Dr. Ajay Prasad Hrishi P.
Assistant Professor
Phone :
91-9495239765, 0471-2524575 (O), 0471-2440244(R)

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

Assistant Professor;SCTIMST, Trivandrum, Kerala, India Trivandrum;January 2016 - till date

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

KPR Young Anesthesiologist Award by the Indian Society of Anesthesiologists for the year 2018

Executive Committee member of Indian Society of Anaesthesiologists,Trivandrum, Kerala.

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.

Transesophageal Echocardiography, Intraoperative Neuromonitoring, Neurocritical care

Coordinator, Code Blue Committee, SCTIMST

Program Coordinator, DM Neuroanesthesia, SCTIMST

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.

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

General Anaesthesia versus Total intravenous anaesthesia for supratentorial tumor surgery

Anaesthetic Requirement in patients with medically refractory seizures undergoing neurosurgery.

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.

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.

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.