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The eicosanoids, prostaglandins, thromboxane, prostacyclin, and leukotrienes, are formed in the organism from arachidonic acid, a C20 fatty acid with four double bonds (eicosatetraenoic acid). Arachidonic acid is a regular constituent of cell membrane phospholipids; it is released by phospholipase A2 and forms the substrate of cyclooxygenases and lipoxygenases.
Originally, anesthetization was achieved with a single anesthetic agent (e. g. , diethylether— first successfully demonstrated in 1846 by W. T. G. Morton, Boston). To suppress defensive reflexes, such a “mono-anesthesia” necessitates a dosage in excess of that needed to cause unconsciousness, thereby increasing the risk of paralyzing vital functions, such as cardiovascular homeostasis (B). |
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