Kunal Karamchandani, M.D.

Anesthesiology and Pain Management

Education & Training

Residency - All India Institute of Medical Sciences, India (2003-2006), Anesthesiology
Medical School - Maulana Azad Medical College and Associated LNJP Hospitals, India (1997-2002)
Residency - Cleveland Clinic Foundation (2012-2013), Anesthesiology
Fellowship - Cleveland Clinic Foundation (2012-2012), Critical Care Medicine

Books & Publications

Publications
- CON: Quantitative Neuromuscular Monitoring Is Required When Sugammadex Is Used for Reversal of Neuromuscular Blockade
  Lachmann E, Karamchandani K Journal of cardiothoracic and vascular anesthesia 2025 Jul 39 1882-1884
- PRO: Vasopressors Can Be Administered Safely via a Peripheral Intravenous Catheter
  Darwish D, Karamchandani K Journal of cardiothoracic and vascular anesthesia 2025 Jun 39 1594-1596
- Substance-Use Disorders in Critically Ill Patients: A Narrative Review
  Piland R, Jenkins RJ, Darwish D, Kram B, Karamchandani K Anesthesia and analgesia 2025 Mar 140 604-615
- Immediate postoperative cardiac tamponade following robotic lung resection surgery: a case report
  Jan KM, Dao AQ, Joshi R, Cheruku S, Dellaria S, Karamchandani K Frontiers in Anesthesiology 2025 4
- The expanding role of critical care anesthesiologists outside the ICU
  Dave S, Flynn B, Karamchandani K Journal of Clinical Anesthesia 2025
- Management of the Traumatized Airway
  Dave S, Romito B, Karamchandani K Current Anesthesiology Reports 2024 Dec 14 503-511
- Tracheal intubation in critically ill adults with a physiologically difficult airway. An international Delphi study
  Author Collaboration ob, Karamchandani K, Nasa P, Jarzebowski M, Brewster DJ, De Jong A, Bauer PR, Berkow L, Brown CA, Cabrini L, Casey J, Cook T, Divatia JV, Duggan LV, Ellard L, Ergan B, Jonsson Fagerlund M, Gatward J, Greif R, Higgs A, Jaber S, Janz D, Joffe AM, Jung B, Kovacs G, Kwizera A, Laffey JG, Lascarrou JB, Law JA, Marshall S, McGrath BA, Mosier JM, Perin D, Roca O, Rollé A, Russotto V, Sakles JC, Shrestha GS, Smischney NJ, Sorbello M, Tung A, Jabaley CS, Myatra SN, Srour H, Stevens RD, Pearl RG, Matchett G, Manohar C, Khanna AK, Kadar R, Goff K Intensive Care Medicine 2024 Oct 50 1563-1579
- Optimising oxygenation prior to and during tracheal intubation in critically ill patients
  Karamchandani K, Iancau A, Jabaley CS Indian Journal of Anaesthesia 2024 Oct 68 855-858
- Effect of prophylactic corticosteroids on postoperative neurocognitive dysfunction
  Singh NP, Makkar JK, Khurana BJ, Karamchandani K, Singh M, Singh PM Indian Journal of Anaesthesia 2024 Sep 68 842
- Can Propofol Be Safely Used for Tracheal Intubation in Critically Ill Patients: Does the Dose Matter?
