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Local Anesthetics: Differential Sensitivity of Nerve Fibers01:24

Local Anesthetics: Differential Sensitivity of Nerve Fibers

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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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Action Potentials01:41

Action Potentials

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Overview
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Action Potential01:31

Action Potential

7.8K
Neurons communicate by firing action potentials—the electrochemical signal that is propagated along the axon. The signal results in the release of neurotransmitters at axon terminals, thereby transmitting information to the nervous system. An action potential is a specific "all-or-none" change in membrane potential that results in a rapid spike in voltage.
Membrane potential in neurons
Neurons typically have a resting membrane potential of about -70 millivolts (mV). When they...
7.8K
Propagation of Action Potentials01:23

Propagation of Action Potentials

5.3K
The propagation of an action potential refers to the process by which a nerve impulse, or "action potential," travels along a neuron.
Neurons (nerve cells) have a resting membrane potential, with a slightly negative charge inside compared to outside. This is maintained by ion channels, such as sodium (Na+) and potassium (K+) channels, which control the flow of ions. When a stimulus, like a touch or a signal from another neuron, triggers the neuron, sodium channels open, allowing sodium ions to...
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The Role of Ion Channels in Neuronal Computation01:19

The Role of Ion Channels in Neuronal Computation

3.1K
A postsynaptic neuron usually receives numerous impulses from several other presynaptic neurons. The axon hillock of the postsynaptic neuron integrates all these signals and determines the likelihood of firing an action potential.
Sometimes a single EPSP is strong enough to induce an action potential in the postsynaptic neuron. However, multiple presynaptic inputs must often create EPSPs around the same time for the postsynaptic neuron to be sufficiently depolarized to fire an action potential....
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Neurons: The Axon01:21

Neurons: The Axon

3.3K
Axons are long, cytoplasmic processes of nerve cells capable of propagating electrical impulses known as action potentials. The cytoplasm or axoplasm of an axon contains neurofibrils, neurotubules, small vesicles, lysosomes, mitochondria, and various enzymes, all encased within the axolemma, the plasma membrane of the axon.
The axon attaches to the cell body at a cone-shaped elevation called the axon hillock. The initial part of the axon, closest to the hillock, is known as the initial segment....
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相关实验视频

Updated: Jun 7, 2025

Voltage-sensitive Dye Recording from Axons, Dendrites and Dendritic Spines of Individual Neurons in Brain Slices
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Voltage-sensitive Dye Recording from Axons, Dendrites and Dendritic Spines of Individual Neurons in Brain Slices

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轴心灵敏度和块动力学

J A Wildsmith1

  • 1Department of Anaesthesia, University of Dundee, Dundee, UK wildsmithj@icloud.com.

Regional anesthesia and pain medicine
|November 14, 2024
PubMed
概括
此摘要是机器生成的。

差分神经阻断是一种神经阻断.

关键词:
止痛药 止痛药是一种止痛药.麻醉,区域麻醉,地区麻醉动物实验 动物实验

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Use of In Vivo Single-fiber Recording and Intact Dorsal Root Ganglion with Attached Sciatic Nerve to Examine the Mechanism of Conduction Failure
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Use of In Vivo Single-fiber Recording and Intact Dorsal Root Ganglion with Attached Sciatic Nerve to Examine the Mechanism of Conduction Failure

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相关实验视频

Last Updated: Jun 7, 2025

Voltage-sensitive Dye Recording from Axons, Dendrites and Dendritic Spines of Individual Neurons in Brain Slices
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Voltage-sensitive Dye Recording from Axons, Dendrites and Dendritic Spines of Individual Neurons in Brain Slices

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Real-time Electrophysiology: Using Closed-loop Protocols to Probe Neuronal Dynamics and Beyond
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Use of In Vivo Single-fiber Recording and Intact Dorsal Root Ganglion with Attached Sciatic Nerve to Examine the Mechanism of Conduction Failure
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Use of In Vivo Single-fiber Recording and Intact Dorsal Root Ganglion with Attached Sciatic Nerve to Examine the Mechanism of Conduction Failure

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科学领域:

  • 麻醉学 麻醉学
  • 疼痛管理 疼痛管理
  • 神经科学是一个神经科学.

背景情况:

  • 从勃起器脊柱平面块的止痛机制是争论的.
  • 实验室研究表明,髓质神经对局部麻醉剂更敏感.
  • 药物pKa和扩散等临床因素显著影响神经阻断的有效性.

研究的目的:

  • 为了研究差异性神经阻断在勃起器脊柱平面阻断镇痛中的作用.
  • 评估局部麻醉剂对神经纤维透的影响.
  • 为了确定主要神经纤维的目标,以缓解勃起器脊柱平面阻塞后的疼痛.

主要方法:

  • 对局部麻醉性质的分析,特别是布皮瓦卡因的pKa.
  • 在临床环境中考虑药物扩散动态.
  • 在体外发现与体内临床场景对比.

主要成果:

  • 布皮瓦卡因的高pKa限制了其在生理pH的联合形式,影响了扩散.
  • 髓膜作为一个屏障,阻碍局部麻醉剂透到髓轴突.
  • 由于扩散,药物的低度有利于对非髓化C纤维的影响.

结论:

  • 不同神经阻塞在勃起器脊柱平面阻塞止痛中的作用是有问题的.
  • 药物扩散和pKa是神经阻断有效性的关键决定因素.
  • 勃起器脊柱平面阻塞后的止痛可能主要是由于对非髓化神经纤维的影响.