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Sandhu, Gurneet S. MD


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410 W 10th Ave
Columbus, OH 43210

Phone: (614) 293-8487

Email: sandhu.20@osu.edu

 

Current OSU Appointments

Assistant Professor-Clinical, Anesthesiology

Physician, FGP-Anesthesiology

 

Clinical Interest

Anesthesiology;Neurological Surgery;Neurology

Biographical

As a member of The Ohio State University community since 2002 when I began medical school, I have witnessed first-hand the impact education, research, and patient care has on so many lives throughout the central Ohio and greater community. I had the privilege of continuing my post graduate training here at The Ohio State University by receiving training in general surgery and completing a residency in anesthesiology. In 2012, I became a board certified anesthesiologist and completed my fellowship training in the field of neuroanesthesia under the guidance of Dr. Sergio Bergese. Upon completion of my training, I joined the faculty as a member of the Division of Neuroanesthesia and have since taken on a role as a clinical anesthesiologist, providing care for many of the complex neurosurgical procedures performed here at The Ohio State University Wexner Medical Center. My primary appointment in the Medical Center is as a clinical anesthesiologist, and I am extremely passionate about the anesthetic care that our neurosurgical patients receive. I have taken on a leading role as part of a multidisciplinary team that is at the forefront of neurosurgical care providing therapies for stroke, endoscopic skull base surgery, correction of complex spinal deformities, surgery for brain implants, and neuro-oncology surgery. Because of my early involvement in a small subspecialty of care and my extensive clinical contribution to the training of many providers in our division, I have been responsible for the establishment of a personalized approach to the anesthetic management of complex neurosurgical procedures performed at our institution. Doing so has allowed our neurosurgical colleagues to focus on their surgical responsibilities, confident in the intraoperative care their patients receive while undergoing surgery. This level of personalization has come to life through my enthusiasm and fascination with always trying to understand the why behind every decision we make. This along with my extensive and detailed understanding of the pathophysiology of neurological disorders and the implications our anesthetics have on this patient population has allowed for a tailored approach to the management of patients undergoing neurosurgical procedures at our institution. This advancement in the intraoperative anesthetic care of our neurosurgical patients has gone beyond just myself as I have been able to share my approach with others in our department from CRNAs to anesthesiologists. The end result has allowed them to also take on a personalized approach in the development of their anesthetic regimen and hemodynamic management plan tailored to their patient's neurological disease. While nothing excites me more than direct patient care I have also been involved in the planning and workflow management that provides the necessary foundation to provide that care. I had the privilege of contributing to the logistical plans and workflow of patient care management as we introduced the consistent use of intraoperative MRI for our neurosurgical patients in the James Cancer Hospital and became the first institution to consistently offer such an option for patients in central Ohio. Most recently, in acknowledgement of my contributions and accomplishments with in our division and the care of our neurosurgical patients I have become the Assistant Director of Clinical Neuroanesthesia Services.



I attribute the integration of research and education within my daily clinical practice to my personal development and success as a faculty member. While I have consistently received good teaching scores on my annual evaluations, I take pride in the level of trust and confidence my colleagues have in me; I am often consulted by residents, CRNAs, and anesthesiologists for my thoughts and insight in developing a plan of care for their patient both during a challenging clinical situation or in review of a recent, complex case. Even my surgical colleagues when presented with a complex patient will turn to me so that I can be involved in developing a plan for the management of their patients outside of the operating room. Nothing is more rewarding then knowing my colleagues will turn to me and rely on the expertise that I have developed through an extreme level of persistence and dedication to what I do each and every day as a clinician. I have also given many lectures on patient positioning during surgery, focusing on the sitting and prone positions, and the role of anesthesia in management of aneurysmal subarachnoid hemorrhage within our Department to impart my expertise. Because complex positions during surgery are a concern relevant to my daily clinical practice, I am able to provide an experienced opinion to managing the clinical consequences of these situations. My responsibility in identifying and mediating modifiable risk factors for air embolism in the sitting position and transmitting this knowledge to my health care team is one example of my clinical situational awareness and using these occasions to promote the education of others. My motivations to continually improve my own practice translate to learning opportunities; currently, there is little information on clinical decision making options for anesthesia care providers to reduce the risk for air embolism during surgery in the sitting position, and the simple discussion of the potential for central venous pressure to impact air entrainment into the venous system is not yet published. My curiosity and interest in understanding the balance of agents like mannitol with preoperative hydration developed through concerted thought and desire to improve my personal clinical practice, and I am now able to convey that knowledge to future practitioners.