  Karamchandani K, Jabaley C Critical care medicine 2024 Jul 52 e409-e410
- Identifying, Understanding, and Minimizing Unconscious Cognitive Biases in Perioperative Crisis Management: A Narrative Review
  Yan L, Karamchandani K, Gaiser RR, Carr ZJ Anesthesia and analgesia 2024 Jul 139 68-77
- Induction agents for emergency airway management in critically ill patients
  Khawaja A, Karamchandani K Indian Journal of Anaesthesia 2024 Jun 68 514-516
- Effect of prophylactic corticosteroids on postoperative neurocognitive dysfunction in the adult population: An updated systematic review, meta‑analysis, and trial sequential analysis of randomised controlled trials
  Singh NP, Makkar JK, Goel N, Karamchandani K, Singh M, Singh PM Indian Journal of Anaesthesia 2024 Jun 68 517-526
- Estimates of 30-day postoperative pulmonary complications after gastrointestinal endoscopic procedures: A retrospective cohort analysis of a health system population
  Carr ZJ, Judy L, Agarkov D, Gazura M, Karamchandani K PloS one 2024 Feb 19
- Perioperative Fluid Management and Volume Assessment
  Bangalore R, Jan K, Elia J, Karamchandani K 2024 Jan 285-303
- Predictors of Failure to Rescue After Postoperative Respiratory Failure: A Retrospective Cohort Analysis of 13,047 Patients Using the ACS-NSQIP Dataset
  Karamchandani K, Khorsand S, Ebeling C, Yan L, Nakonezny PA, Carr ZJ Journal of Surgical Research 2024 Jan 293 482-489
- CON: High-Flow Nasal Oxygenation Should Be Used for All Patients Undergoing General Anesthesia Without an Endotracheal Tube
  Dave S, Karamchandani K Journal of cardiothoracic and vascular anesthesia 2024 Jan 38 326-328
- Substance Use Disorders in Adult Critically Ill Patients
  Karamchandani K, Grant JE 2024 Jan
- Managing an Opioid-Dependent Patient, Including Acute Opioid Toxicity
  Han J, Karamchandani K 2024 Jan 39-55
- Pro-Con Debate: Should Critically Ill Patients Undergo Procedures at Bedside or in the Operating Room?
  Karamchandani K, Evers M, Smith T, Bonavia A, Deshpande R, Klick JC, Abdelmalak BB Anesthesia and analgesia 2023 Dec 137 1149-1153
- Con: The Best Method to Preoxygenate a Patient With a Physiologically Difficult Airway Is Non-invasive Ventilation
  Manohar C, Karamchandani K Journal of cardiothoracic and vascular anesthesia 2023 Dec 37 2671-2673
- Long-term clinical outcomes in critically ill patients with sepsis and pre-existing low muscle mass: a retrospective cohort study
  Darden N, Sharma S, Wu X, Mancini B, Karamchandani K, Bonavia AS BMC Anesthesiology 2023 Dec 23
- Oral versus intravenous acetaminophen for perioperative pain management in adult patients undergoing non-cardiac surgery: A quantile segmented regression analysis
  Myler CS, Chapman MR, Eden BD, Lehman EB, Karamchandani K Journal of Clinical Anesthesia 2023 Nov 90
- Intraoperative arterial pressure management: knowns and unknowns
  Karamchandani K, Dave S, Hoffmann U, Khanna AK, Saugel B British Journal of Anaesthesia 2023 Sep 131 445-451
- Management of anesthetic complications outside the operating room
  Hardman B, Karamchandani K Current opinion in anaesthesiology 2023 Aug 36 435-440
- Con: The Best Induction Agent for the Physiologically Difficult Airway Is Ketamine-Propofol Admixture (“Ketofol”)
  Choi C, Karamchandani K Journal of cardiothoracic and vascular anesthesia 2023 Aug 37 1506-1508
- Role of Point-of-Care Ultrasound in Emergency Airway Management Outside the Operating Room
  Khorsand S, Chin J, Rice J, Bughrara N, Myatra SN, Karamchandani K Anesthesia and analgesia 2023 Jul 137 124-136
