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The level of Ca2+ concentration attained determines the degree of shortening, i.e., the force of contraction. Sources of Ca2+ are: a) extracellular Ca2+ entering the cell through voltage-gated Ca2+ channels; b) Ca2+ stored in membranous sacs of the sarcoplasmic reticulum (SR); c) Ca2+ bound to the inside of the plasmalemma.
This procedure is used in high-risk patients (e. g. , advanced age, liver damage). Neuroleptanesthesia refers to the combined use of a short-acting analgesic, an injectable anesthetic, a short-acting muscle relaxant, and a low dose of a neuroleptic. In regional anesthesia (spinal anesthesia) with a local anesthetic (p. 204), nociception is eliminated, while consciousness is preserved. |
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