The model proposed for external TEA block of Shaker K+ channels predicts a proportional relationship between TEA sensitivity and calculated electrical distance derived from measurements of voltage dependence of TEA block. In the present study, we examined this relationship for the A-type K+ current (IA) of Helix aspersa in neuronal somata using the whole-cell patch-clamp technique. External TEA inhibited IA with strong voltage dependence, such that the TEA dissociation constant was increased at depolarized test potentials. The half-inhibition constant (V0.5) for TEA block was approximately 21 mM at 0 mV, and V0.5 increased to approximately 67 mM at 50 mV. The calculated electrical distance for TEA block suggested that TEA traversed 65% of the way into the membrane electrical field. TEA also caused significant shifts in the voltage-dependence of A-type K+ channel gating. For example, at TEA concentrations below that required to fully suppress delayed outward currents, TEA caused depolarizing shifts in the voltage-dependence of A-type channel activation, steady-state inactivation, time for removal of inactivation, and slowed channel activation kinetics. Taken together, these observations suggest that TEA biased the local field potential near voltage-sensing domains of A-type K+ channels, causing the transmembrane electrical field to be relatively hyperpolarized in the presence of TEA. In summary, the calculated electrical distance of TEA block of A-type K+ channels in H. aspersa neurons is unprecedented among other K+ channels. This raises concerns about the conventional interpretation of this value. Furthermore, the voltage-dependent properties of IA are modified by TEA at concentrations previously used to isolate delayed rectifier potassium channels (IKDR) selectively. This lack of specificity has important implications for recent, as well as future studies of IA in H. aspersa and possibly other snail neurons.
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http://dx.doi.org/10.1007/s00232-002-1021-9 | DOI Listing |
J Med Ultrasound
April 2024
Department of Anesthesiology, The School of Clinical Medicine, Fujian Madical University, The First Hospital of Putian City, Fujian, China.
Background: To test the novel ultrasound (US)-guided bilateral anterior quadratus lumborum block (QLBA) at the lateral supra-arcuate ligament (supra-LAL) technique combined with postoperative intravenous analgesia was a viable alternative approach of conventional thoracic epidural analgesia (TEA) for laparoscopic radical gastrectomy (LRG).
Methods: Three hundred and four patients scheduled for LRG were randomized 1:1 into QLBA group: receiving a novel pathway of US-guided bilateral QLBA at the supra-LAL before general anesthesia (GA) and patient-controlled intravenous analgesia (PCIA) after surgery, and TEA group: receiving TEA before GA and patient-controlled epidural analgesia following surgery. The difference in procedure time between the treatment groups was set as the primary endpoint.
Ann Thorac Surg Short Rep
June 2024
Thoracic Surgery Unit, University of Campania Luigi Vanvitelli, Naples, Italy.
Background: Paravertebral block (PVB) is effective in controlling postoperative pain after video-assisted thoracoscopic surgery (VATS) lobectomy but is subject to a high rate of failure because of incorrect site of injection. We compared methylene blue PVB with thoracic epidural anesthesia (TEA) for postoperative pain after VATS lobectomy.
Methods: We conducted a prospective randomized trial of patients undergoing VATS lobectomy; 120 patients were randomly assigned to the PVB or TEA group.
J Clin Med
December 2024
Department of Anaesthesiology and Pain Medicine, Inselspital, Bern University Hospital, University of Bern, CH-3010 Bern, Switzerland.
: Esophagectomy is a key component of esophageal cancer treatment, with minimally invasive esophagectomy (MIE) increasingly replacing open esophagectomy (OE). Effective postoperative pain management can be achieved through various analgesic modalities. This study compares the efficacy of thoracic epidural anesthesia (TEA) with non-TEA methods in managing postoperative pain following MIE.
View Article and Find Full Text PDFNew Phytol
December 2024
State Key Laboratory for Crop Stress Resistance and High-Efficiency Production/Shaanxi Key Laboratory of Apple, College of Horticulture, Northwest A&F University, Yangling, 712100, China.
J Sci Food Agric
December 2024
School of Food and Biological Engineering, Jiangsu University, Jiangsu, People's Republic of China.
Background: Accurate tea blending assessment and sample matching are critical in the tea production process. Traditional methods face efficiency and accuracy challenges, which can be addressed by advances in computer vision and deep learning. This study developed an efficient and non-destructive method for fast tea grading classification, blending ratio evaluation, and sample matching.
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