Dr. Ajay Prasad Hrishi P.

Academic Qualifications

• Fellowship in Neuroanaesthesia and Neurocritical care, Oxford University Hospitals,Oxford, United Kingdom
• European Diploma In Anaesthesia and Critical care, Brussels, Belgium , October 2019
• DM Neuroanesthesia ;SCTIMST Trivandrum, Kerala, India; December 2015
• DNB Anaesthesiology; National Board of Examinations, New Delhi, India; December 2012
• MD Anaesthesiology; Rajiv Gandhi University of Health Sciences, Karnataka, India; June 2012
• MBBS; Rajiv Gandhi University of Health Sciences, Karnataka, India; September 2008

Professional Record

• Associate Professor;SCTIMST, Trivandrum, Kerala, India Trivandrum; January 2019 - Till date
• Assistant Professor;SCTIMST, Trivandrum, Kerala, India Trivandrum;January 2016 - December2018
• DM Neuroanesthesia resident ;SCTIMST, Trivandrum, Kerala, India; January 2013 to Dec 2015
• Junior Consultant, Anesthesiology and Critical care, AHRI, Trivandrum, Kerala, India; June 2012 to Dec 2012

Honors

• KPR Young Anesthesiologist Award by the Indian Society of Anesthesiologists for the year 2018
• Executive Committee member of Indian Society of Anaesthesiologists,Trivandrum, Kerala.

Awards

• Dr KOP's Award for Best Paper for "Quest for the Holy Grail: Assessment of dynamic parameters of fluid responsiveness in patients with acute aneurysmal subarachnoid haemorrhage". Indian Society of Anaesthesiologists, National Conference December 2015, Jaipur, India.
• First Prize for "Trans-Esophageal Echocardiography (TEE) in Neuroanesthesia" . 10th Annual Perioperative and Critical Care Transesophageal Echocardiography workshop held at PGIMER, Chandigarh.2016 February.
• Second Prize for "Trans-Esophageal Echocardiography: A Necessity or Luxury? In predicting fluid responsiveness of perioperative neurosurgical patients". All India Institute of Medical Sciences, Neuroanaesthesia Update, September 2015.

Area of Interest

• Transesophageal Echocardiography, Intraoperative Neuromonitoring, Neurocritical care

Current Activities

• Coordinator, Code Blue Committee, SCTIMST
• Program Coordinator, DM Neuroanesthesia, SCTIMST

Fellowships

• Fellow of the Royal Society of Medicine, London, United Kingdom

Membership

• International Academy of Medical Sciences
• National Academy of Medical Sciences.
• Indian Society of Critical Care Medicine
• Indian Society of Neuroanesthesiology and Critical Care
• Indian Society of Anaesthesiologists.
• European Society of Anesthesiology.

On-going Projects

• Comparison of Depth of Anaesthesia Indices (SNAP vs. Bispectral index) during Desflurane based general anaesthesia and emergence in patients undergoing Interventional Neuroradiology procedures.
• Intranasal Dexmedetomidine for preoperative nose preparation during endoscopic trans-nasal resection of pituitary adenoma.
• Anaesthetic management of patients presenting with Vein of Galen malformation for endovascular / surgical treatment - A retrospective analysis
• Intraoperative electro physiologic monitoring of lower cranial nerves and its impact on perioperative outcome.
• Anaesthetic management for decompressive craniectomy - A retrospective analysis
• Transport of Critically Ill patients. Man and the Machine - Co- Principal Investigator
• Medical Device Development Project:Principal Investigator- Device Development Project in collaboration with Biomedical Wing, Sree Chitra Tirunal Institute for Medical Sciences and TechnologyProject Title: Design and development of Cerebral Microdialysis Device and methodology for estimation of cerebral metabolites.
• Principal Investigator (PI) for the funded project on implementation of Cardiopulmonary and Cerebral resuscitation "Code Blue Program" at Sree Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum

Desertations Supervised

• General Anaesthesia versus Total intravenous anaesthesia for supratentorial tumor surgery
• Anaesthetic Requirement in patients with medically refractory seizures undergoing neurosurgery.

