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Related Concept Videos

Local Anesthetics: Clinical Application as Intravenous Regional Anesthesia01:16

Local Anesthetics: Clinical Application as Intravenous Regional Anesthesia

Intravenous regional anesthesia or the Bier block technique is used to anesthetize a specific limb or extremity. It uses exsanguinated or blood-drained vessels to transport local anesthetics or LAs to the peripheral nerve trunks. Lidocaine without vasoconstrictors like epinephrine is most commonly used for this technique. Other drugs used are prilocaine, ropivacaine, and chloroprocaine. Bupivacaine is not recommended for this technique due to its high cardiac toxicity.
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Depending on the target organ, local anesthetics (LAs) can be administered via various routes. In surface anesthesia, LAs are applied directly to the surface of the skin or mucous membranes. It is widely used for topical skin numbing before venipuncture or minor surgical procedures. Commonly used surface local anesthetics are lidocaine or benzocaine sprays or creams. Surface anesthesia occurs within 5 minutes and lasts for about 60 minutes. One of the main disadvantages of topical anesthesia is...
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Neuromuscular Junction And Blockade

The site of chemical communication between a motor neuron and a muscle fiber is called the neuromuscular junction (NMJ). The end of the motor neuron at the NMJ divides into a cluster of synaptic end bulbs. The cytoplasm of these bulbs consists of synaptic vesicles enclosing acetylcholine molecules, the principal neurotransmitter released at the NMJ. The region opposite the synaptic bulb that ends in the muscle fiber is called the motor end plate, which has acetylcholine receptors. Within the...
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Local anesthetics (LAs) block the sodium channels of nerve trunks, sensory nerve endings, and neuromuscular junctions. Although LAs can block all kinds of nerves, the sensitivity of nerve fibers differs according to nerve types and structures. LAs are known to block myelinated fibers faster than unmyelinated ones. Also, they block pain or sensory neurons at low concentrations without affecting the motor neurons involved in muscle contractions. This helps relieve labor pain without affecting the...
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Nondepolarizing (Competitive) Neuromuscular Blockers: Pharmacological Actions

Nondepolarizing neuromuscular blockers prevent the membrane depolarization of muscle cells and inhibit muscle contraction. These are usually administered with anesthetics to achieve complete muscle relaxation. Upon administration, these drugs first block the small, rapidly contracting muscles of the face and hands, followed by the larger muscles of the trunk and the intercostal muscles. The diaphragm is the last muscle to be affected.
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Depolarizing Blockers: Mechanism of Action

Depolarizing blockers act on skeletal muscle fibers' membranes and induce their depolarization. Most depolarizing blockers have two quaternary N+ atoms that bind the nicotinic acetylcholine receptors and cause neuromuscular blockade within minutes.
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Electrophysiological Methods to Assess Peripheral Pain Block in an Anesthetized Rat
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Published on: November 21, 2025

The ischemic nerve block and skilled movement.

J S Frank1, I D Williams, K C Hayes

  • 1a Department of Physical Education , University of Southern California.

Journal of Motor Behavior
|August 20, 2013
PubMed
Summary
This summary is machine-generated.

Loss of sensory feedback (kinesthesis) significantly impairs skilled finger movement accuracy. This study shows that the absence of stretch reflexes reduces precision in serial positioning tasks, highlighting the importance of sensory input for motor control.

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Area of Science:

  • Neuroscience
  • Motor Control
  • Human Movement Science

Background:

  • Skilled motor control relies on sensory feedback.
  • The role of kinesthesis in precise movements is not fully understood.

Purpose of the Study:

  • To investigate the impact of deafferentation on the accuracy of skilled finger movements.
  • To examine the contribution of kinesthetic feedback to motor control.

Main Methods:

  • Used a serial positioning task with index finger deafferentation via ischemic nerve block.
  • Monitored reflex responses to muscle stretch to confirm deafferentation.
  • Compared movement accuracy with and without sensory feedback.

Main Results:

  • Serial positioning accuracy was significantly reduced in the absence of stretch reflexes.
  • Movement variability increased when kinesthetic feedback was unavailable.
  • Deafferentation led to less precise and more variable motor performance.

Conclusions:

  • Kinesthetic feedback is crucial for achieving high accuracy in skilled movements.
  • The findings support the 'servo-assistance' hypothesis of motor control.
  • Movement accuracy is limited without afferent sensory information.