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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).
Fenestrated endothelia are found in the capillaries of the gut and endocrine glands. In the central nervous system (brain and spinal cord), capillary endothelia lack pores and there is little transcytotic activity. In order to cross the blood-brain barrier, drugs must diffuse transcellularly, i.e., penetrate the luminal and basal membrane of endothelial cells. |
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