The thermodynamics of general and local anesthesia.

作者: Kaare Græsbøll , Henrike Sasse-Middelhoff , Thomas Heimburg

DOI: 10.1016/J.BPJ.2014.04.014

关键词:

摘要: General anesthetics are known to cause depression of the freezing point transitions in biomembranes. This is a consequence ideal mixing anesthetic drugs membrane fluid phase and exclusion from solid phase. Such generic law provides physical justification famous Meyer-Overton rule. We show here that general anesthetics, barbiturates, local all display same effect on melting transitions. Their reversed by hydrostatic pressure. Thus, thermodynamic behavior very similar anesthetics. present detailed analysis heat capacity profiles membranes presence Using this analysis, we able describe experimentally observed calorimetric predict features arbitrary molecules. In addition, discuss origin cutoff long-chain alcohols additivity

参考文章(78)
Studies of narcosis Chapman and Hall , Wood Library-Museum of Anesthesiology. ,(1991) , 10.1007/978-94-011-3096-7
Thomas Rainer Heimburg, Thermal Biophysics of Membranes ,(2007)
Thomas Heimburg, Andrew D. Jackson, Thermodynamics of the Nervous Impulse John Wiley & Sons, Ltd. pp. 317- 339 ,(2014) , 10.1002/9780470388495.CH12
I. Ben-Shlomo, M. Tverskoy, G. Fleyshman, V. Melnick, Y. Katz, Intramuscular administration of lidocaine or bupivacaine alters the effect of midazolam from sedation to hypnosis in a dose-dependent manner. Journal of basic and clinical physiology and pharmacology. ,vol. 14, pp. 257- 263 ,(2003) , 10.1515/JBCPP.2003.14.3.257
Cecilio Alamo, Francisco López-Muñoz, Ronaldo Ucha-Udabe, The history of barbiturates a century after their clinical introduction Neuropsychiatric Disease and Treatment. ,vol. 1, pp. 329- 343 ,(2005)
Anil Agarwal, Ravindra Pandey, Sanjay Dhiraaj, Prabhat K. Singh, Mehdi Raza, Chandra K. Pandey, Devendra Gupta, Arindam Choudhury, Uttam Singh, The Effect of Epidural Bupivacaine on Induction and Maintenance Doses of Propofol (Evaluated by Bispectral Index) and Maintenance Doses of Fentanyl and Vecuronium Anesthesia & Analgesia. ,vol. 99, pp. 1684- 1688 ,(2004) , 10.1213/01.ANE.0000136422.70531.5A
Søren S.L. Andersen, Andrew D. Jackson, Thomas Heimburg, Towards a thermodynamic theory of nerve pulse propagation Progress in Neurobiology. ,vol. 88, pp. 104- 113 ,(2009) , 10.1016/J.PNEUROBIO.2009.03.002