Review Article·Basic Research
Advances of arousal neural pathways in emergence after general anesthesia
Wang Lieju, Wang Min, Xia Chenzhong, Wang Yin, Zhou Xuelong, Yu Lina, Yan Min
Published 2016-01-15
Cite as Int J Anesth Resus, 2016, 37(1): 82-85. DOI: 10.3760/cma.j.issn.1673-4378.2016.01.019
Abstract
BackgroundRecent studies have shown that emergence from general anesthesia and arousal may share the same neuropath, as the activation of the brain region and cortex during arousal with the increased neurotransmitters are consistent with the change during the emergence.
ObjectiveThis paper summarized the role of ascending arousal systems in emergence and provided new ideas for advanced research.
ContentThis paper reviewed related research on emergence from three aspects, including introduction of emergence, ascending arousal systems and ascending arousal neural pathways in emergence.
TrendThe key role of the ascending arousal systems in emergence will deserve further attention and in-depth study, and provide new clues for delirium and postoperative cognitive dysfunction related to delayed emergence from general anesthesia.
Key words:
Arousal; Anesthesia, general; Emergence; Neural pathways
Contributor Information
Wang Lieju
Jiangsu Province Key Laboratory of Anesthesiology, Jiangsu Province Key Laboratory of Anesthesiology and Analgesia Application Technology, Xuzhou Medical College, Xuzhou 221004, China
Wang Min
Jiangsu Province Key Laboratory of Anesthesiology, Jiangsu Province Key Laboratory of Anesthesiology and Analgesia Application Technology, Xuzhou Medical College, Xuzhou 221004, China
Xia Chenzhong
Department of Anesthesiology, the Second Affiliated Hospital of Zhejiang University of Medicine, Hangzhou 310009, China
Wang Yin
Jiangsu Province Key Laboratory of Anesthesiology, Jiangsu Province Key Laboratory of Anesthesiology and Analgesia Application Technology, Xuzhou Medical College, Xuzhou 221004, China
Zhou Xuelong
Department of Anesthesiology, the Second Affiliated Hospital of Zhejiang University of Medicine, Hangzhou 310009, China
Yu Lina
Department of Anesthesiology, the Second Affiliated Hospital of Zhejiang University of Medicine, Hangzhou 310009, China
Yan Min
Jiangsu Province Key Laboratory of Anesthesiology, Jiangsu Province Key Laboratory of Anesthesiology and Analgesia Application Technology, Xuzhou Medical College, Xuzhou 221004, China
Department of Anesthesiology, the Second Affiliated Hospital of Zhejiang University of Medicine, Hangzhou 310009, China
