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Related Concept Videos

Neuromuscular Junction And Blockade01:29

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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: Mechanism of Action01:23

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Local anesthetics (LAs) block sensory and motor impulses by inhibiting the sodium channels on the nerve cell membranes. This induces temporary loss of sensation, relieving pain in a specific body area.
Local anesthetics are amphiphilic molecules consisting of a hydrophobic aromatic part linked to a hydrophilic group by an ester or amide linkage. They are weak bases and are usually available as salts, which increases their solubility and stability. Once administered, LAs exist in the body either...
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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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Local Anesthetics: Differential Sensitivity of Nerve Fibers01:24

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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 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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Nondepolarizing (Competitive) Neuromuscular Blockers: Mechanism of Action01:17

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Nondepolarizing neuromuscular blockers induce paralysis by competitively blocking nicotinic acetylcholine receptors at the muscle end plate. Examples include pancuronium, mivacurium, vecuronium, and rocuronium. These quaternary ammonium derivatives are administered intravenously, are poorly absorbed, and are excreted via the kidneys.
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Updated: Oct 27, 2025

An Ultrasonic Tool for Nerve Conduction Block in Diabetic Rat Models
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A Reversible Low Frequency Alternating Current Nerve Conduction Block Applied to Mammalian Autonomic Nerves.

M Ivette Muzquiz1, Landan Mintch2, M Ryne Horn1

  • 1Department of Biomedical Engineering, Indiana University-Purdue University Indianapolis, Indianapolis, IN 46202, USA.

Sensors (Basel, Switzerland)
|July 20, 2021
PubMed
Summary

A novel low frequency alternating current blocking waveform (LFACb) effectively and reversibly blocks nerve activity at low currents. This new method shows promise for modulating neural pathways with minimal side effects.

Keywords:
low frequency alternating current blocknerve conduction blockneuromodulationreversible nerve block

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Area of Science:

  • Neuroscience
  • Biomedical Engineering
  • Electrophysiology

Background:

  • Electrical stimulation offers reversible, localized, and tunable nerve modulation, contrasting with pharmaceutical or surgical methods.
  • Existing electrical nerve block techniques can require high currents, produce harmful byproducts, or cause undesirable onset responses.
  • There is a need for safe and effective electrical nerve block methods with minimal adverse effects.

Purpose of the Study:

  • To describe and evaluate a novel low frequency alternating current blocking waveform (LFACb) for nerve conduction block.
  • To assess the efficacy of LFACb in reversibly blocking vagal nerve stimulation-induced bradycardia in a rat model.

Main Methods:

  • A 1 Hz, sinusoidal, zero-mean current waveform (LFACb) was applied using bipolar hook or cuff electrodes.
  • Bradycardia was evoked via standard pulse stimulation of the vagal nerve in anesthetized rats.
  • Nerve block efficacy was quantified by measuring heart rate changes during LFACb and vagal stimulation.

Main Results:

  • LFACb achieved significant reversible nerve block (86.2% with hook, 84.3% with cuff electrodes).
  • Effective block was achieved at low peak current levels (<110 µAp), comparable to activation stimulation amplitudes.
  • The blocking effect was immediately reversible upon cessation of LFACb application.

Conclusions:

  • The novel LFACb waveform provides effective and reversible nerve conduction block at low current levels.
  • LFACb demonstrates potential as a safe and tunable method for neural modulation.
  • This technique offers a promising alternative to existing interventions for modulating nervous system activity.