I have also recently begun to look for ways to improve the care, outcomes, and experiences of our patients through the incorporation and application of my own, initiated clinical research. Specifically, as I would perform my duties during post-operative rounds, I noticed that many of our craniotomy patients would often be symptomatic from tension pneumocephalus with concordant imaging findings; this observation piqued my curiosity to evaluate intraoperative preventative therapies provided by the anesthesia team to avoid these post-operative complications. I assisted in the protocol design of a prospective, double-blind, randomized trial to see if the administration of 100% oxygen during closure of the dura can prevent or decrease the incidence of pneumocephalus in patients undergoing craniotomy, a study for which I am the principal investigator. While pneumocephalus is currently treated with post-operative oxygen, I have produced a protocol intended to reduce the chance for post-operative pneumocephalus in the hopes of improving patient outcomes, recovery and thus satisfaction. The study has generated a lot of excitement within both the Anesthesiology and Neurosurgical Departments because of the potential for advancing intraoperative care; the trial is currently active to enrollment.



I am extremely privileged to be part of such a great University where the integration of research, education, and clinical care is seamless. I look forward to continued growth and increased participation in all these aspects as I further engage in academic medicine at The Ohio State University.

Clinical Interest

Anesthesia for the sitting position

Transfusion Medicine

Postoperative Pneumocephalus

Academic Advising

I have advised numerous residents and fellows enrolled in our training program as well as medical students on summer externships. One of my closest mentees, Dr. Lakshmi Kurnutala, completed the training program at OSU under my guidance and has become the Director of Neuroanesthesia at the University of Mississippi Medical Center. Dr. Kurnutala and I worked closely on multiple projects during his training as I mentored his developing academic and clinical career. Under my mentorship, Dr. Kurnutala learned how to develop research ideas, write IRB submissions, collect and analyze data, perform literature searches, and write abstracts. While a fellow, I was able to guide him to identify teaching opportunities through translating unique challenges encountered in our clinical practice into academic products. One example of this translation was the challenging case of a patient presenting with head and neck cancer and elevated intracranial pressure in whom we performed fiberoptic nasopharyngoscopy to evaluate a potential difficult airway. Together, we authored and presented a well received abstract at the Postgraduate Assembly in Anesthesiology sponsored by the New York State Society of Anesthesiologists. I have also mentored Brian Dishong, David Yehsakul, and Michelle Humeidan, who have all since joined our faculty as part of our neuroanesthesia team. Brian Dishong has gone on to serve as the Associate Fellowship Director of our Neuroanesthesia Fellowship Program. One of my other mentees, Rashmi Vandse, now practices neuroanesthesia at Loma Linda University in California. One of my medical students Marcus Cluse had a very productive summer with me as he learned to collect and analyze data, perform literature searches and even participated in writing a review paper. We presented a poster together on Hemodynamic Changes in Patients Undergoing Neurosurgical Procedures under General Anesthesia with Sevoflurane or Desflurane at the Roessler Program student Symposium Day. He is also a coauthor of a paper that we worked on together that visits the etiology behind postoperative vision loss along with its legal implications.

Academic Advising

2014 - present Suren Soghomonyan, Ohio State University Wexner Medical Center.
2015 - present Juan Fiorda, Ohio State University Wexner Medical Center.
2012 - 2013 Rashmi Vandse, The Ohio State University Medical Center. Graduated 2013.
2014 - 2015 Brian Dishong, Ohio State University Wexner Medical Center. Graduated 2015.
2014 - 2015 David Yehsakul, Ohio State University Wexner Medical Center. Graduated 2015.
2015 - 2016 Michelle Humeidan, Ohio State University Wexner Medical Center. Graduated 2016.
2016 Clifton Hartwell, Ohio State University College of Medicine.
2016 Marcus Cluse, Ohio State University College of Medicine.
 

Licenses

2011 - present Doctor of Medicine: State Medical Board of Ohio
2012 - present Board Certified Anesthesiologist: American Board of Anesthesiology
 

Clinical Services

07/01/2011 Assistant Professor- Clinical Anesthesiology (Columbus Ohio)
12/01/2013 Director of Schedhuling for Neuroanesthesia (The Ohio State University Wexner Medical Center)
03/01/2017 Assistant Director of Clinical Neuroanesthesia Services (The Ohio State Unviersity Wexner Medical Center)

Degrees

2000 B.S., Case Western Reserve University

2006 M.D., The Ohio State University

 

Editorial Activities

2017 Difficult direct laryngoscopy followed by easy video laryngoscopic intubation in a patientwith Torus Mandibularis: Should the patient be labeled as having a “difficult airway”?
 

Honors

2000 - present Phi Beta Kappa Honor Society. Case Western Reserve University.
2005 Honors on SICU Rotation. Department of Anesthesiology.
2005 Honors on Anesthesia Rotation. Department of Anesthesiology.
2006 Honors on Medical Education Rotation. Department of Anesthesiology.
2006 Letter of Accomodation on Pain Rotation. Department of Anesthesiology.
 

Journal Articles

Lakshmi N Kurnutala, M.D.1, Gurneet Sandhu, M.D.1, Rashmi Vandse, M.D.1, Suren Soghomonyan, M.D.Ph.D1*,. "Innovative Approaches to the Management of Acute Arterial." International Journal of Anesthesiology & Research. Vol. 1(4), (December 2013.): 18-24.