- Perioperative Fluid Management and Volume Assessment
  Elia J, Diwan M, Deshpande R, Brainard JC, Karamchandani K Anesthesiology Clinics 2023 Mar 41 191-209
- Emergency use of sugammadex after failure of standard reversal drugs and postoperative pulmonary complications: A retrospective cohort study
  Bruceta M, Singh PM, Bonavia A, Carr ZJ, Karamchandani K Journal of Anaesthesiology Clinical Pharmacology 2023 39 232-238
- Failure to Rescue After Severe Acute Kidney Injury in Patients Undergoing Non–Cardiac Surgery
  Karamchandani K, McDowell BJ, Raghunathan K, Krishnamoorthy V, Lehman EB, Ohnuma T, Bonavia A Journal of Surgical Research 2022 Nov 279 148-163
- Sedation-analgesia techniques for nonoperating room anesthesia: an update
  Khorsand S, Karamchandani K, Joshi GP Current opinion in anaesthesiology 2022 Aug 35 450-456
- Non-operating room anesthesia in the intensive care unit
  Bonavia A, Abdelmalak B, Karamchandani K Journal of Clinical Anesthesia 2022 Jun 78
- Discharge prescribing of enteral opioids in opioid naïve patients following non-surgical intensive care: A retrospective cohort study
  Tollinche LE, Seier KP, Yang G, Tan KS, Tayban YD, Pastores SM, Yeoh CB, Karamchandani K Journal of Critical Care 2022 Apr 68 16-21
- Challenges and outcomes in airway management outside the operating room
  Jarzebowski M, Estime S, Russotto V, Karamchandani K Current opinion in anaesthesiology 2022 Apr 35 109-114
- Analysis of the American College of Surgeons National Surgical Quality Improvement Program® (ACS NSQIP®) Database to Identify Factors Associated with Postoperative Mortality After Elective Non-cardiac Surgery
  Malviya AK, Bruceta M, Singh PM, Bonavia A, Karamchandani K, Gupta A Indian Journal of Surgery 2022 Apr 84 234-239
- Oesophageal post-therapy myeloid sarcoma masquerading as poorly differentiated adenocarcinoma: a diagnostic pitfall
  Karamchandani DM, Go P, Bayerl M, Karamchandani K Histopathology 2022 Feb 80 604-606
- Cardiac Arrhythmias in Critically Ill Patients With COVID-19: A Brief Review
  Karamchandani K, Quintili A, Landis T, Bose S Journal of cardiothoracic and vascular anesthesia 2021 Dec 35 3789-3796
- Enablers and Barriers to Multicenter Perioperative Handoff Collaboration: Lessons Learned from a Successful Model Outside the Operating Room
  Michael MM, Ambardekar AP, Pukenas E, Karamchandani K, Nguyen H, Potestio CP, Tubinis MD, Huang NR, Riesenberg LA Anesthesia and analgesia 2021 Nov 133 1358-1363
- Prerenal acute kidney injury-still a relevant term in modern clinical practice?
  Bonavia A, Vece G, Karamchandani K Nephrology Dialysis Transplantation 2021 Sep 36 1570-1577
- Emergency Airway Management Outside the Operating Room: Current Evidence and Management Strategies
  Karamchandani K, Wheelwright J, Yang AL, Westphal ND, Khanna AK, Myatra SN Anesthesia and analgesia 2021 Sep 133 648-662
- In Response
  Karamchandani K Anesthesia and analgesia 2021 Sep 133 E38-E39
- Pressure injury prediction models for critically-ill patients should consider both the case-mix and local factors
  Author Collaboration tD, Author Collaboration TE, Deschepper M, Labeau SO, Waegeman W, Blot SI, Afonso E, Benbenishty J, Blackwood B, Boulanger C, Calvino-Gunther S, Chaboyer W, Coyer F, Llaurado-Serra M, Lin F, Rose L, Rubulotta F, Williams G, Muzha D, Ribas AM, Lipovesty F, Loudet C, Eller P, Mostafa N, Honoré PM, Telleria VM, Smajic J, Nogueira PC, Nafees KM, Hentchoya R, Soledad J, Cardenas Y, Reyes AG, Sustic A, Mpouzika M, Vymazal T, Jensen HI, Aguirre-Bermeo H, Maddison L, Valta M, Bloos F, Adipa FE, Koulouras V, Enamorado J, Ágoston Z, Birgisdóttir H, Gupta A, Gurjar M, Kilapong B, Hashemian SM, Martin-Loeches I, Karamchandani K Intensive and Critical Care Nursing 2021 Aug 65
