The Role of Intravenous Anesthetics for Neuro: Protection or Toxicity?

IF 5.9 2区 医学 Q1 NEUROSCIENCES Neuroscience bulletin Pub Date : 2024-08-17 DOI:10.1007/s12264-024-01265-4
Kaixin Wang, Yafeng Wang, Tianhao Zhang, Bingcheng Chang, Daan Fu, Xiangdong Chen
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Abstract

The primary intravenous anesthetics employed in clinical practice encompass dexmedetomidine (Dex), propofol, ketamine, etomidate, midazolam, and remimazolam. Apart from their established sedative, analgesic, and anxiolytic properties, an increasing body of research has uncovered neuroprotective effects of intravenous anesthetics in various animal and cellular models, as well as in clinical studies. However, there also exists conflicting evidence pointing to the potential neurotoxic effects of these intravenous anesthetics. The role of intravenous anesthetics for neuro on both sides of protection or toxicity has been rarely summarized. Considering the mentioned above, this work aims to offer a comprehensive understanding of the underlying mechanisms involved both in the central nerve system (CNS) and the peripheral nerve system (PNS) and provide valuable insights into the potential safety and risk associated with the clinical use of intravenous anesthetics.

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静脉麻醉剂对神经系统的作用:保护还是毒性?
临床上使用的主要静脉麻醉剂包括右美托咪定(Dex)、异丙酚、氯胺酮、依托咪酯、咪达唑仑和雷米马唑仑。除了已经证实的镇静、镇痛和抗焦虑特性外,越来越多的研究还发现静脉麻醉剂在各种动物和细胞模型以及临床研究中具有保护神经的作用。然而,也有相互矛盾的证据表明这些静脉麻醉剂具有潜在的神经毒性作用。关于静脉麻醉剂对神经的保护或毒性两方面的作用,目前还很少有总结。考虑到上述情况,本研究旨在全面了解中枢神经系统(CNS)和周围神经系统(PNS)所涉及的潜在机制,并为临床使用静脉麻醉剂的潜在安全性和风险提供有价值的见解。
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来源期刊
Neuroscience bulletin
Neuroscience bulletin NEUROSCIENCES-
CiteScore
7.20
自引率
16.10%
发文量
163
审稿时长
6-12 weeks
期刊介绍: Neuroscience Bulletin (NB), the official journal of the Chinese Neuroscience Society, is published monthly by Shanghai Institutes for Biological Sciences (SIBS), Chinese Academy of Sciences (CAS) and Springer. NB aims to publish research advances in the field of neuroscience and promote exchange of scientific ideas within the community. The journal publishes original papers on various topics in neuroscience and focuses on potential disease implications on the nervous system. NB welcomes research contributions on molecular, cellular, or developmental neuroscience using multidisciplinary approaches and functional strategies. We feature full-length original articles, reviews, methods, letters to the editor, insights, and research highlights. As the official journal of the Chinese Neuroscience Society, which currently has more than 12,000 members in China, NB is devoted to facilitating communications between Chinese neuroscientists and their international colleagues. The journal is recognized as the most influential publication in neuroscience research in China.
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