My life experiences with family members needing medical care during their illnesses, and the nobility of a profession where you can make a difference in others' lives, drew me to becoming a physician.
Pediatrics was always my passion. I relate well to children and I enjoy taking care of them. My clinical specialties are pediatric anesthesia, perioperative pain and ultrasound-guided regional analgesia. In addition, anesthesia is a field that adds lifesaving skills and allows me to care for patients in times of high stress, such as when undergoing surgery. I use my skills to help manage pain, which can enable their recovery.
My research areas include personalized medicine, pharmacogenomics, epigenetics, chronic post-surgical pain and psychosocial predictors of pain. My clinical field and experience led me to believe each individual is unique. In addition, it showed me the importance of the big picture in improving perioperative outcomes, which includes understanding gene-environmental interactions. This led to my desire to combine my clinical skills with my research interests.
The goals of my research are: 1) to identify preoperative interventions for the optimization of pain management; 2) to develop genomic and epigenetic risk predictors for perioperative and chronic post-surgical pain response; and 3) to develop pharmacologic targets based on genomic studies.
I am honored to have received many awards and appointments throughout my career, including:
My mentees have similarly received research awards over the last few years. I’ve given international talks and organized symposia at national and international pain meetings, including those of the American Pain Society and the International Association for the Study of Pain.
MBBS: Medicine, Bangalore Medical College, India, 1997.
MD: Anesthesiology, Kasturba Medical College, India, 2000.
Senior Resident: Amrita Institute of Medical Sciences, Kochi, Kerala, India, 2001-2002.
Internship: Anesthesiology, Jackson Memorial Hospital, Miami, Florida, 2003-2004.
Residency: Anesthesiology, Brookdale University Hospital, Brooklyn, New York, 2004-2007.
Fellowship: Pediatric Anesthesia, Johns Hopkins Hospital, Baltimore, Maryland, 2007-2008.
Certificate: Clinical and Translational Research, University of Cincinnati, Cincinnati, OH, 2015.
Masters’ Degree: Clinical and Translational Research, University of Cincinnati, Cincinnati, OH, 2017.
Pediatric anesthesia; perioperative pain; ultrasound guided regional anesthesia
Pharmacogenomics; PK-PD modeling; genomics/epigenetics pain research; psychosocial factors; outcomes research
Regional Anesthesia and Pain Outcomes After Anterior Cruciate Ligament Reconstruction Surgery in Pediatric Patients: Society of Pediatric Anesthesia Improvement Network. Anesthesia and Analgesia. 2026; 142(1):93-101.
Erector Spinae Catheters and Celiac Plexus Block for Analgesia After Total Pancreatectomy With Islet Autotransplantation: A Retrospective Feasibility Study. Anesthesia and Analgesia. 2026; 142(1):190-192.
Potential role for immune cell signatures as predictors of acute and chronic pain in adolescents post major musculoskeletal surgery. Brain, Behavior, and Immunity. 2026; 131:106133.
Multi-Institutional Study of Multimodal Analgesia Practice, Pain Trajectories, and Recovery Trends After Spine Fusion for Idiopathic Scoliosis. Anesthesia and Analgesia. 2025; 141(5):1137-1148.
Regional anesthesia and functional outcomes after anterior cruciate ligament reconstruction surgery in adolescent patients: Society of Pediatric Anesthesia Improvement Network (SPAIN). Regional Anesthesia and Pain Medicine. 2025.
Mixed methods family-centered study of acute post-surgical pain experience in non-hispanic white and black children. Journal of Pain. 2025; 35:105502.
Multisite prospective study of perioperative pain management practices for anterior cruciate ligament reconstruction in adolescents: Society for Pediatric Anesthesia Improvement Network (SPAIN) Project Report. Regional Anesthesia and Pain Medicine. 2025; 50(6):455-463.
Epigenetics 101: A Primer for Anesthesiologists. ASA Monitor. 2025; 89(3):1-5.
The role of cytokines in acute and chronic postsurgical pain after major musculoskeletal surgeries in a quaternary pediatric center. Brain, Behavior, and Immunity. 2024; 122:596-603.
Multicenter study of OPRM1 A118G and promoter-region DNA methylation associations with opioid outcomes and chronic postsurgical pain after pediatric musculoskeletal surgery. PAIN Reports. 2024; 9:e1201.
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