination of variables--associated with myocardial oxygen supply and demand best predict myocardial ischemia. Simultaneous r...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-198307000-00007

    authors: Lieberman RW,Orkin FK,Jobes DR,Schwartz AJ

    更新日期:1983-07-01 00:00:00

  • Calcium concentration-dependent mechanisms through which ketamine relaxes canine airway smooth muscle.

    abstract:BACKGROUND:Ketamine is a potent bronchodilator that, in clinically used concentrations, relaxes airway smooth muscle in part by a direct effect. This study explored the role of calcium concentration (Ca2+) in this relaxation. METHODS:Canine trachea smooth muscle strips were loaded with the fluorescent probe fura-2 and...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-199705000-00014

    authors: Pabelick CM,Jones KA,Street K,Lorenz RR,Warner DO

    更新日期:1997-05-01 00:00:00

  • Halothane and isoflurane increase pulmonary artery endothelial cell sensitivity to oxidant-mediated injury.

    abstract::Volatile anesthetics inhibit phagocytic cell function, yet little is known about their effects on target tissues or on the target tissue response to stimulated phagocytes. Experiments were performed to determine how exposure to halothane and isoflurane changes rat pulmonary artery endothelial cell (RPAEC) viability in...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-199106000-00015

    authors: Shayevitz JR,Varani J,Ward PA,Knight PR

    更新日期:1991-06-01 00:00:00

  • Xenon does not increase heart rate-corrected cardiac QT interval in volunteers and in patients free of cardiovascular disease.

    abstract:BACKGROUND:Impaired cardiac repolarization, indicated by prolonged QT interval, may cause critical ventricular arrhythmias. Many anesthetics increase the QT interval by blockade of rapidly acting potassium rectifier channels. Although xenon does not affect these channels in isolated cardiomyocytes, the authors hypothes...

    journal_title:Anesthesiology

    pub_type: 临床试验,杂志文章

    doi:10.1097/ALN.0000000000000764

    authors: Neukirchen M,Schaefer MS,Kern C,Brett S,Werdehausen R,Rellecke P,Reyle-Hahn M,Kienbaum P

    更新日期:2015-09-01 00:00:00

  • Human subthalamic neuron spiking exhibits subtle responses to sedatives.

    abstract:BACKGROUND:During deep brain stimulation implant surgery, microelectrode recordings are used to map the location of targeted neurons. The effects produced by propofol or remifentanil on discharge activity of subthalamic neurons were studied intraoperatively to determine whether they alter neuronal activity. METHODS:Mi...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/ALN.0b013e3182217126

    authors: Maciver MB,Bronte-Stewart HM,Henderson JM,Jaffe RA,Brock-Utne JG

    更新日期:2011-08-01 00:00:00

  • Effects of Different Crystalloid Solutions on Hemodynamics, Peripheral Perfusion, and the Microcirculation in Experimental Abdominal Sepsis.

    abstract:BACKGROUND:Crystalloid solutions are used to restore intravascular volume in septic patients, but each solution has limitations. The authors compared the effects of three crystalloid solutions on hemodynamics, organ function, microcirculation, and survival in a sepsis model. METHODS:Peritonitis was induced by injectio...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/ALN.0000000000001273

    authors: Orbegozo D,Su F,Santacruz C,He X,Hosokawa K,Creteur J,De Backer D,Vincent JL

    更新日期:2016-10-01 00:00:00

  • Isoflurane postconditioning protects against reperfusion injury by preventing mitochondrial permeability transition by an endothelial nitric oxide synthase-dependent mechanism.

    abstract:BACKGROUND:The role of endothelial nitric oxide synthase (eNOS) in isoflurane postconditioning (IsoPC)-elicited cardioprotection is poorly understood. The authors addressed this issue using eNOS mice. METHODS:In vivo or Langendorff-perfused mouse hearts underwent 30 min of ischemia followed by 2 h of reperfusion in th...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/ALN.0b013e3181c4a607

    authors: Ge ZD,Pravdic D,Bienengraeber M,Pratt PF Jr,Auchampach JA,Gross GJ,Kersten JR,Warltier DC

    更新日期:2010-01-01 00:00:00

  • Studies on the safety of chronically administered intrathecal neostigmine methylsulfate in rats and dogs.

    abstract:BACKGROUND:The spinal delivery of the cholinesterase inhibitor neostigmine yields analgesia in rats and augments the analgesic effects of alpha 2 agonists in sheep. To assess its activity in humans, preclinical toxicology studies to define its safety were required in two species. METHODS:Rats with chronic intrathecal ...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-199502000-00012

    authors: Yaksh TL,Grafe MR,Malkmus S,Rathbun ML,Eisenach JC

    更新日期:1995-02-01 00:00:00

  • Individual probability of allogeneic erythrocyte transfusion in elective spine surgery: the predictive model of transfusion in spine surgery.

