Bio

Bio


I enjoy providing anesthesia for a wide variety of patients, procedures, and conditions. My practice sites include the Stanford Main Operating Room, Ambulatory Surgical Center, Labor and Delivery, Outpatient Surgical Center in Redwood City, Cancer Center South Bay in Los Gatos, and Reproductive Endocrinology/Infertility in Sunnyvale. Some of my clinical areas of focus include thoracic surgery and obstetrics. I am also involved in resident education and help manage the resident lecture curriculum.

Clinical Focus


  • Anesthesia

Academic Appointments


Professional Education


  • Board Certification: Anesthesia, American Board of Anesthesiology (2014)
  • Residency:Stanford University Medical Center - Anesthesia (2013) CA
  • Residency:Hospital of the University of Pennsylvania (2010) PA
  • Medical Education:University of Pittsburgh School of Medicine (2008) PA

Publications

All Publications


  • Extracorporeal membrane oxygenation for cardiac arrest during moyamoya cerebral revascularization surgery: case report JOURNAL OF NEUROSURGERY Choudhri, O., Shah, A., Basarab-Tung, J., Jaffe, R. A., Steinberg, G. K. 2015; 123 (3): 693-698
  • Extracorporeal membrane oxygenation for cardiac arrest during moyamoya cerebral revascularization surgery: case report. Journal of neurosurgery Choudhri, O., Shah, A., Basarab-Tung, J., Jaffe, R. A., Steinberg, G. K. 2015; 123 (3): 693-698

    Abstract

    The authors describe the case of a 51-year-old man with bilateral moyamoya disease and prior strokes who developed an asystolic cardiac arrest while undergoing revascularization surgery under mild hypothermia. The patient was successfully treated with venoarterial (VA) extracorporeal membrane oxygenation (ECMO) after manual cardiopulmonary resuscitation (CPR) was unsuccessful for 45 minutes. ECMO is a cardiopulmonary support system that is indicated for respiratory failure in pediatric and adult patients. It is increasingly being used as an extension to mechanical CPR for patients who have suffered cardiac arrest if the underlying cause of cardiac arrest is thought to be reversible. Identifying which patients should be placed on emergency ECMO after cardiac arrest is controversial given its high morbidity and mortality. ECMO in neurosurgical settings has associated risks of intracranial hemorrhage and neurological compromise, while resource utilization is paramount given the high costs of this treatment. This paper is significant because it describes the use of ECMO in an unindicated setting. Limited data are available for ECMO usage after cardiac arrest with baseline cerebral ischemia. Furthermore, this paper raises important considerations for extracorporeal CPR use in a patient who had recently undergone craniotomy. The patient in this report remained on ECMO for 48 hours, after which he was successfully weaned. He developed a pericardial effusion and compartment syndrome from the ECMO but made a complete neurological recovery. Use of ECMO emergently in an appropriately chosen neurosurgical patient is safe, even in the setting of baseline cerebral ischemia and recent craniotomy.

    View details for DOI 10.3171/2014.11.JNS141054

    View details for PubMedID 26052804