对于具有低发作反应的高能效千赫兹频率神经块的时空空间参数
Edgar Peña1, Nicole A Pelot1, Warren M Grill2,3,4,5
1Department of Biomedical Engineering, Duke University, Room 1427, Fitzpatrick CIEMAS, 101 Science Drive Campus Box 90281, Durham, NC, 27708, USA.
Journal of neuroengineering and rehabilitation
|June 4, 2023
概括
千赫兹频率 (KHF) 神经阻断显示出治疗疾病的前景. 使用复合波形和电极几何学来优化KHF信号,可以减少能源需求,并最大限度地减少不必要的神经刺激,以获得更安全,更有效的神经阻塞疗法.
科学领域:
- 生物医学工程 生物医学工程
- 神经科学是一个神经科学.
- 医疗器械 医疗器械
背景情况:
- 电神经传导阻断为疾病治疗提供可逆的神经失活.
- 高能耗要求和不需要的神经刺激极限千赫兹频率 (KHF) 神经阻塞效率.
- 对参数优化 (频率,电极几何,波形) 的有限理解阻碍了KHF神经块的翻译.
研究的目的:
- 为了评估大鼠骨神经中的千赫兹频率 (KHF) 神经阻塞.
- 研究不同频率,电极几何形状和波形形状对神经块参数的影响.
- 开发和评估一种用于构建复合KHF信号以优化神经阻塞的新方法.
主要方法:
- 在老鼠神经中测试了KHF神经块,跨频率 (5-60 kHz),电极几何形状 (单极,双极,三极) 和波形状.
- 利用一种基于里埃的新方法来构建复合信号,系统地探索KHF波形设计.
- 分析了与信号参数和电极配置相关的阻断值和发作响应.
主要成果:
- 最低的有效阻断频率 (5-16 kHz) 并不是最节能的.
- 单极电极和三极电极证明了神经阻断的最低功率要求,单极电极需要最少的电流.
- 复合信号,特别是那些具有基本和二正弦形,减少阻断值和开始响应的复合信号,取决于相位和振幅,特别是单极和三极电极.
结论:
- 获得了关于KHF神经阻断频率边界的阻断值和发病反应的新见解.
- 在KHF神经块中证明了空间 (电极几何) 和时间 (频率,波形) 参数之间的相互作用.
- 优化的波形形状可以减少能源消耗和不良发作反应,克服以前的权衡.
相关概念视频
Local Anesthetics: Differential Sensitivity of Nerve Fibers
881
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...
881
Local Anesthetics: Clinical Application as Surface, Infiltration, and Conduction Block Anesthesia
1.1K
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...
1.1K
Local Anesthetics: Clinical Application as Intravenous Regional Anesthesia
485
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.
One of the advantages of...
One of the advantages of...
485