- Challenges in Sedation Management in Critically Ill Patients with COVID-19: a Brief Review
  Karamchandani K, Dalal R, Patel J, Modgil P, Quintili A Current Anesthesiology Reports 2021 Jun 11 107-115
- Correction to: Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study (Intensive Care Medicine, (2021), 47, 2, (160-169), 10.1007/s00134-020-06234-9)
  Author Collaboration tD, Author Collaboration tE, Labeau SO, Afonso E, Benbenishty J, Blackwood B, Boulanger C, Brett SJ, Calvino-Gunther S, Chaboyer W, Coyer F, Deschepper M, François G, Honore PM, Jankovic R, Khanna AK, Llaurado-Serra M, Lin F, Rose L, Rubulotta F, Saager L, Williams G, Blot SI, Muzha D, Ribas AM, Lipovesty F, Loudet C, Eller P, Mostafa N, Honoré PM, Telleria VM, Smajic J, Nogueira PC, Nafees KM, Hentchoya R, Soledad J, Cardenas Y, Reyes AG, Sustic A, Mpouzika M, Vymazal T, Jensen HI, Aguirre-Bermeo H, Maddison L, Valta M, Bloos F, Adipa FE, Koulouras V, Enamorado J, Ágoston Z, Birgisdóttir H, Karamchandani K Intensive Care Medicine 2021 Apr 47 503-520
- Sepsis-Induced Myocardial Dysfunction: “Right Ventricular Dysfunction” or “Biventricular Dysfunction”?
  Pal N, Lim A, Karamchandani K CHEST 2021 Apr 159 1684-1685
- Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study
  Author Collaboration tD, Author Collaboration tE, Labeau SO, Afonso E, Benbenishty J, Blackwood B, Boulanger C, Brett SJ, Calvino-Gunther S, Chaboyer W, Coyer F, Deschepper M, François G, Honore PM, Jankovic R, Khanna AK, Llaurado-Serra M, Lin F, Rose L, Rubulotta F, Saager L, Williams G, Blot SI, Muzha D, Ribas AM, Lipovesty F, Loudet C, Eller P, Mostafa N, Honoré PM, Telleria VM, Smajic J, Nogueira PC, Nafees KM, Hentchoya R, Soledad J, Cardenas Y, Reyes AG, Sustic A, Mpouzika M, Vymazal T, Jensen HI, Aguirre-Bermeo H, Maddison L, Valta M, Bloos F, Adipa FE, Koulouras V, Enamorado J, Ágoston Z, Birgisdóttir H, Karamchandani K Intensive Care Medicine 2021 Feb 47 160-169
- Monitoring of Opioid Analgesic Use and Its Effects in Acute Care
  Patel A, Karamchandani K, Khanna AK 2021 Jan 113-128
- Macrocirculation and Microcirculation: The "batman and Superman" Story of Critical Care Resuscitation
  Khanna AK, Karamchandani K Anesthesia and analgesia 2021 Jan 132 280-283
- Facteurs de risque périopératoires des patients atteints de fibrose pulmonaire idiopathique: une étude de cohorte historique
  McDowell BJ, Karamchandani K, Lehman EB, Conboy MJ, Carr ZJ Canadian Journal of Anesthesia 2021 Jan 68 81-91
- Increased ileostomy output as an indicator of thyroid storm in a patient without an established history of underlying thyroid disease
  Muneem A, Rahim MA, Karamchandani K, Fehr G American Journal of Case Reports 2021 22
- An Update on Systemic Sclerosis and its Perioperative Management
  Carr ZJ, Klick J, McDowell BJ, Charchaflieh JG, Karamchandani K Current Anesthesiology Reports 2020 Dec 10 512-521
- Acute heart failure after liver transplantation: A narrative review
  Sharma S, Sonny A, Dalia AA, Karamchandani K Clinical Transplantation 2020 Nov 34
- Thromboembolic disease in COVID-19 patients: A brief narrative review
  Mondal S, Quintili AL, Karamchandani K, Bose S Journal of Intensive Care 2020 Sep 8
