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ASA NEWSLETTER
 
 
August 2001
Volume 65
Number 8
 
FAER REPORT

Summary of New Grant Programs

The Foundation for Anesthesia Education and Research (FAER) Board of Directors recently announced significant changes in its grant programs. The table below summarizes the specifics of each grant. Please refer to the Web site at <www.faer.org> to download the application. Those who are interested can contact the FAER office at (507) 266-6866 or e-mail Kerry Todd at todd.kerry@mayo.edu with questions or comments. Please note the next deadline for submission of applications is August 15, 2001.

Announcement of Recent Recipients

We are pleased to announce the most recent FAER grant recipients. Their projects began July 1, and the FAER Board of Directors congratulates them on excellent proposals and is excited to follow their progress. The Foundation is grateful for the generous contributions of many that allow for the funding of these awards. In particular, we want to thank the following corporations and subspecialty societies for their major gifts in support of 2001 investigators: Abbott Laboratories, Arrow International, Aspect Medical Systems, AstraZeneca Pharmaceuticals, Baxter Healthcare Corporation, Datex-Ohmeda North America, Dräger Medical, Pharmacia Corporation, Preferred Physicians Medical, Smiths Industries Medical Systems; American Society of Regional Anesthesia and Pain Medicine, the Association of University Anesthesiologists, the Society for Ambulatory Anesthesia, the Society of Cardiovascular Anesthesiologists, the Society for Obstetric Anesthesia and Perinatology–Obstetric Anesthesia and Perinatology Endowment Fund and the Society for Pediatric Anesthesia. The descriptions of the projects were provided by the investigators.

New Investigator Award – Basic Science

Timothy Angelotti, M.D., Ph.D., Stanford University, Stanford, California: “Genetic Manipulation of Mice for the Analysis of In Vivo Adrenergic Receptor Pharmacology and Physiology.”

During anesthesia, beta-adrenergic receptors (b-AR) are important drug targets for treatment of patients with poor cardiac function (with inotropes and chronotropes) as well as being important mediators of cardiac protection (with beta-blockers). To overcome the lack of subtype-specific drugs for in vivo experimentation, I will manipulate the mouse genome to create a “gene exchange” mouse where the normal expression pattern of various b-AR genes has been altered at the cellular and subcellular levels. Detailed analysis of the intracellular signaling cascades in heart cells will then be correlated to in vivo measurements of cardiac performance and response to various adrenergic drugs in these mice. Advances in genomics and their application to the study of complex physiological systems will enable us to gain insight into the etiology of cardiac enhancement by drugs and cardiac failure from disease, which will be of importance to anesthesiologists and critical care specialists.

Hong Liu, M.D., University of California Davis Medical Center, Sacramento, California: “Volatile Anesthetic Preconditioning: Effects of pH, NA+ and CA++ in Newborn Hearts During Ischemia and Reperfusion.”

Pediatric open-heart surgery is increasing, and the mortality rate is still high. In order to improve the quality of care for newborns during open-heart surgery, it is necessary to determine the basics of cell damage and to design treatment based on this knowledge.

This study tests lack of blood flow in newborn hearts (ischemia) that occurs during surgery, causing an acid (H+) buildup within the cells and causing a protein in the cell membrane to allow H+ to leave the cell as sodium (Na+) enters. Too much Na+ causes another protein to let Na+ out while calcium (Ca++) enters. This results in too much Ca++ inside the cell, causing cell damage. We use NMR to measure Na+ and Ca++ inside the cells of a beating heart and to test volatile anesthetic treatment before ischemia to determine the mechanism by which it protects the heart.

We hypothesize that sevoflurane will prevent Na+ and Ca++ accumulation inside the cell. This will provide a better understanding of volatile anesthetics in preventing newborn heart injuries and lead to the development of new interventions for reducing morbidity and mortality in pediatric open-heart surgery.

[More award recipients will be featured in the next “FAER Report.”]


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