Full Text Journal Articles by
Author Bhavani Kodali

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Routine Dural Puncture Epidural Technique; Caution is in Order.

Bhavani Shankar Kodali, Michael Wong,

Anesth Analg (Anesthesia and analgesia)
[2021, 133(3):e39-e40]

Cited: 0 times

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Not All Subarachnoid Hemorrhages in Pregnancy Are Intracranial in Origin: A Case Report.

Bhavani Shankar Kodali, Michael J Wong, Jessica L Galey, Shobana Bharadwaj,

Subarachnoid hemorrhage is uncommon in pregnancy and may be caused by intracranial aneurysms, arteriovenous malformations, venous thrombosis, or preeclampsia. We present an unusual case of subarachnoid hemorrhage in a term parturient where the bleeding originated from an extracranial source, namely a cervicothoracic arteriovenous malformation. This case highlights the challenge of ... Read more >>

A A Pract (A&A practice)
[2021, 15(9):e01521]

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The Society for Obstetric Anesthesia and Perinatology Coronavirus Disease 2019 Registry: An Analysis of Outcomes Among Pregnant Women Delivering During the Initial Severe Acute Respiratory Syndrome Coronavirus-2 Outbreak in the United States.

Daniel Katz, Brian T Bateman, Klaus Kjaer, Dana P Turner, Nicole Z Spence, Ashraf S Habib, Ronald B George, Roulhac D Toledano, Gilbert Grant, Hannah E Madden, Alex J Butwick, Grant Lynde, Rebecca D Minehart, Yaakov Beilin, Timothy T Houle, Emily E Sharpe, Bhavani Kodali, Shobana Bharadwaj, Michaela K Farber, Arvind Palanisamy, Malavika Prabhu, Nikolai Y Gonzales, Ruth Landau, Lisa Leffert,

<h4>Background</h4>Early reports associating severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) infection with adverse pregnancy outcomes were biased by including only women with severe disease without controls. The Society for Obstetric Anesthesia and Perinatology (SOAP) coronavirus disease 2019 (COVID-19) registry was created to compare peripartum outcomes and anesthetic utilization in women with ... Read more >>

Anesth Analg (Anesthesia and analgesia)
[2021, 133(2):462-473]

Cited: 1 time

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General vs. Regional Anesthesia and Neonatal Data (GRAND). A Retrospective Propensity Score Matched Study.

Liviu Cojocaru, Cristiana Salvatori, Sharon Amir, Hyunuk Seung, Katherine Nyman, Bhavani Kodali, Ozhan Turan,

<h4>Objective: </h4> To evaluate whether there is a difference in immediate neonatal outcomes with general anesthesia (GA) vs. regional anesthesia (RA) when induction of anesthesia to delivery time (IADT) is prolonged (≥10 minutes). Methods This is a retrospective case-control study that included cases from July 2014 until August 2020. We ... Read more >>

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All epidural needle bevels are not the same.

Amber C Benhardt, Bhavani Shankar Kodali,

Indian J Anaesth (Indian journal of anaesthesia)
[2021, 65(4):328-330]

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Paraganglioma Presenting as Hypoxia and Syncope in Pregnancy: A Case Report.

Emad A Elsamadicy, Shekoufeh Yazdani, Arunthevaraja Karuppiah, Isabel Marcano, Ozhan Turan, Bhavani Shankar Kodali, Rebecca Jessel,

Paragangliomas (PGLs) are rare tumors with an incidence of 0.007% in pregnant women. Patients with PGLs commonly present with hypertension and tachycardia. This case report describes the evaluation and management of a multiparous woman at 32 weeks of gestation with syncope, hypoxia, and tachycardia as unusual presenting symptoms of PGL. ... Read more >>

A A Pract (A&A practice)
[2021, 15(3):e01411]

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Peripartum Management in Myelodysplastic Syndrome Guided by Serial Thromboelastography: A Case Report.

Arunthevaraja Karuppiah, Jessica L Galey, Shobana Bharadwaj, Emad A Elsamadicy, Bhavani Shankar Kodali,

Myelodysplastic syndrome with severe thrombocytopenia is a rare disease in women of child-bearing age. The challenging aspect in management of such a patient is maintaining optimal coagulation with minimum platelet transfusion during the peripartum period. Multiple transfusions can result in allo-sensitization which can affect lifesaving bone marrow transplantation in future. ... Read more >>

A A Pract (A&A practice)
[2021, 15(3):e01403]

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Surgical advances in the management of placenta accreta spectrum: establishing new expectations for operative blood loss.

Liviu Cojocaru, Allison Lankford, Jessica Galey, Shobana Bharadwaj, Bhavani S Kodali, Kelly Kennedy, Katherine Goetzinger, Ozhan M Turan,

<h4>Objective</h4>To evaluate whether the implementation of our surgical approach, referred to in the text as Linear Cutter Vessel Sealing System (LCVSS) technique, will improve perioperative outcomes in patients with placenta accreta spectrum (PAS), specifically by reducing blood loss and blood transfusion rates at the time of cesarean hysterectomy (C-HYST). The ... Read more >>

J Matern Fetal Neonatal Med (The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians)
[2020, :1-10]

Cited: 0 times

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Five-year trends in maternal cardiac arrest in Maryland: 2013-2017.

