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Ch. 11 Introduction to the Nervous System and Nervous Tissue
Chapter 11, Problem 11.2a

During a surgical procedure, an anesthesiologist administers to the patient an inhaled anesthetic agent that opens Cl− channels in the postsynaptic membranes of neurons in the brain. Explain why this would put the patient 'to sleep' for the duration of the surgical procedure.

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1
Understand that Cl− channels are chloride ion channels that, when opened, allow Cl− ions to flow into the neuron.
Recognize that the influx of Cl− ions into the neuron makes the inside of the neuron more negatively charged, a process known as hyperpolarization.
Hyperpolarization increases the membrane potential, making it more difficult for the neuron to reach the threshold needed to fire an action potential.
With fewer action potentials, neuronal activity decreases, leading to a reduction in brain activity, which contributes to the state of unconsciousness or 'sleep'.
This reduction in brain activity is what allows the patient to remain unconscious and insensible to pain during the surgical procedure.

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Key Concepts

Here are the essential concepts you must grasp in order to answer the question correctly.

Inhaled Anesthetic Agents

Inhaled anesthetic agents are volatile compounds used to induce and maintain general anesthesia during surgical procedures. They work by altering neuronal activity in the brain, leading to a reversible loss of consciousness and sensation. These agents are delivered through a mask or breathing tube and are absorbed into the bloodstream via the lungs, affecting the central nervous system.
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Chloride Channels and Neuronal Inhibition

Chloride channels are integral membrane proteins that allow the flow of Cl− ions across the neuronal membrane. When inhaled anesthetics open these channels, it leads to hyperpolarization of the postsynaptic neurons, making them less likely to fire. This inhibition of neuronal activity is crucial for inducing a state of unconsciousness, as it disrupts the normal signaling pathways in the brain.
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Mechanism of Action in Anesthesia

The mechanism of action of anesthetics involves their ability to modulate neurotransmitter systems, particularly enhancing inhibitory signals and reducing excitatory signals in the brain. By increasing the activity of inhibitory neurotransmitters like GABA and decreasing excitatory neurotransmitters, anesthetics effectively suppress brain activity, leading to the loss of awareness and sensation, which is essential for surgical procedures.
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