410 W 10th Ave
Columbus, OH 43210
Phone: (614) 293-8487
Assistant Professor-Clinical, Anesthesiology
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 have 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 become a part of, and contributed to, 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 contribution to the training of many of the providers in our division, I have assisted in the establishment of a standardized approach to the management of complex neurosurgical procedures performed at our institution, and in doing so, have allowed our neurosurgical colleagues to focus on their surgical responsibilities, confident in the intraoperative anesthetic care their patients receive. I have also 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. I have most recently taken on a role as Assistant Director of Clinical Neuroanesthesia Services, given my significant contributions to the management of care our neurosurgical patients receive perioperatively.
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 for the high standard and quality of care I provide; I am often consulted by residents, CRNAs, and colleagues for my thoughts and my insight in developing a plan of care for their patient both during a challenging clinical situation or review of a recent, complex case. I have lectured on patient positioning during surgery, focusing on the sitting and prone positions, and the role of anesthesia in management of aneursymal subarachnoid hemorrhage. Because patient positioning during surgery is 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, 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 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.
Anesthesia for the sitting position
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, has since completed the training program at OSU under my guidance and 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.
|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.|
|2011 - present||Doctor of Medicine: State Medical Board of Ohio|
|2012 - present||Board Certified Anesthesiologist: American Board of Anesthesiology|
|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)|
|2000||B.S., Case Western Reserve University|
|2006||M.D., The Ohio State University|
|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”?|
|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.|
|1999||Medical Research Assistant. Case Western Reserve University School of Medicine.|
|2002||Columbus Free Clinic.|
|2003||Central Ohio Diabetes Association.|