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Scientists Change Our Understanding of How Anaesthesia Messes With the Brain (sciencealert.com)

schwit1 shares a report from ScienceAlert: It's crazy to think that we still don't quite understand the mechanism behind one of the most common medical interventions -- general anaesthetic. But researchers in Australia just got a step closer by discovering that one of the most commonly used anesthetic drugs doesn't just put us to sleep; it also disrupts communication between brain cells. The team investigated the drug propofol, a super-popular option for surgeries worldwide. A potent sedative, the drug is thought to put us to sleep through its effect on the GABA neurotransmitter system, the main regulator of our sleep-and-wake cycles in the brain. But anyone who's been "put under" will know that waking up from a general anesthetic feels rather different from your usual morning grogginess. On top of that, some people can experience serious side-effects, so scientists have been trying to figure out what else the drugs might be doing in the brain.

Using live neuron cell samples from rats and fruit flies, the researchers were able to track neurotransmitter activity thanks to a super-resolution microscope, and discovered that propofol messes with a key protein that nerve cells use to communicate with each other. This protein, called syntaxin1A, isn't just found in animal models - people have it, too. And it looks like the anesthetic drug puts the brakes on this protein, making otherwise normal brain cell connections sluggish, at least for a while. The researchers think this disruption could be key to how propofol allows for pain-free surgery to take place - first it knocks us out as a normal sleeping pill would, and then takes things up a notch by disrupting brain connectivity.
The research has been published in Cell Reports.

3 of 92 comments (clear)

  1. Stitch in time by Camel+Pilot · · Score: 5, Interesting

    I friend of mine just had a colonoscopy and was laying on his side looking at a pattern on the wall just before being given propofol. He woke up looking at the same pattern and the Doc said everything was normal. He accused the Doc of haven't done anything and was conducting some fraud because he hadn't any sense any lapse in time. Propofol is like that.

  2. Oh what you don't know... by eWarz · · Score: 4, Interesting

    I almost died in April 2017 of septic shock. During that time, medical staff assumed I was unconscious and unable to recollect a single thing. I had 4 surgeries and I was on a ventilator for many days and I was on enough drugs to kill an elephant. I remembered everything. Including some VERY personal conversations from certain staff members. It was all so vivid. I can't discuss most of it thanks to an ongoing malpractice suit against the hospital that caused the issue to begin with...however. Never assume your loved one doesn't hear you. They do. They hear you. They also hear the medical staff talking about their so called 'day' as they turn you, change various 'things', etc.'

  3. Re:Propofol is great stuff by twdorris · · Score: 3, Interesting

    Posts like this are why I still come to Slashdot. This place is still the best resource I've found where people with such a diverse set of highly skilled talents can all post about experiences and information that they are intimately familiar with in their respective trades and we all learn / grow from that. Thanks!