A photo of Smokey Joe Clay.

Smokey J. Clay, MD

  • Program Director, Pediatric Anesthesiology Fellowship, Department of Anesthesia
  • Associate Professor, UC Department of Anesthesia



As a pediatric anesthesiologist, I care for neonates, infants and children undergoing surgery at Cincinnati Children’s. In addition to general pediatric cases, I work with teams caring for women undergoing fetal surgery and children receiving a liver transplant.

In my role as an attending anesthesiologist on the acute pain service, I oversee a team caring for children with pain after surgery. This work includes neuraxial techniques, regional anesthesia, management of IV and oral pain medications, and daily interactions with the care team and patients.

My academic focus centers on the education and training of core pediatric anesthesiology fellows. As program director, I help lead the daily operations of our training program. I work with my team to provide a high-quality learning environment that is responsive to our learners’ needs, our patients and changes in our science. I find this work extremely rewarding.

In my free time, I enjoy the outdoors and spend hours walking throughout Cincinnati and the surrounding communities. You will also run into me at many of the wonderful arts events available here in the city.


Anesthesia for liver transplantation; anesthesia for fetal surgery; perioperative pain management; regional anesthesia; education

Services and Specialties

Anesthesia, Perioperative Pain Management


Retrospective study comparing outcomes of multimodal epidural and erector spinae catheter pain protocols after pectus surgery. Walter, CM; Lee, CS; Moore, DL; Abbasian, N; Clay, SJ; Mecoli, MD; Olbrecht, VA; Batra, M; Ding, L; Yang, F; Simpson, BE; Brown, RL; Garcia, VF; Chidambaran, V. Journal of Pediatric Surgery. 2023; 58:397-404.

Multimodal continuous ambulatory erector spinae catheter pain protocol for early recovery following Nuss procedure: a retrospective cohort study. Abbasian, N; Clay, SJ; Batra, M; Walter, CM; Olbrecht, VA; Mecoli, M; Lee, CS; Nair, M; Huq, A; Simpson, BE; Brown, RL; Garcia, VF; Chidambaran, V. Regional Anesthesia and Pain Medicine. 2022; 47:421-423.

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