TY - CHAP M1 - Book, Section TI - Skeletal Muscle Contraction A1 - de Jesus, Matthew A2 - Freeman, Brian S. A2 - Berger, Jeffrey S. PY - 2014 T2 - Anesthesiology Core Review: Part One Basic Exam AB - Voluntary skeletal muscle contraction occurs when an electrical signal (action potential) travels via somatic nerves to the synaptic cleft. Here, the electrical action potential opens voltage-gated calcium channels, and calcium causes the release of acetylcholine (ACh) into the synaptic cleft. The ACh travels across the synaptic cleft binding to nicotinic ACh receptors, which when activated, allow an influx of sodium ions into the muscle fiber membrane. The intracellular voltage change from the influx of sodium transmits an action potential via T-tubules to the center of the muscle cell, where upon reaching the sarcoplasmic reticulum, calcium ions are released, enabling muscle fibers to contract. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/04/19 UR - accessanesthesiology.mhmedical.com/content.aspx?aid=1102568844 ER -