obstetrics

George Gallos, MD
Assistant Professor of Anesthesiology
Publications

My research interests includes mechanisms of smooth muscle relaxation, in particular the role GABAA channels may play in modulating airway smooth muscle and uterine smooth muscle relaxation.


 

 

 

 

Laurence Ring, MD 
Assistant Professor of Anesthesiology

Dr. Ring’s work focuses on the neural control of energy homeostasis in both normal and pathological states.  Using mouse models of genetic obesity, he has been able to show the importance of hypothalamic leptin receptors in regulating weight gain, body composition, food intake, metabolic rate and glucose hemostasis in young animals.  His work is addressing the question as to whether the mechanisms of obesity in childhood are different than those active in adulthood and whether an understanding of these mechanistic differences can be exploited to develop more effective therapies for the prevention and treatment of metabolic disease.  Secondly, his work seeks to determine if sexual dimorphisms of obesity and diabetes are governed by central, sex specific circuits, or whether these dimorphisms are a result of sex steroids directly on peripheral tissues.

 

 

Richard M. Smiley, MD, PhD
Professor of Clinical Anesthesiology (in Obstetrics and Gynecology)
Chief of Obstetric Anesthesia

Dr. Smiley's recent areas of research interest have been in the general area of pharmacogenetics.  He has shown that a common genetic polymorphism (arginine 16) of the beta-2 adrenergic receptor has a significant protective effect on the incidence or outcome of preterm labor.  Other recently published work has demonstrated that genetic variation of this receptor affects the hemodynamic response to spinal anesthesia and vasopressor use during cesarean section.  In research on another receptor system, a common genetic variant of the mu-opioid receptor has been shown to significantly affect the analgesic response to spinal fentanyl in labor.  Another investigation of altered drug and hormonal responses involves studying the response of the vascular system to vasoconstrictors and dilators during pregnancy compared to the non-pregnant state. This is being studied in humans using a mini-dose venous infusion technique and linear variable differential transformer ("LVDT") sensor.  Dr. Smiley helped initiate and is participating in a multi-center study of the development of chronic or persistent pain after cesarean or vaginal delivery (the PAD study).  Other clinical research projects and interest include studies of various drugs and strategies of use of spinal and epidural analgesia for the relief of labor, postoperative and postpartum pain.


 

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Columbia University Medical Center Department of Anesthesiology