| Title | Is a new paradigm needed to explain how inhaled anesthetics produce immobility? |
| Publication Type | Journal Article |
| Year of Publication | 2008 |
| Authors | Eger EI, Raines DE, Shafer SL, Hemmings HC, Sonner JM |
| Journal | Anesth Analg |
| Volume | 107 |
| Issue | 3 |
| Pagination | 832-48 |
| Date Published | 2008 Sep |
| ISSN | 1526-7598 |
| Keywords | Analgesia, Anesthetics, Inhalation, Animals, Humans, Immobilization, Ligands, Mice, Models, Biological, Models, Genetic, Models, Theoretical, Receptors, GABA-A, Receptors, Glutamate, Receptors, Serotonin, 5-HT3, Sodium Channels, Static Electricity |
| Abstract | A paradox arises from present information concerning the mechanism(s) by which inhaled anesthetics produce immobility in the face of noxious stimulation. Several findings, such as additivity, suggest a common site at which inhaled anesthetics act to produce immobility. However, two decades of focused investigation have not identified a ligand- or voltage-gated channel that alone is sufficient to mediate immobility. Indeed, most putative targets provide minimal or no mediation. For example, opioid, 5-HT3, gamma-aminobutyric acid type A and glutamate receptors, and potassium and calcium channels appear to be irrelevant or play only minor roles. Furthermore, no combination of actions on ligand- or voltage-gated channels seems sufficient. A few plausible targets (e.g., sodium channels) merit further study, but there remains the possibility that immobilization results from a nonspecific mechanism. |
| DOI | 10.1213/ane.0b013e318182aedb |
| Alternate Journal | Anesth Analg |
| PubMed ID | 18713892 |
| PubMed Central ID | PMC2653203 |
| Grant List | P01 GM047818 / GM / NIGMS NIH HHS / United States P01 GM047818-14 / GM / NIGMS NIH HHS / United States R01 GM058055 / GM / NIGMS NIH HHS / United States 1P01GM47818 / GM / NIGMS NIH HHS / United States |