Allison Lankford, Jonathan Chow, Eric Hendrickson, Myung Sun Jung, Bhavani Kodali, Andrew Malinow, Katherine Goetzinger, Michael Mazzeffi,

<h4>Background</h4>The United States (US) maternal mortality rate (MMR) continues to increase. Until recently, the MMR in Maryland (MD) was consistently higher than the national average. Maternal cardiac arrest (MCA) is a rare condition, but can lead to devastating consequences. The incidence of MCA in the US is approximately 6-8 per ... Read more >>

J Matern Fetal Neonatal Med (The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians)
[2020, :1-4]

Cited: 0 times

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Introduction of a Novel System for Quantitating Blood Loss After Vaginal Delivery: A Retrospective Interrupted Time Series Analysis With Concurrent Control Group.

Bhavani Shankar Kodali,

Anesth Analg (Anesthesia and analgesia)
[2020, 131(3):e162-e163]

Cited: 0 times

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Adaptation of labor and delivery to COVID-19.

Arunthevaraja Karuppiah, Shobana Bharadwaj, Sarah Crimmins, Emad Elsamadicy, Joseph Rabin, Bhavani Shankar Kodali,

As the novel coronavirus disease (COVID-19) escalates globally, and no end in sight, we describe an approach for adapting swiftly to the increasing number of COVID-19 parturients admitted into labor and delivery unit. The adaptability includes physical layout, triaging, quick testing, isolating confirmed parturients, access to designated intensive care units, ... Read more >>

Am J Disaster Med (American journal of disaster medicine)
[2020, 15(2):93-97]

Cited: 1 time

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Use of a novel non-invasive respiratory monitor to study changes in pulmonary ventilation during labor epidural analgesia.

Bhavani Shankar Kodali, Lynn Choi, Anton Chau, Brian C Harvey, Jordan Brayanov, Lawrence C Tsen, Arvind Palanisamy,

Measuring continuous changes in maternal ventilation during labor neuraxial analgesia is technically difficult. Consequently, the magnitude of pulmonary minute ventilation (MV) alterations following labor analgesia remains unknown. We hypothesized that a novel, bio-impedance based non-invasive respiratory monitor would provide this information. Furthermore, we sought to determine if an association between ... Read more >>

J Clin Monit Comput (Journal of clinical monitoring and computing)
[2020, 34(3):567-574]

Cited: 1 time

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Foetal surgery: Anaesthetic implications and strategic management.

Bhavani Shankar Kodali, Shobana Bharadwaj,

Intrauterine surgery is being performed with increasing frequency. Correction of foetal anomalies <i>in utero</i> can result in normal growth of foetus and a healthier baby at delivery. Intrauterine surgery can also improve the survival of babies who would have otherwise died at delivery, or in the neonatal period. There are ... Read more >>

Indian J Anaesth (Indian journal of anaesthesia)
[2018, 62(9):717-723]

Cited: 1 time

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A Review of Current Literature of Interest to the Office-Based Anesthesiologist.

Daniel L Orr, Mark A Saxen, Bhavani Shankar Kodali,

Anesth Prog (Anesthesia progress)
[2018, 65(2):140-143]

Cited: 0 times

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Linshom thermodynamic sensor is a reliable alternative to capnography for monitoring respiratory rate.

David Preiss, Benjamin A Drew, James Gosnell, Bhavani S Kodali, James H Philip, Richard D Urman,

Monitoring ventilation accurately is a technically challenging, yet indispensable aspect of patient care in the intra- and post-procedural settings. A new prototypical device known as the Linshom Respiratory Monitoring Device (LRMD) has been recently designed to non-invasively, inexpensively, and portably measure respiratory rate. The purpose of this study was to ... Read more >>

J Clin Monit Comput (Journal of clinical monitoring and computing)
[2018, 32(1):133-140]

Cited: 2 times

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Changes in cardiac index during labour analgesia: A double-blind randomised controlled trial of epidural versus combined spinal epidural analgesia - A preliminary study.

Stephanie Yacoubian, Corrina M Oxford, Bhavani Shankar Kodali,

BACKGROUND AND AIMS:Combined spinal-epidural (CSE) analgesia for labour and delivery is occasionally associated with foetal bradycardia. Decreases in cardiac index (CI) and/or uterine hypertonia are implicated as possible aetiological factors. No study has evaluated CI changes following combined spinal analgesia for labour and delivery. This prospective, double-blind, randomised controlled trial ... Read more >>

Indian J Anaesth (Indian journal of anaesthesia)
[2017, 61(4):295-301]

Cited: 0 times

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A Randomized Controlled Trial of Music Use During Epidural Catheter Placement on Laboring Parturient Anxiety, Pain, and Satisfaction.

