Hu Yue, Wang Yun, Zhang Lingjing, Luo Mengqiang, Wang Yingwei
Department of Anesthesiology, Huashan Hospital, Fudan University, Shanghai, 200040, China.
Neurosci Bull. 2024 Dec;40(12):1995-2011. doi: 10.1007/s12264-024-01286-z. Epub 2024 Aug 21.
General anesthesia plays a significant role in modern medicine. However, the precise mechanism of general anesthesia remains unclear, posing a key scientific challenge in anesthesiology. Advances in neuroscience techniques have enabled targeted manipulation of specific neural circuits and the capture of brain-wide neural activity at high resolution. These advances hold promise for elucidating the intricate mechanisms of action of general anesthetics. This review aims to summarize our current understanding of the role of cortical and subcortical nuclei in modulating general anesthesia, providing new evidence of cortico-cortical and thalamocortical networks in relation to anesthesia and consciousness. These insights contribute to a comprehensive understanding of the neural network mechanisms underlying general anesthesia.
全身麻醉在现代医学中发挥着重要作用。然而,全身麻醉的确切机制仍不清楚,这是麻醉学领域的一个关键科学挑战。神经科学技术的进步使得能够对特定神经回路进行靶向操纵,并以高分辨率捕获全脑范围的神经活动。这些进展有望阐明全身麻醉复杂的作用机制。本综述旨在总结我们目前对皮质和皮质下核团在调节全身麻醉中作用的理解,为与麻醉和意识相关的皮质-皮质及丘脑-皮质网络提供新证据。这些见解有助于全面理解全身麻醉背后的神经网络机制。