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Related Concept Videos

Parenteral Anesthetics: Overview01:24

Parenteral Anesthetics: Overview

Intravenous anesthetics are drugs administered parenterally to induce anesthesia or sedation. Propofol is a widely used agent formulated as a 1% emulsion in soybean oil, glycerol, and egg phosphatide. It induces rapid anesthesia primarily due to its rapid distribution from the bloodstream to target tissues and is metabolized in the liver. However, it can cause significant pain on injection and hypertriglyceridemia. Fospropofol, a water-based prodrug of propofol, lacks these adverse effects.
Stages of General Anesthesia01:22

Stages of General Anesthesia

Various sedation levels offer significant advantages in facilitating procedural interventions for patients undergoing medical or invasive surgical procedures. These levels span from anxiolysis to general anesthesia, providing a spectrum of sedative effects to cater to specific patient needs. Anxiolysis reduces anxiety and is achieved through minimal sedation, enabling patients to remain awake and responsive while feeling more at ease during the procedure. This level can benefit minor...
General Anesthesia: Overview01:24

General Anesthesia: Overview

Anesthesia is a medical procedure that uses drugs for CNS suppression to enable painless surgeries and procedures. The selection of anesthetics is influenced by their pharmacokinetic properties, side effects, and patient characteristics. Various types of anesthesia include general, local, regional, spinal, and inhalational.
General anesthesia induces unconsciousness in the whole body, while the others target specific areas or sensations. It is administered to minimize adverse effects, maintain...
Inhalational Anesthetics: Overview01:20

Inhalational Anesthetics: Overview

Inhalation anesthetics are drugs that induce general anesthesia upon inhalation. They work by increasing the sensitivity of GABAA receptors or inhibiting NMDA receptors, leading to a decrease in central nervous system activity. The depth of anesthesia can be rapidly adjusted by changing the concentration of the inhaled gas. Some common examples of inhalational anesthetics include volatile liquids like isoflurane, desflurane, sevoflurane and gases like xenon and nitrous oxide. Isoflurane, a...
Adrenergic Agonists: Mixed-Action Agents01:28

Adrenergic Agonists: Mixed-Action Agents

Mixed-action adrenergic agonists, like ephedrine and pseudoephedrine, directly and indirectly affect adrenergic receptors. These agents stimulate adrenoceptors and indirectly release stored neurotransmitters, amplifying the adrenergic response.
Ephedrine and pseudoephedrine lack a catecholamine group, making them less susceptible to degradation by metabolic enzymes. They have increased oral bioavailability and lipophilicity, resulting in a longer duration of action. Their response is reduced by...
Adrenergic Agonists: Indirect-Acting Agents01:25

Adrenergic Agonists: Indirect-Acting Agents

Indirect-acting adrenergic agonists potentiate the effects of endogenous catecholamines through different mechanisms without directly binding to adrenoceptors.
One mechanism involves depleting stored catecholamines by displacing them from synaptic vesicles. These agents, known as "displacers," are transported into vesicles at the expense of noradrenaline. Examples include amphetamine and tyramine, which lack a catechol moiety, resulting in prolonged action, improved oral bioavailability, and...

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Related Experiment Video

Updated: May 29, 2026

Assessing Changes in Volatile General Anesthetic Sensitivity of Mice after Local or Systemic Pharmacological Intervention
08:49

Assessing Changes in Volatile General Anesthetic Sensitivity of Mice after Local or Systemic Pharmacological Intervention

Published on: October 16, 2013

Methylphenidate actively induces emergence from general anesthesia.

Ken Solt1, Joseph F Cotten, Aylin Cimenser

  • 1Department of Anaesthesia, Harvard Medical School, Boston, Massachusetts, USA. ksolt@partners.org

Anesthesiology
|September 22, 2011
PubMed
Summary
This summary is machine-generated.

Methylphenidate significantly speeds emergence from isoflurane anesthesia in rats by enhancing arousal and respiratory drive. This suggests its potential clinical use for reversing anesthetic effects and respiratory depression post-surgery.

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Recording Brain Electromagnetic Activity During the Administration of the Gaseous Anesthetic Agents Xenon and Nitrous Oxide in Healthy Volunteers
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Recording Brain Electromagnetic Activity During the Administration of the Gaseous Anesthetic Agents Xenon and Nitrous Oxide in Healthy Volunteers

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Optogenetic Activation of Afferent Pathways in Brain Slices and Modulation of Responses by Volatile Anesthetics
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Optogenetic Activation of Afferent Pathways in Brain Slices and Modulation of Responses by Volatile Anesthetics

Published on: July 23, 2020

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Last Updated: May 29, 2026

Assessing Changes in Volatile General Anesthetic Sensitivity of Mice after Local or Systemic Pharmacological Intervention
08:49

Assessing Changes in Volatile General Anesthetic Sensitivity of Mice after Local or Systemic Pharmacological Intervention

Published on: October 16, 2013

Recording Brain Electromagnetic Activity During the Administration of the Gaseous Anesthetic Agents Xenon and Nitrous Oxide in Healthy Volunteers
14:52

Recording Brain Electromagnetic Activity During the Administration of the Gaseous Anesthetic Agents Xenon and Nitrous Oxide in Healthy Volunteers

Published on: January 13, 2018

Optogenetic Activation of Afferent Pathways in Brain Slices and Modulation of Responses by Volatile Anesthetics
08:16

Optogenetic Activation of Afferent Pathways in Brain Slices and Modulation of Responses by Volatile Anesthetics

Published on: July 23, 2020

Area of Science:

  • Anesthesiology
  • Neuroscience
  • Pharmacology

Background:

  • Arousal pathways are crucial for emergence from general anesthesia.
  • The specific roles of monoaminergic arousal circuits remain unclear.
  • This study investigated methylphenidate's effect on emergence from isoflurane anesthesia.

Purpose of the Study:

  • To test the hypothesis that methylphenidate induces emergence from isoflurane general anesthesia.
  • To evaluate methylphenidate's impact on arousal and respiratory function during anesthesia.
  • To explore the potential clinical utility of methylphenidate in reversing anesthetic effects.

Main Methods:

  • Adult rats received intravenous methylphenidate during isoflurane anesthesia.
  • Dose-response studies assessed the restoration of righting reflex.
  • Electroencephalogram (EEG) recordings monitored neurophysiological changes.
  • Plethysmography and arterial blood gas analysis evaluated respiratory function.
  • Droperidol was used to test for inhibition of methylphenidate's effects.

Main Results:

  • Methylphenidate decreased median emergence time from 280 to 91 seconds.
  • A dose-dependent return of righting reflex was observed.
  • EEG showed a shift from delta to theta power, indicating increased arousal.
  • Minute ventilation increased significantly with methylphenidate administration.
  • Droperidol largely inhibited methylphenidate-induced emergence and physiological changes.

Conclusions:

  • Methylphenidate actively induces emergence from isoflurane anesthesia.
  • It enhances arousal and respiratory drive, likely via dopaminergic and adrenergic pathways.
  • Methylphenidate shows potential as a clinical agent to reverse general anesthesia and respiratory depression.