    abstract:BACKGROUND:The aim of this study was to generate a score based on preoperative characteristics and predictive of the individual probability of allogeneic erythrocyte transfusion in patients undergoing elective thoracolumbar spine surgery. METHODS:Two hundred thirty consecutive patients were retrospectively included ov...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/ALN.0b013e31819df9e0

    authors: Lenoir B,Merckx P,Paugam-Burtz C,Dauzac C,Agostini MM,Guigui P,Mantz J

    更新日期:2009-05-01 00:00:00

  • A brief regional ischemic-reperfusion enhances propofol-induced depression in left ventricular function of in situ rat hearts.

    abstract:BACKGROUND:Propofol is short-acting intravenous general anesthetics that reduces cardiovascular hemodynamics. The effects of propofol on intrinsic myocardial contractility, however, remain debatable. The aim of the current study was to test the hypothesis that inhibitory effects of propofol on left ventricular (LV) con...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-200410000-00012

    authors: Kuzumoto N,Kitagawa Y,Uemura K,Ueyama T,Yoshida K,Furuya H,Takaki M

    更新日期:2004-10-01 00:00:00

  • No involvement of antidiuretic hormone in acute antidiuresis during PEEP ventilation in humans.

    abstract::Decreased urinary output (Vu ml/min) after institution of PEEP is attributed to a variety of mechanisms including decreased cardiac output and renal blood flow (RBF), activation of neurohormonal reflexes, increased catecholamines, plasma renin activity (PRA), and antidiuretic hormone (ADH) release. To evaluate these f...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-198701000-00004

    authors: Payen DM,Farge D,Beloucif S,Leviel F,De La Coussaye JE,Carli P,Wirquin V

    更新日期:1987-01-01 00:00:00

  • Vomiting and recovery after outpatient tonsillectomy and adenoidectomy in children. Comparison of four anesthetic techniques using nitrous oxide with halothane or propofol.

    abstract:BACKGROUND:The authors' purpose in this study was to compare prospectively four different anesthetic induction and maintenance techniques using nitrous oxide with halothane and/or propofol for vomiting and recovery after outpatient tonsillectomy and adenoidectomy procedures in children. METHODS:Eighty unpremedicated c...

    journal_title:Anesthesiology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/00000542-199607000-00002

    authors: Ved SA,Walden TL,Montana J,Lea DE,Tefft MC,Kataria BK,Pudimat MA,Nicodemus HF,Milmoe GJ

    更新日期:1996-07-01 00:00:00

  • Halothane potentiates the antitumor activity of gamma-interferon and mimics calmodulin-blocking agents.

    abstract::This study reports effects of halothane on tumor cells in vitro. Cells from the human colon cancer cell line HT-29 were exposed to various concentrations of halothane for 8-72 h. The effect of this exposure on this colon cancer cell line, with and without coincubation with the biologic response modifier gamma-interfer...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-199101000-00019

    authors: Rudnick S,Stevenson GW,Hall SC,Espinoza-Delgado I,Stevenson HC,Longo DL

    更新日期:1991-01-01 00:00:00

  • Glutamate release from the ovine fetal brain during maternal hemorrhage. A study using chronic in utero cerebral microdialysis.

    abstract:BACKGROUND:Glutamate has been implicated in the pathophysiology of neuronal injury associated with cerebral hypoxia-ischemia. A model using chronic in utero microdialysis was developed to sample the extracellular space of the fetal brain. Using this model, we tested the hypothesis that glutamate efflux from the parasag...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-199502000-00022

    authors: Penning DH,Chestnut DH,Dexter F,Hrdy J,Poduska D,Atkins B

    更新日期:1995-02-01 00:00:00

  • Postoperative Delirium Is Associated with Long-term Decline in Activities of Daily Living.

    abstract:BACKGROUND:Postoperative delirium is one of the most common complications in the elderly surgical population. However, its long-term outcomes remain largely to be determined. Therefore a prospective cohort study was conducted to determine the association between postoperative delirium and long-term decline in activitie...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/ALN.0000000000002849

    authors: Shi Z,Mei X,Li C,Chen Y,Zheng H,Wu Y,Zheng H,Liu L,Marcantonio ER,Xie Z,Shen Y

    更新日期:2019-09-01 00:00:00

  • Intrathecal adenosine: interactions with spinal clonidine and neostigmine in rat models of acute nociception and postoperative hypersensitivity.

    abstract:BACKGROUND:Spinal adenosine receptor agonists exert antinociception in animal models of acute and chronic pain, but adenosine itself has not been examined. The authors tested the antinociceptive and antihypersensitivity interactions of intrathecal adenosine and its interactions with intrathecal clonidine and neostigmin...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-199905000-00026

    authors: Chiari AI,Eisenach JC

    更新日期:1999-05-01 00:00:00

  • Porcine malignant hyperthermia: effects of halothane on mitochondrial respiration and calcium accumulation.