Suren Soghomonyan, Kenneth R. Moran, Gurneet S. Sandhu, Sergio Daniel Bergese. "Anesthesia and Evoked Responses in Neurosurgery." Frontiers in Pharmacology. Vol. 5, (April 2014.): Article Number 74-.

Soghomonyan S; Sandhu G;, Stoicea N; Kurnutala LN; Cotterman-Hart S; Christofi FL; Bergese SD;. "Neurophysiological Monitoring during Surgery on the Central Nervous System: The Role of Evoked Responses." International Journal of Anesthesiology & Research (IJAR). Vol. 3(6), (July 2015.): 119-129.

Ana Mavarez-Martinez, MD1, Suren Soghomonyan, MD, PhD1, Gurneet Sandhu, MD1, and Demicha Rankin, MD1. "Intraoperative Tension Pneumothorax in a Patient With Remote Trauma and Previous Tracheostomy." Journal of Investigative Medicine High Impact Case Reports. Vol. 4, no. 1. (January 2016.): 1-4.

Sandhu G, Gonzalez-Zacarias A, Fiorda-Diaz J, Soghomonyan S, Targonski D, Prevedello LM, Prevedello DM, Bergese SD;. "Impact of Intraoperative Ventilation with High Oxygen Content to Reduce the Incidence and Extent of Postoperative Pneumocephalus in Patients Undergoing Craniotomies." Journal of Clinical Trials 2016. Vol. 6, no. 2. (May 2016.): 1-3.

Kurnutala LN, Sandhu G, Stoicea N, Kinthala S, Wei L, Bergese SD. "Semisitting Position and Venous Air Embolism in Neurosurgical Patients with Patent Foramen Ovale: A Systematic Analysis." International Journal of Anesthesiology & Research (IJAR). Vol. 4, no. 8. (August 2016.): 305-312.

Kurnutala LN; Sandhu G; Bergese SD. "Fiberoptic nasopharyngoscopy for evaluating a potentially difficult airway in a patient with elevated intracranial pressure." Journal of Clinical Anesthesia. Vol. 34, (November 2016.): 336-338.

Suren Soghomonyan, Nicoleta Stoicea, Gurneet S. Sandhu, Jeffrey J. Pasternak, Sergio D. Bergese. "The Role of Permissive and Induced Hypotension in Current Neuroanesthesia Practice." Frontiers in Surgery, section Neurosurgery. Vol. 4, (January 2017.): Article 1-.

Ehud Mendel, Nicoleta Stoicea, Rahul Rao, Weston Niermeyer, Stephen Revilla, Marcus Cluse, Gurneet Sandhu, Gerald J. Todaro, Sergio Daniel Bergese. "Revisiting Postoperative Vision Loss Following Nonocular Surgery: A Short Review of Etiology and Legal Considerations." Frontiers in Surgery, section Neurosurgery. Vol. Volumbe 4, (June 2017.): Article 34-.

Alberto Uribe, Alix Zuleta-Alarcon, Mahmoud Kassem, Gurneet S. Sandhu, Sergio D. Bergese. "Intraoperative seizures: Anesthetic Drugs and Antiepileptic Drugs." Current Parmaceutical Design. -.

 

Presentations

"Nasopharyngoscopic Evaluation of a Potential Difficult Airway in a patient with raised intracranial pressure (ICP)." Presented at The New York State Society of Anesthesiologists PGA conference, . (December 2013)

"Semi-Sitting Craniotomy in a patient with Intracardiac Shunt." Presented at The New York State Society of Anesthesiologists PGA conference, . (December 2013)

"Hemodynamic Changes in Patients Undergoing Neurosurgical Procedures under General Anesthesia with Sevoflurane or Desflurane." Presented at Roessler Program Student Symposium Day, . (September 2016)

"The effects of sitting position on tumor resection extent, diuresis, and blood loss during surgery on posterior cranial fossa and pineal region." Presented at Roessler Program Student Symposium Day, Columbus Ohio. (September 2016)

"Anesthetic Cosiderations for aptient with Eisenmenger's Syndrome." Presented at ASA, Chicago. (October 2016)

"Huntington’s disease patient with postoperative respiratory failure in ICU." Presented at International Anesthesia Research Society meeting on May 6th-9th 2017, Washington DC. (May 2017)

 

Professional Activities

1999 Medical Research Assistant. Case Western Reserve University School of Medicine.
2002 Columbus Free Clinic.
2003 Central Ohio Diabetes Association.
 

Unpublished Works

Juan Fiorda-Diaz, Muhammad Shabsigh, Galina Dimitrova, Suren Soghomonyan, and Gurneet Sandhu. Perioperative Considerations in a Patient with Subarachnoid Hemorrhage, Alagille Syndrome, and Unrepaired Tetralogy of Fallot: A Case Report.

Lakshmi, Kurnutala, Gurneet Sandhu, Rashmi Vandse, Sergio Bergese. Neurosurgical anesthesia in sitting position patients: a survey of American experience.. April 2017.