Organisational Activities

• Organizing Secretary, Neuroanesthesia and Critical care continuing education- NICE 2019 April 28th 2019,AMC Auditorium. Organized by Department of Anaesthesia, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum.
• Organizing Secretary, Neuroanesthesia and Critical care continuing education- NICE 2017 September 24th 2017, Hotel Hycinth. Organized by Department of Anaesthesia, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum.

Invited talks

• Clinical field or Thromboelastography- what should decide the intraoperative transfusion strategy in neurosurgery? , AIIMS Neuroanesthesia Update, November 2018, AIIMS, New Delhi.
• Heart Brain Interaction- CME on Neurophysiology, Christian Medical College, Vellore, June 2018
• Anesthetic Concerns in Traumatic Brain Injury, GANCON 2018, Gokulam Medical College, Trivandrum
• Transesophageal Echocardiography, 18th Annual Conference of Indian Society of Neuroanesthesia and Critical care, PGIMER, Chandigarh, February 2017
• Anesthetic concerns of Patients with Multiple myeloma and spine metastatic tumors, CME on Spine Malignancies, Spine Forum, Trivandrum,July 2017
• Percutaneous Tracheostomy, NICE 2017, SCTIMST, Trivandrum.
• Pre-anesthetic Evaluation of patients with neurological illness for non-neurosurgical surgeries, Annual CME conducted by A.J Institute for Medical Sciences, Mangalore, May 2016 .
• Anesthetic Concerns for Posterior Fossa Surgeries, CME by Indian Society of Anesthesiologists ,February 2016.

