The high quality of whole-cell patch-clamp recordings critically depends on four, partially interrelated, variables:
First, all solutions have to be made fresh, in clear, rinsed glassware, with particular care on inclusion of all ingredients and carefully weighed amounts.
Second, slice quality is extremely important. The brain has to be removed from the skull quickly without nicking, damaging or putting any type of pressure on the brain and transferred to an ice-cold solution. Then, with minimal manipulation, 300 coronal slices should be cut with a sharp blade, and the slices, individually, are only manipulated to a minimal amount (touched, moved etc.).
Third, selection of healthy-looking cells is paramount, that do not look bloated, damaged, too deep, or are obscured by other cells.
Four, high giga-seal (>GOhm) should be attained before breaking in followed by proper access (low MOhm) of the cell.