    abstract::Vastus lateralis muscle was excised from normal pigs and from pigs susceptible to malignant hyperthermia. Anesthesia consisted of diazepam, N2O:O2, and a lidocaine field block. In the susceptible (MHS) pigs, respiratory control in mitochondria of excised muscle was normal, while electron transport was accelerated. Glu...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:

    authors: Britt BA,Endrenyi L,Cadman DL,Fan HM,Fung HY

    更新日期:1975-03-01 00:00:00

  • Characterization of the postconditioning effect of dexmedetomidine in mouse organotypic hippocampal slice cultures exposed to oxygen and glucose deprivation.

    abstract:BACKGROUND:There is an increasing interest in the use of dexmedetomidine for anesthesia and sedation. Here, we used the mouse organotypic hippocampal slice culture to investigate whether dexmedetomidine exhibits postconditioning properties against oxygen and glucose deprivation (OGD). The role of the focal adhesion and...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/ALN.0b013e3181ca6982

    authors: Dahmani S,Rouelle D,Gressens P,Mantz J

    更新日期:2010-02-01 00:00:00

  • Effect of direct fetal opioid analgesia on fetal hormonal and hemodynamic stress response to intrauterine needling.

    abstract:BACKGROUND:Whether the fetus can experience pain remains controversial. During the last half of pregnancy, the neuroanatomic connections for nociception are in place, and the human fetus mounts sizable stress responses to physical insults. Analgesia has been recommended for intrauterine procedures or late termination, ...

    journal_title:Anesthesiology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/00000542-200110000-00008

    authors: Fisk NM,Gitau R,Teixeira JM,Giannakoulopoulos X,Cameron AD,Glover VA

    更新日期:2001-10-01 00:00:00

  • Bupivacaine-induced cardiac arrhythmias in sheep.

    abstract::Controversy persists about the cardiac toxicity of bupivacaine if accidentally administered intravenously during regional anesthesia. Using awake, unanesthetized sheep, we evaluated the cardiac effects of low and high equivalent doses of lidocaine and bupivacaine given intravenously over 10 s. All animals convulsed wi...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-198401000-00004

    authors: Kotelko DM,Shnider SM,Dailey PA,Brizgys RV,Levinson G,Shapiro WA,Koike M,Rosen MA

    更新日期:1984-01-01 00:00:00

  • Interaction of anesthesia, beta-receptor blockade, and blood loss in dogs with induced myocardial infarction.

    abstract::The cardiovascular effects of halothane-nitrous oxide anesthesia, and beta-receptor blockade with either propranolol or practolol, were studied in 15 dogs in which severe myocardial infarction had been induced ten days earlier. The hemodynamic responses to blood loss amounting to 25 per cent of estimated blood volume,...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-197609000-00015

    authors: Prys-Roberts C,Roberts JG,Foëx P,Clarke TN,Bennett MJ,Ryder WA

    更新日期:1976-09-01 00:00:00

  • Does the brain influence somatic responses to noxious stimuli during isoflurane anesthesia?

    abstract:BACKGROUND:Recent evidence suggests that anesthetic action within the spinal cord is important in suppressing somatic responses to painful stimuli. Whether the brain influences this response is not clear. This study was designed to test the hypothesis that the brain affects anesthetic requirements. METHODS:Six goats w...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-199412000-00027

    authors: Borges M,Antognini JF

    更新日期:1994-12-01 00:00:00

  • Sympathetic responses to induction of anesthesia in humans with propofol or etomidate.

    abstract::Anesthetic induction with propofol commonly results in hypotension. This study explored potential mechanisms contributing to hypotension by recording cardiovascular responses including sympathetic neural activity from patients during induction of anesthesia with propofol (2.5 mg.kg-1 plus 200 micrograms.kg-1.min-1) or...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-199205000-00010

    authors: Ebert TJ,Muzi M,Berens R,Goff D,Kampine JP

    更新日期:1992-05-01 00:00:00

  • Needle bevel direction and headache after inadvertent dural puncture.

    abstract::To study the effect of needle bevel direction on the incidence and severity of headache following inadvertent dural puncture occurring during the identification of the epidural space, the authors randomly assigned obstetric anesthesia residents to identify epidural space with the bevel of the epidural needle oriented ...

    journal_title:Anesthesiology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/00000542-198905000-00002

    authors: Norris MC,Leighton BL,DeSimone CA

    更新日期:1989-05-01 00:00:00

  • Back pain after epidural anesthesia with chloroprocaine.

    abstract:BACKGROUND:Chloroprocaine has been associated with severe back pain after epidural anesthesia. Factors proposed to contribute to this problem are: 1) the preservative disodium ethylenediaminetetraacetic acid (EDTA), 2) large volumes of chloroprocaine, 3) low pH of chloroprocaine, and 4) local infiltration with chloropr...

    journal_title:Anesthesiology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/00000542-199303000-00013

    authors: Stevens RA,Urmey WF,Urquhart BL,Kao TC

    更新日期:1993-03-01 00:00:00