t
last October’s ASA Annual Meeting in San Francisco,
the following outstanding contributors were recognized
by the Malignant Hyperthermia Association of the
United States (MHAUS).
MH Hotline Partnership Awards
James W. Chapin, M.D., University of Nebraska Medical
Center, Omaha, and Dorming Wong, M.D., California
Anesthesia Associates Medical Group, Newport Beach,
California, were the recipients of the 2007 MH Hotline
Partnership Awards. This award recognizes special
cases in which the 24/7 MH Hotline was used to solve
MH cases in real time via telephone or Internet.
Dr. Wong called the hotline because he was dealing
with signs of MH during a surgical procedure in
a 72-year-old woman undergoing off-pump cardiac
surgery. After much discussion, they eventually
concluded that the case was probably MH, and she
was recommended for a muscle biopsy at UCLA.
Dr. Chapin has volunteered his time as a hotline
consultant for more than 20 years.
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Special Recognition for Outstanding Dedication
to MH Award
Harvey K. Rosenbaum, M.D., Clinical Professor of
Anesthesiology at the David Geffen School of Medicine
at UCLA, received a Special Recognition for Outstanding
Dedication to MH Award for his leadership and vision
in promoting the development of the MH Case of the
Month on the Malignant Hyperthermia Web site www.mhaus.org.
Henry Rosenberg, M.D., MHAUS President, said that
Dr. Rosenbaum, who has been a co-director of the
MH biopsy center at UCLA, took the case of the month
idea and developed the presentation and structure
of the challenge. He personally wrote the first
14 cases.
Special Recognition Awards
Paul D. Allen, M.D., Ph.D., Brigham and Women’s
Hospital in Boston, received the Special Recognition
Award for his outstanding work in understanding
the pathophysiology of MH and the development of
a new animal model for MH.
Susan Hamilton, Ph.D., Baylor College of Medicine,
Houston, also received the Special Recognition Award
for her outstanding work in understanding the structure
and function of ryanodine receptors and the development
of a new animal model for MH.
Dr. Rosenberg said that Drs. Allen and Hamilton
have been investigating the special characteristics
of cellular structure and function in MH-susceptibles.
They worked through the details of developing an
animal model that expresses the mutations responsible
for rendering an individual animal MH-susceptible.
The animal model has already suggested that environmental
temperature can modulate the development of an MH
episode. The animal model will serve to provide
greater information concerning the relation of DNA
changes to the expression of MH.
Special Mention Manuscript Award
Laura Schleelein, M.D., Children’s Hospital
of Philadelphia, received the Special Mention Manuscript
Award for her manuscript “Hyperthermia in
the Pediatric Intensive Care Unit — Is It
Malignant Hyperthermia?” Dr. Schleelein and
co-workers used MH Hotline data to explore how often
MH is expressed in the pediatric intensive care
unit. An abstract of her work may be found in the
compilation of Annual Meeting abstracts posted on
the ASA Web site at www.asaabstracts.com/strands/asaabstracts.
Media Award
This year’s MHAUS Media Award recognized Robert
C. Morell, M.D., editor and chief for the Anesthesia
Patient Safety Foundation, for his support of the
educational mission of MHAUS by encouraging the
publication of information that relates to the clinical
findings in MH.
Daniel Massik MHAUS Anesthesiology Resident
Award
The Daniel Massik MHAUS Anesthesiology Resident
Award was established through the generosity of
an MHAUS founder, George Massik, in memory of his
son Daniel. First place went to Frank Schuster,
M.D., Department of Anesthesiology, University of
Wurzburg, Wurzburg, Germany, for his manuscript
“A Minimally-Invasive Metabolic Test Detects
Probands at Risk for Malignant Hyperthermia.”
Dr. Rosenberg said the work of Dr. Schuster and
his colleagues have creatively applied physiologic
information about MH to developing a minimally invasive
diagnostic test for MH that might reduce the use
of the standard open muscle biopsy.
About MHAUS
MH is an uncommon, inherited disorder, whereby patients
who are at risk may develop life-threatening temperature
elevation, muscle breakdown and changes in body
chemistry, usually upon exposure to certain anesthetic
gases. With rapid recognition of the changes accompanying
the syndrome and administration of dantrolene sodium,
mortality is averted.
MHAUS (www.mhaus.org)
is a not-for-profit patient advocacy organization
that is dedicated to reducing morbidity and mortality
from MH and related syndromes by 1) improving medical
care related to MH, 2) providing support information
for patients and 3) improving the scientific understanding
and research related to MH and other kinds of heat-related
syndromes. In its first 25 years of existence, MHAUS
has contributed to the reduction of the MH-related
death rate from 80 percent to less than 5 percent.
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