- Improving intraoperative administration of surgical antimicrobial prophylaxis: A quality improvement report
  Haney V, Maman S, Prozesky J, Bezinover D, Karamchandani K BMJ Open Quality 2020 Sep 9
- CHA₂DS₂-VASc Score and In-Hospital Mortality in Critically Ill Patients With New-Onset Atrial Fibrillation
  Karamchandani K, Schoaps RS, Abendroth T, Carr ZJ, King TS, Bonavia A Journal of cardiothoracic and vascular anesthesia 2020 May 34 1165-1171
- Post-operative intensive care unit admission after elective non-cardiac surgery: A single-center analysis of the NSQIP database
  Bruceta M, De Souza L, Carr ZJ, Bonavia A, Kunselman AR, Karamchandani K Acta Anaesthesiologica Scandinavica 2020 Mar 64 319-328
- Atrial Fibrillation: Current Evidence and Management Strategies during the Perioperative Period
  Karamchandani K, Khanna AK, Bose S, Fernando RJ, Walkey AJ Anesthesia and analgesia 2020 Jan 130 2-13
- Timing of transversus abdominis plane block and postoperative pain management
  Escudero-Fung M, Lehman EB, Karamchandani K Local and Regional Anesthesia 2020 13 185-193
- Caring for critically ill patients with opioid use disorder: Phone a friend?
  Karamchandani K, Khanna AK Journal of Critical Care 2019 Dec 54 74-75
- Stroke prophylaxis in critically-ill patients with new-onset atrial fibrillation
  Schoaps RS, Quintili A, Bonavia A, Carr ZJ, Lehman EB, Abendroth T, Karamchandani K Journal of Thrombosis and Thrombolysis 2019 Oct 48 394-399
- In a Model of Neuroinflammation Designed to Mimic Delirium, Quetiapine Reduces Cortisol Secretion and Preserves Reversal Learning in the Attentional Set Shifting Task
  Carr ZJ, Miller L, Ruiz-Velasco V, Kunselman AR, Karamchandani K Journal of Neuroimmune Pharmacology 2019 Sep 14 383-390
- Angiotensin axis blockade, acute kidney injury, and perioperative morbidity in patients undergoing colorectal surgery: A retrospective cohort study
  Bonavia A, Javaherian M, Skojec AJ, Chinchilli VM, Mets B, Karamchandani K, Kork F Medicine (United States) 2019 Aug 98
- Pain management in trauma patients affected by the opioid epidemic: A narrative review
  Karamchandani K, Klick JC, Linskey Dougherty M, Bonavia A, Allen SR, Carr ZJ Journal of Trauma and Acute Care Surgery 2019 Aug 87 430-439
- New Persistent Opioid Use after Postoperative Intensive Care in US Veterans
  Karamchandani K, Pyati S, Bryan W, Pepin M, Lehman EB, Krishnamoorthy V, Raghunathan K JAMA Surgery 2019 Aug 154 778-780
- The serotonin syndrome: From molecular mechanisms to clinical practice
  Francescangeli J, Karamchandani K, Powell M, Bonavia A International journal of molecular sciences 2019 May 20
- Adherence to surgical antimicrobial prophylaxis: “checking-the-box” is not enough
  Karamchandani K, Barden K, Prozesky J International Journal of Health Care Quality Assurance 2019 Mar 32 470-473
- Acute Adrenal Insufficiency in the Perioperative Period: A Case Report
  Karamchandani K, Leathem J, Sinz EH A&A practice 2019 Feb 12 63-65
- Continuation of atypical antipsychotic medications in critically ill patients discharged from the hospital: a single-center retrospective analysis
  Karamchandani K, Schoaps RS, Bonavia A, Prasad A, Quintili A, Lehman EB, Carr ZJ Therapeutic Advances in Drug Safety 2019 10
- Extracorporeal Membrane Oxygenation in a Patient With Cirrhotic Cardiomyopathy: A Case Report
  Sharma S, Prasad A, Karamchandani K Journal of cardiothoracic and vascular anesthesia 2019 Jan 33 173-175
- Clinical utility of extracorporeal cytokine hemoadsorption therapy: A literature review
