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  • 1
    Electronic Resource
    Electronic Resource
    Springer
    The journal of membrane biology 130 (1992), S. 149-162 
    ISSN: 1432-1424
    Keywords: patch clamp ; myelinated nerve fiber ; potassium channel ; flicker kinetics ; resting potential
    Source: Springer Online Journal Archives 1860-2000
    Topics: Biology , Chemistry and Pharmacology
    Notes: Summary A novel potassium-selective channel which is active at membrane potentials between — 100 mV and +40 mV has been identified in peripheral myelinated axons of Xenopus laevis using the patch-clamp technique. At negative potentials with 105 mm-K on both sides of the membrane, the channel at 1 kHz resolution showed a series of brief openings and closings interrupted by longer closings, resulting in a flickery bursting activity. Measurements with resolution up to 10 kHz revealed a single-channel conductance of 49 pS with 105 mm-K and 17 pS with 2.5 mm-K on the outer side of the membrane. The channel was selective for K ions over Na ions (P Na/P K = 0.033). The probability of being within a burst in outside-out patches varied from patch to patch (〉0.2, but often 〉0.9), and was independent of membrane potential. Open-time histograms were satisfactorily described with a single exponential (τ o= 0.09 msec), closed times with the sum of three exponentials (τ c= 0.13, 5.9, and 36.6 msec). Sensitivity to external tetraethylammonium was comparatively low (IC50 = 19.0 mm). External Cs ions reduced the apparent unitary conductance for inward currents at E m= −90 mV (IC50 = 1.1 mm). Ba and, more potently, Zn ions lowered not only the apparent singlechannel conductance but also open probability. The local anesthetic bupivacaine with high potency reduced probability of being within a burst (IC50 = 165 nm). The flickering K channel is clearly different from the other five types of K channels identified so far in the same preparation. We suggest that this channel may form the molecular basis of the resting potential in vertebrate myelinated axons.
    Type of Medium: Electronic Resource
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  • 2
    ISSN: 1460-9592
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Notes: Therapy of hypoplastic left heart syndrome (HLHS) consists of the staged Norwood procedure or cardiac transplantation. Stenting the ductus arteriosus and subsequent banding of the pulmonary arteries allows the combination of neoaortic reconstruction with the establishment of a bidirectional cavopulmonary connection (combined stage 1 and 2 procedure) in a later session. We report the anaesthetic management in eight infants ranging from 107 to 195 days undergoing a combined stage 1 and 2 procedure. Nonselective pulmonary vasodilators and nitric oxide were needed in all cases to improve oxygen saturation in the postbypass period. Phosphodiesterase inhibitors and epinephrine were required in all patients for inotropic support during and after weaning off cardiopulmonary bypass. The procedure was successful in seven patients. One patient died intraoperatively because of right heart failure. The physiological changes of this new surgical strategy for palliation of HLHS offers a challenge for the anaesthetist primarily in the early postbypass period.
    Type of Medium: Electronic Resource
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