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Obstetric Anesthesiology Fellowship

Message from the Program Director

The Obstetric Anesthesiology fellow is an integral part of the perinatal care team along with Maternal-Fetal Medicine physicians and fellows, the Complex Obstetric Surgical Service directed by Dr. Ozhan Turan, and a multi-disciplinary program in simulation. Over the past 33 years, the Division of Obstetric Anesthesiology has trained over 30 fellows, many of whom have moved on to leadership roles in Obstetric Anesthesiology at other institutions. Fellow experience in obstetric anesthesiology includes three months of research, two weeks of Maternal Fetal Medicine and two weeks of Neonatology training. Each fellow gets experience in leadership, communication and practice management skills by developing and implementing interdisciplinary Patient Safety/Quality Improvement project. There are opportunities for limited moonlighting.

The University Of Maryland Division of Obstetric Anesthesiology has four full-time and 10 contributing faculty providing 24/7/365 coverage of senior residents and fellows. There are approximately 2,000 deliveries a year (approximately 80% high risk), with 70% of women undergoing vaginal delivery receiving epidural analgesia. With a 30% abdominal delivery rate, this translates to approximately 80% of our parturients receiving anesthesia. We have approximately 4,000 non-delivery admissions and are actively involved in the care of approximately 3-4 critically-ill gravidae per month, often hospitalized with severe cardiac, neurologic, traumatic disease and requiring mechanical ventilation and invasive monitoring.

We welcome your interest in our training program and look forward to meeting you.

 

Shobana Bharadwaj, MBBS
Assistant Professor
Program Director

Learn More about the Obstetric Anesthesiology Fellowship

Facilities

University of Maryland Medical Center (UMMC)

The University of Maryland Medical Center is a major tertiary facility with approximately 900 beds. The Medical Center cares for more than 30,000 inpatients and 500,000 outpatients each year. UMMC recently opened a new 30,000 square foot Labor and Delivery Suite in October 2018, which features 12 labor rooms and 12 triage and PACU rooms.

 

Research

The Division of Obsetric Anesthesiology has an active history of clinical and translational research and can provide many opportunities within the Department of Anesthesiology, as well as in the Department of Obstetrics, Gynecology and Reproductive Sciences. These include basic and clinical science, an extensive fetal database and an obstetric emergency simulator program. Recent fellows have attended annual scientific meetings (including SOAP) and have produced published manuscripts.

Recent Publications

Kodali BS, Bharadwaj S. Foetal surgery: Anaesthetic implications and strategic management. Indian J Anaesth. 2018;62(9):717-723. PMID:30237598.

Malinow AM, Schuh RA, Alyamani O, Kim J, Bharadwaj S, Crimmins SD, Galey JL, Fiskum G, Polster BM. Platelets in preeclamptic pregnancies fail to exhibit the decrease in mitochondrial oxygen consumption rate seen in normal pregnancies. Biosci Rep. 2018;38(3):BSR20180286. PMID:29654168.

Alyamani O, Mazzeffi MA, Bharadwaj S, Galey JH, Yao R, Shah NG, Malinow AM. Venovenous Extracorporeal Membrane Oxygenation to Prolong Pregnancy: A Case Report. A A Pract. 2018;10(9):229-231. PMID:29708916.

Cox TR, Crimmins SD, Shannon AM, Atkins KL, Tesoriero R, Malinow AM. Liver lacerations as a complication of CPR during pregnancy. Resuscitation. 2018;122:121-125. PMID:29097198.

Orr DL 2nd, Saxen MA, Kodali BS. A Review of Current Literature of Interest to the Office-Based Anesthesiologist. Anesth Prog. 2018;65(2):140-143. PMID:29952637.

Turan OM, Rosenbloom J, Galey JL, Kahntroff SL, Bharadwaj S, Turner SM, Malinow AM. The relationship between rostral retraction of the pannus and outcomes at cesarean section. Am J Perinatol. 2016;33(10):951-956. PMID:27100522.

Galey J, Bharadwaj S, Crimmins S, Hong CM, Malinow AM. Anesthetic Implications of an Obstetric Patient with Blue Rubber Bleb Nevus Syndrome. A A Case Rep. 2016;6(6):146-149. PMID:26579613.

Alumni

Over the past 33 years, the Division of Obstetric Anesthesiology has trained more than 30 fellows, many of whom have moved on to leadership roles in Obstetric Anesthesiology at other institutions.

View List of Fellowship Alumni

Current Fellows

Arunthevaraja Karuppiah, MD

  • Residency: St. Elizabeth's Medical Center

How to Apply

Application Resources:

Your file is complete when we receive: 

  1. The completed University of Maryland Application for Fellowship in Anesthesiology. The application must have an original signature. 
  2. Current curriculum vitae
  3. Your Personal Statement (name and credentials should appear on the personal statement)
  4. A copy of your medical school transcript
  5. Your USMLE I, II & III /COMLEX scores
  6. Your specialty specific In-Service, In-Training exam or Board Scores
  7. Three letters of reference; one of which should be from the chairman or program director of your training program

All documents (items 1-6) should be submitted and received in full.  

