I focus on clinical anesthesia and research as well as resident education. Clinically, I am currently actively engaged in numerous services in the main operating room, acute pain management. I devote a great deal of clinical time and effort to the Oral & Maxillofacial Surgery (OMF), developing standardized protocols for anesthesia practices on OMF, running fiberoptic intubation simulation workshop, coordinating and overseeing daily operation to ensure consistently delivering the excellent performance. I am in charge of In Vitro Fertilization Anesthesia, initiating process improvements and overseeing compliance issues, maintaining standards of excellence for clinical activities of the unit. My research focuses on the perioperative pain management with multimodal analgesic.
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Mass General Anesthesia and Pain Medicine
55 Fruit St.
Boston, MA 02114
Phone: 617-726-3030
Medical Education
American Board Certifications
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My research focuses on examining the effectiveness of multimodal analgesic perioperative pain management and identifying novel pathways to find solutions to prevent transition from acute pain to chronic pain. I am the PI for 10 clinical IRB-approved projects. My research has included a mixture of investigator-initiated and industry-sponsored prospective, randomized, double-blind clinical trial studies on opioid-sparing anesthesia. I assessed efficacy of PO vs. IV acetaminophen among patients undergoing total knee replacement and spine fusion, I performed a clinical survey to investigate the incidence of chronic pain after limb surgery where tourniquet was used to minimize blood loss; I investigated the impact of pre-op chronic opioid use on post-operative opioid requirements after spine surgeries, and the impact of preoperative IV acetaminophen use for perioperative pain control in the procedure of oocyte retrievals. I evaluated the effect of intraoperative intravenous Methadone in OMF surgery on postoperative analgesic requirements, pain scores, patient satisfaction, and clinical recovery. I have increasingly engaged in the study of epigenetic influences of analgesic metabolism and gut microbiota on opioid tolerance, investigating whether gut microbiota is involved in opioid tolerance in humans by examining gut flora 16s rRNA gene sequencing and metabolites in opioid tolerant and opioid naïve patients- this work may lead to a shift from multimodal analgesic protocols to a personalized medicine approach based on each patient's genetic coding.
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