  Bonavia A, Groff A, Karamchandani K, Singbartl K Blood Purification 2018 Oct 46 337-349
- A Multidisciplinary Handoff Process to Standardize the Transfer of Care between the Intensive Care Unit and the Operating Room
  Karamchandani K, Fitzgerald K, Carroll D, Trauger ME, Ciccocioppo LA, Hess W, Prozesky J, Armen SB Quality management in health care 2018 Oct 27 215-222
- A double blind randomized placebo controlled pilot study of single-dose preoperative modafinil for functional recovery after general anesthesia in patients with obstructive sleep apnea
  Carr ZJ, Vells B, Wood BR, Lowery JD, Rogers AM, Kunselman AA, Karamchandani K, Vaida SJ Medicine (United States) 2018 Sep 97
- Gender differences in the use of atypical antipsychotic medications for ICU delirium
  Karamchandani K, Schoaps RS, Printz J, Kowaleski JM, Carr ZJ Critical Care 2018 Sep 22
- Critical care pain management in patients affected by the opioid epidemic: A review
  Karamchandani K, Carr ZJ, Bonavia A, Tung A Annals of the American Thoracic Society 2018 Sep 15 1016-1023
- Acute heart failure after Orthotopic liver transplantation: A case series from one center
  Sharma S, Karamchandani K, Wilson R, Baskin S, Bezinover D BMC Anesthesiology 2018 Jul 18
- Organ dysfunction after surgery in patients treated with individualized or standard blood pressure management
  Karamchandani K, Carr ZJ, Bonavia A JAMA - Journal of the American Medical Association 2018 Feb 319 719
- Acute pulmonary edema in a pregnant patient with undiagnosed levo-transposition of the great arteries
  Karamchandani K, Benrud J, Swick JT American Journal of Case Reports 2018 19 1445-1448
- Acute pulmonary edema in an eclamptic pregnant patient: A rare case of Takotsubo syndrome
  Karamchandani K, Bortz B, Vaida S American Journal of Case Reports 2016 Sep 17 682-685
- Peripartum Anesthetic Management and Genomic Analysis of Rare Variants in a Patient with Familial Pulmonary Fibrosis
  Sugino S, Bortz BJ, Vaida S, Karamchandani K, Janicki PK A & A case reports 2015 Nov 5 169-172
- A pseudopyloric channel created by repeated blind post-pyloric feeding tube placement
  Karamchandani K, Levenick JM, Dye CE, Campbell D Endoscopy 2015 Jan 47 E525
- Bispectral index correlates well with Richmond agitation sedation scale in mechanically ventilated critically ill patients
  Karamchandani K, Rewari V, Trikha A, Batra RK Journal of Anesthesia 2010 Jun 24 394-398
- Near-fatal ventricular arrhythmias because of central venous pressure catheter tip migration during laparoscopic hemicolectomy [68]
  Chhabra A, Chaitra M, Karamchandani K, Aggarwal A, Subramaniam R Anesthesia and analgesia 2006 Dec 103 1626-1627
- Combination of inhalational, intravenous, and local anesthesia for intubation in neonates with congenital lobar emphysema [3]
  Arora MK, Karamchandani K, Bakhta P, Kumar V Paediatric anaesthesia 2006 Sep 16 998-999
- Severe bradycardia and hypotension after connecting negative pressure to the subgaleal drain during craniotomy closure
  Karamchandani K, Chouhan RS, Bithal PK, Dash HH British Journal of Anaesthesia 2006 May 96 608-610
- Better pre-operative evaluation [9]
  Karamchandani K Anaesthesia 2006 May 61 509
- Intraoperative bronchospasm after organophosphate inhalation [13]
  Karamchandani K, Darlong V, Rampal P, Mohan V Anesthesia and analgesia 2006 Apr 102 1291-1292
- Use of a gum elastic bougie to facilitate blind nasotracheal intubation in children: A series of three cases
  Arora MK, Karamchandani K, Trikha A Anaesthesia 2006 Mar 61 291-294