All Letters of Recommendation should be sent directly from the respective writer, unless the LORs are in a sealed envelope with their signature across the back.

Applications and LORs can be sent by postal mail or courier to: 

Shobana Bharadwaj, MBBS, Obstetric Anesthesiology Fellowship Program Director
c/o Residency & Fellowship Program Coordinator
Department of Anesthesiology
University of Maryland Medical Center
22 South Greene Street, Suite S11C00
Baltimore, Maryland 21201

Phone: 410-328-2628

Fax: 410-328-0546

Electronic submissions should be should be sent to: anesresfellcoor@som.umaryland.edu

Faculty contribute to journal articles pertaining to research, case reports, review articles and chapters in renowned textbooks, including Chestnut’s Obstetric Anesthesia and the Obstetric Anesthesia Handbook.

 

Meeting Abstracts:

Society of Obstetric Anesthesiology and Perinatology, SOAP Annual Meeting/ASA/IARS:

1.     Wong M, Ulrich A, Villamater E, Bharadwaj S. Elective cesarean delivery in a patient with VACTERL. (Live presentation)

2.     Wong MJ, Choi S, Galey J, Bharadwaj S. Elective cesarean delivery in a parturient with transverse myelitis. (Pre-recorded presentation)

3.     Wong M, Choi S, Bharadwaj S, Grewal A. Cesarean delivery in a parturient with repaired Ebstein’s anomaly and chronic right ventricular dysfunction. (Live presentation)

4.     Sudhakar S, Wong M, Lee K, Bharadwaj, S, Kodali BS. Elective cesarean delivery in a parturient complicated by placenta previa and placenta accreta spectrum and history of thoracolumbar spinal fusion with Harrington rods. (2021) Society for Obstetric Anesthesia and Perinatology Annual Meeting, Virtual.

5.     Choi S, Wong M, Lee K, Bharadwaj S, Galey J. Greater occipital nerve block as an adjunct in postdural puncture headache. (2021) Society for Obstetric Anesthesia and Perinatology Annual Meeting, Virtual.

6.     Gourdine A, Douglas T, Wong M, Bharadwaj S, Galey S, Kodali BS. Emergent cesarean delivery secondary to non-conventional presentation of uterine rupture in a patient with systemic lupus erythematosus. (2021) Society for Obstetric Anesthesia and Perinatology Annual Meeting, Virtual.

7.     Choi S, Wong M, Bharadwaj S, Galey J, Grewal A. Neuraxial anesthesia for cesarean section in a morbidly obese patient with severe dilated cardiomyopathy. (2021) International Anesthesia Research Society Annual Meeting, Virtual.

8.     Fernandes G, Li A, Joshi E, Arevalo D, Islam A, Lippert Lozano E, Zhu C,  Zhao M, Yazdi Y, Malinow A. Design of an extendable Tuohy needle for use in in epidural anesthesia for adult patients of all body- mass- indicies. Prsentation at the Annual Meeting of the American Society of Anesthesiology, Washington, D.C., 2020.

9.    Shannon A, Hendrickson E, Jung MS, Goetzinger K, Kodali B, Malinow A, Mazzeffi M: Epidemiology of maternal cardiac arrest and amniotic fluid embolism in Maryland: 2013-2017. SCCM Annual Critical Care Congress, Orlando FL, 2020.

10. Newhide DA, Karrupiah, Sankova S, Bharadwaj S, Malinow AM: Veno-Arterial ECMO rescue from massive pulmonary embolus maintains viable pregnancy. Case report submitted to the Annual Meeting of the Society for Obstetric Anesthesiology and Perinatology. 2020 (on-line). Recognized as one of “10 Best Case Reports”

 

Lecture Webinars:

Bhavani Shankar Kodali

1.     Kodali BS. Emotional Intelligence – Fostering collaboration in the workplace. Junior Faculty   Workshop. Department of Anesthesiology, University of Maryland School of Medicine. Baltimore, MD. February 25th, 2021.

2.     Kodali BS. Covid-19 in pregnancy. Webinar: Saudi Arabia Maternal Fetal Medicine and Anesthesiology combined Meeting. Riyadh, 2020

3.     Kodali BS. Post Covid-19 Stress Disorder. Lecture and Panel Discussion. Indian Society of Critical Care Medicine, Coimbatore Chapter, Webinar 2020

4.     Kodali BS. First Virtual Conference. Thrive Not Survive: How Pediatric Dentists from Around the World are Handling COVID-19.  Pediatric Sedation Outside the Operating Room. Boston Children Hospital, Harvard Medical School. Webinar 2020

5.     Kodali BS. First Virtual Conference. Challenging Sedation Cases: Ask the International Experts.  Pediatric Sedation Outside the Operating Room. Boston Children Hospital, Harvard Medical School. Webinar 2020

6.     Kodali BS. Capnography. A comprehensive Understanding. Mumbai Association of Anesthesiology for Post Graduate Students and Anesthesiologists (170 participants). Webinar 2020

7.     Kodali BS. Capnography. Where Are We Now? Indian Society of Anesthesiologists WEBCON Kerala 2020, India.

8.     Kodali BS. Maternal Collapse. Panel Discussion. Association of Obstetric Anesthesiologists of India. Webinar on Maternal Safety,2021, India.