No. of Publications

• Nisha B, Lionel KR, Unnikrishnan P, Praveen R, Hrishi AP. Day care neurosurgery in India: Is it a possible reality or a far-fetched illusion? A neuroanesthesiologist's perspective. Neurol India. 2019 May-Jun;67(3):938-941.
• Nagmoti SV, Sethuraman M, Hrishi AP. Gitelman syndrome with Arnold-Chiari malformation for neurosurgery. Neurol India. 2019 May-Jun;67(3):898-899.
• Padhy SK, Ajayan N, Hrishi AP, Thakkar KD, Sethuraman M.Novel application of near-infrared spectroscopy in detecting iatrogenic vasospasm during interventional neuroradiological procedures. Brain Circ. 2019 Apr-Jun;5(2):90-93.
• Hrishi AP, Unnikrishnan P,Lionel KR, Divya KP, Sethuraman M. Anoxic Brain Injury: The Abominable Malady. J Neuroanaesthesiol Crit Care. 2019;6:96-104.
• Thakkar K, Ajayan N, Hrishi AP, P U, Sethuraman M.A Mysterious Case of Spontaneous Cervical Epidural Hematoma and Bilateral Primary Spontaneous Pneumothorax caused by a Rare Etiology. Indian J Crit Care Med. 2019 Apr;23(4):186-187.
• Hrishi AP, Rao G, Lionel KR.Efficacy of Clonidine as an Additive on the Duration of Action of Brachial Plexus Block Performed Under Ultrasound and Nerve Locator Guidance: A Prospective Randomized Study. Anesth Essays Res. 2019 Jan-Mar;13(1):105-110.
• Bhaskar N, Thakkar KD, Sharma S, Hrishi AP.Dexmedetomidine for Electrocorticography in Patients With Lennox-Gastaut Syndrome Presenting for Epilepsy Surgery: A Case Report.A A Pract. 2019 Apr 17.
• Nagmoti SV, Prathapadas U, Hrishi AP. An Uncommon Cause of Intraoperative Hypotension: Delayed Red Man Syndrome.J Neuroanaesthesiol Crit Care 2019;6:40-42
• Thakkar KD, Hrishi AP. Neuromuscular monitoring and reversal: responses to the POPULAR study. Lancet Respir Med. 2019 Feb;7(2):e6.
• Hrishi AP, Lionel KR, Praveen R, Sethuraman M. Adams-Oliver syndrome with Moyamoya disease for cerebral revascularisation surgery. J Neurosurg Anesthesiol. J Neurosurg Anesthesiol. 2019 Jan;31(1):82-84.
• Prathapadas U, Gomathiamma M, Arulvelan A, Lionel KR, Hrishi AP. A Study Comparing Propofol Auto-coinduction and Standard Propofol Induction in Patients Undergoing General Anesthesia Without Midazolam Pretreatment: A Prospective Randomized Control Trial. Anesth Essays Res. 2018 Jul-Sep;12(3):690
• Hrishi AP, Sethuraman M,Menon G. Quest for the holy grail: Assessment of echo-derived dynamic parameters as predictors of fluid responsiveness in patients with acute aneurysmal subarachnoid hemorrhage. Ann Card Anaesth 2018;21:243-8.
• Ajayan N, Lionel KR, Hrishi AP.A Case of Paradoxical Increase in the Bispectral Index with Higher Concentrations of Desflurane: Paradox Unveiled? Turk J Anaesthesiol Reanim. 2018 Dec;46(6):482
• Ajayan N, Thakkar K, Lionel KR, Hrishi AP.Limitations of near infrared spectroscopy (NIRS) in neurosurgical setting: our case experience. J Clin Monit Comput. 2018 Aug;33(4):743-746.
• Kumar A, Neeraja A, Sethuraman M, Hrishi AP. A case of neonate with vein of galen malformation refractory to weaning attempts from mechanical ventilation managed successfully with non invasive ventilation. J Neuroanaesthesiol Crit Care 2018;5:198???200.
• Hrishi AP, Lionel KR, Unnikrishnan P, Das A. Magnetic Resonance Imaging(MRI) induced 'hypoxia artifacts' on pulse oximetry. How reliable are MRI compatible monitoring devices?. J Clin Monit Comput. 2018(3)
• Lionel KR, Hrishi AP. Post Intubation High Airway pressures, An uncommon case of kinked tube. Indian Journal of Clinical Anesthesia 2018;5(4):625-626.
• Lionel KR, Hrishi AP. Mannitol Shower: The Artefactual Air Embolism!. J Neurosurg Anesthesiol. J Neurosurg Anesthesiol. 2018 Jan;30(1):84-85.
• Lionel KR , Hrishi AP. Absent End tidal Carbon Dioxide Trace: A Case of Misplaced Tubes. GJRA 2018 ; 7(6) :134
• Hrishi AP, Lionel KR. Thiopentone induced paralytic ileus in super refractory status epilepticus- Erythromycin to the rescue. J Clin Diagn Res 2017 Nov, Vol-11(11).
• Unnikrishnan P, Smita V, Lionel KR, Hrishi AP. Ictal Bradycardia: A missed etiology for intraoperative bradycardia. Neurol India June 2017 ;66:257-58.
• Hrishi AP, Lionel KR. Intraoperative Hyperthermia: A Harbinger of Hypothalamic Injury. J Neurosurg Anesthesiol.2017 July; 29 (3):379-380.
• Hrishi AP, Lionel KR. Periprocedural Management of Vein of Galen Aneurysmal Malformation Patients: An 11-Year Experience. Anesth Essays Res. 2017 Jul-Sep;11(3):630-635.
• Hrishi AP, Lionel KR, Nair P. A Novel Use of a Novel Drug: Preoperative Nasal Preparation with Dexmedetomidine for Transnasal Transsphenoidal Neurosurgery Approach in Skull Base Neurosurgery. Indian J Neurosurg 2017;6:170???175.
• Lionel KR,Hrishi AP. Seizures - just the tip of the iceberg: Critical care management of super-refractory status epilepticus. Indian J Crit Care Med. 2016 Oct;20(10):587-592.