Skip to main content Accessibility help
×
Hostname: page-component-7479d7b7d-k7p5g Total loading time: 0 Render date: 2024-07-10T13:10:20.091Z Has data issue: false hasContentIssue false

Chapter 53 - Synapses and the Neuromuscular Junction

from Section 4 - Neurophysiology

Published online by Cambridge University Press:  31 July 2019

David Chambers
Affiliation:
Salford Royal NHS Foundation Trust
Christopher Huang
Affiliation:
University of Cambridge
Gareth Matthews
Affiliation:
University of Cambridge
Get access

Summary

Chemical synapse, in which the signal is relayed by means of a chemical messenger called a neurotransmitter. Arrival of an action potential triggers neurotransmitter release into the synaptic cleft, a narrow (20–50‑nm) gap between the pre- and post-synaptic membranes, which excites or inhibits the postsynaptic cell. An example of a chemical synapse is the neuromuscular junction (NMJ): the terminal bouton of an α-motor neuron forms a synapse with the motor end plate of a skeletal muscle cell. Action potential transmissions at chemical synapses are typically unidirectional: the signal can only be transmitted from pre- to post-synaptic cells. Transmission of an action potential across a chemical synapse is associated with a synaptic delay, as it takes time for each of the processes of neurotransmitter release, diffusion and combination with postsynaptic receptors to occur.

Type
Chapter
Information
Publisher: Cambridge University Press
Print publication year: 2019

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Further reading

Hunter, J. M.. Reversal of residual neuromuscular block: complications associated with perioperative management of muscle relaxation. Br J Anaesth 2017; 119(Suppl. 1): i53–62.CrossRefGoogle ScholarPubMed
Thevathasan, T., Shih, S. L., Safari, K. C., et al. Association between intraoperative non-depolarising neuromuscular blocking agent dose and 30-day readmission after abdominal surgery. Br J Anaesth 2017; 119(4): 595605.CrossRefGoogle ScholarPubMed
Naguib, M., Brull, S. J., Johnson, K. B.. Conceptual and technical insights into the basis of neuromuscular monitoring. Anaesthesia 2017; 72(Suppl. 1): 1637.CrossRefGoogle ScholarPubMed
Khirwadkar, R., Hunter, J. M.. Neuromuscular physiology and pharmacology: an update. Continuing Educ Anaesth Crit Care Pain 2012; 12(5): 237–44.CrossRefGoogle Scholar
Weir, C. J.. The molecular mechanisms of general anaesthesia: dissecting the GABAA receptor. Continuing Educ Anaesth Crit Care Pain 2006; 6(2): 4953.CrossRefGoogle Scholar
Thavasothy, M., Hirsch, N.. Myasthena gravis. Continuing Educ Anaesth Crit Care Pain 2002; 2(3): 8890.CrossRefGoogle Scholar

Save book to Kindle

To save this book to your Kindle, first ensure coreplatform@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×