9.     Kodali BS. Capnography as Applicable to Fire Fighters and Frontline Medics. Maryland Firefighter Consortium. Web Based Lecture. 2021

10.   Kodali BS. Maternal Collapse. Ramachandra Anesthesia Continuing Medical Education. Webinar 2021, India.

11.   Kodali BS. Moderator. Transport of Critically Pregnant Woman. YUVA FOGSI 2021

12.   Kodali BS. Panel Expert.  Maternal smorgasbord: Anuria /jaundice / shortness of breath/ unconscious patient. YUVA FOGSI 2021

Sobhana Bharadwaj:

11.  Bharadwaj S. Placenta Accreta Spectrum (PAS). Anesthesiologist Perspective. Association of Anesthesiologists of India, Webinar, 2021.

12.  Bharadwaj S. Placenta Acceta Spectrum: Learning the art of managing an actively bleeding mother.  Webinar Lecture: YUVA FOGSI 2021

13.  Bharadwaj S. ECMO in pregnancy. Our expeirence. Brigham and Women’s Hopsital Obstetric Anesthesiology Division. Harvard Meical School. 2021

Jessical Galey:

14.  Galey, J. Covid 19 in pregnancy. Departmental Grand Rounds. 2021

 

Recent Publications:

1.   Lankford, A, Chow J, Hendrickson E, Jung, M, Kodali B, Malinow A, Goetzinger K, Mazzeffi M. Five-year trends in maternal cardiac arrest in Maryland: 2013-2017. The Journal of Maternal Fetal Medicine 2020;Sep 8:1-4.

2.  Cojocaru L, Lankford A, Galey J, Bharadwaj S, Kodali BS, Kennedy, K, Goetzinger K, Turna OM. Surgical advances in the management of placenta accreta spectrum: establishing new expectations for operative blood loss. J Matern Fetal Neonatal Med;2020, Dec 3:1-10.

3.  Elsamadicy E, Yazdani S, Karuppiah A, Marcano I, Turan O, Kodali BS, Jessel R. Paraganglioma presenting as hypoxia and syncope in pregnancy. Anesthesia and Analgesia Practice 2021 Mar 8:15(3):e01411

4.  Karuppiah A, Galey J, Bharadwaj S, Elsamadicy E, Kodali BS. Peripartum management in Myelodysplastic syndrome guided by serial Thromboelastography. Anesthesia and Analgesia Practice 2021 Mar 15:15(3):e01403’

5.  Benhardt A. Kodali B. Epidural needle bevels are not the same. Indian Journal of Anaesthesia 2021;65:4:328-330.

6.  Wong MJ, Karuppiah A, Galey JH, Villamaer, E, Kodali BS, Bharadwaj S. Thromboelastography guiding decision-making for neuraxial labour analgesia in a patient with thrombocytopenia due to chronic portal hypertension. Anaesthesia Reports 2021Apr 7;9(1):59-60.

7.  Kodali BS. Novel system for quantifying blood loss. Correspondence. Anesth Analg 202 sep;131(3);e162-3.

8.  Lankford A, et al (Malinow AM) Clinical outcomes of pregnant and postpartum extracorporeal membrean oxygenation patients. Anesth Analg 2021 Mary 1:132(3)777-87.

 

Book chapters:

1.  Karuppiah A, Bharadwaj S, Kodali B. Capnography. The Year Book of Anesthesiology, a publication of the Indian College of Anaesthesiologists (ICA) Springer, 2020

2.  Jagannathan D and Kodali BS. Capnography. In Baheti DK and Laheri V, editors. Understanding Anesthetic Equipment & Procedures: A Practical Approach. New Delhi: Jaypee Brothers Medical Publishers. 2021

3.  Malinow AM, Kodali BS: Anesthesia for the Normal and High-Risk Pregnancy. ch. in Reece’s Clinical Obstetrics: Mother and Fetus. (EA Reece ed.) Fourth edition. Wolters-Kluwer, New York, 2021

 

Manuscripts Accepted: Electronic Format Not Yet in Print

1. Katz et al … (Kodali B, Bharadwaj S)… The Society for Obstetric Anesthesia and Perinatology (SOAP) COVID-19 Registry: An analysis of outcomes among pregnant women delivering during the initial SARS-CoV-2 outbreak in the United States. Anesthesia Analgesia April 8, 2021, Volume - Issue - 10.1213/ANE.0000000000005592

2. Kodali BS, Wong M. Routine dural puncture epidural. Caution warranted. Letter to the Editor. Anesthesia Analgesia 2021

 

Manuscripts under consideration:

Four.

 

Contributions of Members:

John Pallan:

John Pallan is spearheading the implementation of nitrous oxide for labor and delivery to start in July.

Khang Lee:

Pain Panel: Pain management, pain control and pain with medical conditions. A part of Antiracism meeting.

Michael Wong:

Development of Patient Education Material

Protocol of Intraveneous fentanyl analgesia for labor.

Preparation of teaching material for Arterial line placement and management for nurses.