Evidence map›Paper›PMID 18713892›Full record

ReviewAnesthesia and analgesia2008

Is a new paradigm needed to explain how inhaled anesthetics produce immobility?

Edmond I Eger, Douglas E Raines, Steven L Shafer, Hugh C Hemmings, James M Sonner

Abstract readReview
In one paragraph

Review in Anesthesia and analgesia, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 46 papers.

0numbers the graph read from it
0cells of the map it votes in
46citing papers in PubMed
7.4field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

46 citing papers in PubMed, 119 citations in OpenAlex.

  1. Article
  2. [Causes and prevention strategies of postoperative nausea and vomiting after orthognathic surgery].Hua xi kou qiang yi xue za zhi = Huaxi kouqiang yixue zazhi = West China journal of stomatology · 2025
    Review
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  12. Article
  13. Antidepressants are modifiers of lipid bilayer properties.The Journal of general physiology · 2019
    Article
  14. The actions of volatile anesthetics: a new perspective.Acta crystallographica. Section D, Structural biology · 2018
    Review
  15. Intravenous Anesthetic, Propofol Affects Synaptic Responses in Cerebellar Purkinje Cells.Clinical psychopharmacology and neuroscience : the official scientific journal of the Korean College of Neuropsychopharmacology · 2018
    Article
  16. Article
  17. Article
  18. Clinical concentrations of chemically diverse general anesthetics minimally affect lipid bilayer properties.Proceedings of the National Academy of Sciences of the United States of America · 2017
    Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 1 country.

Edmond I EgerDepartment of Anesthesia and Perioperative Care, University of California, San Francisco, California 94143-0464, USA. egere@anesthesia.ucsf.edu
Douglas E Raines
Steven L Shafer
Hugh C Hemmings
James M Sonner
University of California, San Francisco · USColumbia University · USMassachusetts General Hospital · US

Funding

SITES AND MECHANISMS OF INHALED ANESTHETIC ACTIONSP01GM047818 · NIGMS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI EGER, EDMOND I · 1994 to 2008
$11.0M
SYNAPTIC MECHANISMS OF GENERAL ANESTHETIC ACTIONR01GM058055 · NIGMS · WEILL MEDICAL COLL OF CORNELL UNIV · PI HEMMINGS, HUGH C · 1998 to 2023
$10.1M
NIGMS NIH HHS 1P01GM47818NIGMS NIH HHS P01 GM047818NIGMS NIH HHS R01 GM058055
6 · The paper itself

Abstract

A paradox arises from present information concerning the mechanism(s) by which inhaled anesthetics produce immobility in the face of noxious stimulation. Several findings, such as additivity, suggest a common site at which inhaled anesthetics act to produce immobility. However, two decades of focused investigation have not identified a ligand- or voltage-gated channel that alone is sufficient to mediate immobility. Indeed, most putative targets provide minimal or no mediation. For example, opioid, 5-HT3, gamma-aminobutyric acid type A and glutamate receptors, and potassium and calcium channels appear to be irrelevant or play only minor roles. Furthermore, no combination of actions on ligand- or voltage-gated channels seems sufficient. A few plausible targets (e.g., sodium channels) merit further study, but there remains the possibility that immobilization results from a nonspecific mechanism.

Indexed as

AnalgesiaImmobilizationAnesthetics, InhalationAnimalsHumansLigandsMiceModels, BiologicalModels, GeneticModels, TheoreticalReceptors, GABA-AReceptors, GlutamateReceptors, Serotonin, 5-HT3Sodium ChannelsStatic ElectricityAnesthetics, InhalationLigandsReceptors, GABA-AReceptors, GlutamateReceptors, Serotonin, 5-HT3Sodium Channels

Identifiers

PMID18713892
PMCPMC2653203
OpenAlexW2105954846

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.