Dan M Drzymalski, Lawrence C Tsen, Arvind Palanisamy, Jie Zhou, Chuan-Chin Huang, Bhavani S Kodali,

<h4>Background</h4>Although music is frequently used to promote a relaxing environment during labor and delivery, the effect of its use during the placement of neuraxial techniques is unknown. Our study sought to determine the effects of music use on laboring parturients during epidural catheter placement, with the hypothesis that music use ... Read more >>

Anesth Analg (Anesthesia and analgesia)
[2017, 124(2):542-547]

Cited: 6 times

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Introduction of a new electronic medical record system has mixed effects on first surgical case efficiency metrics.

Albert Wu, Bhavani S Kodali, Hugh L Flanagan, Richard D Urman,

To evaluate the effect of deploying a new electronic medical record (EMR) system on first case starts in the operating room. Data on first case start times were collected after implementation of a new EMR (Epic) from June 2015 to May 2016, which replaced a legacy system of both paper ... Read more >>

J Clin Monit Comput (Journal of clinical monitoring and computing)
[2017, 31(5):1073-1079]

Cited: 0 times

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Effect of Anesthesia Staffing Ratio on First-Case Surgical Start Time.

York Chen, Rodney A Gabriel, Bhavani S Kodali, Richard D Urman,

On time start of the first case of the day is an important operating room (OR) efficiency metric, in which delays can have effects throughout the day. Although previous studies have identified various causes of first case start delays, none have attempted to evaluate the effect anesthesia staffing ratios have ... Read more >>

J Med Syst (Journal of medical systems)
[2016, 40(5):115]

Cited: 7 times

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Development and implementation of a dedicated postoperative evaluation service to improve compliance of postoperative visits.

Joshua Charles Vacanti, Richard Dennis Urman, Pankaj Sarin, Xiaoxia Liu, Bhavani Shankar Kodali,

<h4>Background and aims</h4>Postoperative patient evaluation is an integral component of perioperative care. An audit of our anesthesia department's records demonstrated a compliance rate of <50%. We postulated that the development of clinical anesthesia service dedicated to performing such evaluations would improve compliance significantly.<h4>Materials and methods</h4>This retrospective study examined postoperative follow-up ... Read more >>

J Anaesthesiol Clin Pharmacol (Journal of anaesthesiology, clinical pharmacology)
[2015, 31(1):80-85]

Cited: 1 time

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Strategies to maintain operating room functionality following the complete loss of the recovery room due to an internal disaster.

Elise C Metzler, Bhavani S Kodali, Richard D Urman, Hugh L Flanagan, Monica Sa Rego, Joshua C Vacanti,

The post-anesthesia care unit (PACU) is a major contributor to the operating room (OR) process flow and efficiency. A sudden failure of hospital facility infrastructure due to a burst pipe resulted in the complete loss of a 66-bed combined preoperative and PACU facility of a major academic medical center. The ... Read more >>

Am J Disaster Med (American journal of disaster medicine)
[2015, 10(1):5-12]

Cited: 2 times

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Process redesign to improve first case surgical starts in an academic institution.

Niharika Saw, Joshua C Vacanti, Xiaoxia Liu, Monica SaRego, Hugh Flanagan, Bhavani Shankar Kodali, Richard D Urman,

<h4>Purpose</h4>On time start of the first surgical case improves operating room (OR) utilization, physician, and patient satisfaction and decreases delays in subsequent cases. The goal of our study was to evaluate the effect of a multidisciplinary initiative to improve first patient in the room (FPIR) and first case on time ... Read more >>

J Invest Surg (Journal of investigative surgery : the official journal of the Academy of Surgical Research)
[2015, 28(2):95-102]

Cited: 5 times

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Capnography during cardiopulmonary resuscitation: Current evidence and future directions.

Bhavani Shankar Kodali, Richard D Urman,

Capnography continues to be an important tool in measuring expired carbon dioxide (CO2). Most recent Advanced Cardiac Life Support (ACLS) guidelines now recommend using capnography to ascertain the effectiveness of chest compressions and duration of cardiopulmonary resuscitation (CPR). Based on an extensive review of available published literature, we selected all ... Read more >>

J Emerg Trauma Shock (Journal of emergencies, trauma, and shock)
[2014, 7(4):332-340]

Cited: 16 times

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The effects of 2-chloroprocaine on coagulation and fibrinolysis in the parturient: an in vitro study.

Bhavani Shankar Kodali, Monica Sa Rego, A Murat Kaynar, Richard D Urman,

<h4>Purpose</h4>Amide local anesthetics are known to inhibit coagulation. 2-chloroprocaine is the only ester agent used in obstetric anesthesia. It is used during obstetric emergencies, and also to supplement inadequate epidural block produced by amide local anesthetics. There is no study to date that has evaluated the effect of ester local ... Read more >>

J Anesth (Journal of anesthesia)
[2014, 28(6):906-910]

Cited: 0 times

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Capnometry versus acoustic device for monitoring respiration.

Bhavani Shankar Kodali,

Anesth Analg (Anesthesia and analgesia)
[2014, 118(2):485-486]

Cited: 1 time

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