Hj. Little, HOW HAS MOLECULAR PHARMACOLOGY CONTRIBUTED TO OUR UNDERSTANDING OF THE MECHANISM(S) OF GENERAL-ANESTHESIA, Pharmacology & therapeutics, 69(1), 1996, pp. 37-58
This review discusses the mechanism(s) of general anesthesia from a ph
armacological viewpoint; in particular, the ability of drugs to produc
e many different effects is emphasised, The problems of experimental m
easurement of general anesthesia are discussed, and the possibilities
for antagonism and potentiation of anesthesia considered, Physicochemi
cal studies on anesthesia are described, as are the advancement of ide
as beyond consideration of lipids and proteins as separate sites of ac
tion. The importance of studies on different areas of the brain is hig
hlighted, and the review finishes with a survey of the effects of gene
ral anesthetics on synaptic transmission which emphasises the problems
of extrapolation from in vitro to in vivo.