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Maria Fernanda Ramirez Manotas, M.D.
Department of Anesthesiology and Perioperative Medicine, Division of Anesthesiology, Critical Care Medicine, and Pain Medicine
Present Title & Affiliation
Primary Appointment
Assistant Professor, Department of Anesthesiology and Perioperative Medicine, Division of Anesthesiology, Critical Care Medicine, and Pain Medicine, The University of Texas MD Anderson Cancer Center, Houston, TX
Dual/Joint/Adjunct Appointment
Assistant Professor, Department of Anesthesiology and Perioperative Medicine, The University of Texas MD Anderson Cancer Center, Houston, TX
Education & Training
Degree-Granting Education
2018 | Massachusetts General Hospital, Boston, Massachusetts, US, Anesthesia, Anesthesiology |
2014 | MD Anderson Cancer Center, Houston, Texas, US, Postdoctoral Fellowship in Anesthesiology |
2011 | Universidad de Antioquia, Medellin, CO, Doctor of Medicine |
Postgraduate Training
2014-2018 | Clinical Residency, Anesthesiology Resident, Harvard Medical School -Massachusetts General Hospital, Boston, Massachusetts |
2012-2014 | Research Fellowship, Anesthesiology, MD Anderson Cancer Center, Houston, Texas |
Board Certifications
2019 | American Board of Anesthesiology |
2014 | ACLS |
2014 | BLS |
Experience & Service
Administrative Appointments/Responsibilities
Discovery Summer Program Co-director, Department of Anesthesiology and Perioperative Medicine, The University of Texas MD Anderson Cancer Center, Houston, TX, 2022 - Present
Quality Officer and Quality Lead for Hepato-biliary anesthesia group, The University of Texas MD Anderson Cancer Center, Houston, Texas, 2020 - Present
Faculty Senator, The University of Texas MD Anderson Cancer Center, Houston, Texas, 2020 - Present
Institutional Committee Activities
Member, Anesthesia Fellowship Program Evaluation Committee, 2024 - Present
Member, Anesthesia Fellowship Clinical Competency Committeee, 2024 - Present
Co-director, TSA Poster Presentation Committee, 2023 - Present
Co-director, Discovery Summer Program, 2022 - Present
Co-director, Education and Research Day Committee, 2022 - Present
Lead, Postoperative Nausea and Vomiting Protocol MDA-Guidelines, 2019 - Present
Member, Malignant Hyperthermia Committee, 2019 - Present
Honors & Awards
International Department Scholarship for Academic Excellence | |
Best Abstract at the SIMPAR meeting ( Study in Multidisciplinary Pain Research) (Pavia, Italy) 2012, Study in Multidisciplinary Pain Research meeting | |
Awesome Job Award, 2021, MD Anderson Cancer Center | |
Educator of the Year, MD Anderson Cancer Center, Anesthesiology and Critical Care Department | |
Best Abstract Summer Discovery Program, MD Anderson Cancer Center, Anesthesia and Critical Care Department | |
Reviewer of the month, AME Surgical Journal (ASJ) |
Selected Publications
Peer-Reviewed Articles
- Juan P Cata MD, Maria F Ramirez MD, Ary Serpa Neto MD, MD PhD PF, Oscar Diaz-Cambroneros MD, Wankun Chen MD, Adriana M Knopfelmacher-Couchonal MD, Paolo Pelosi MD, Luis Cuellar MD, German Corrales MD, Carlos Romero MD, Francisco Lobo MD, Leif Saager MD, Jorge L Castro Tapia MD, Lei Feng MS, Lee-Lyn Chen MD. International multicenter observational study to evaluate the association between perioperative red blood cell transfusions and one-year mortality after major cancer surgery (ARCA-1): Study design, statistical analysis plan and study protocol. BMJ Open 11(None):None, 2021. e-Pub 2021. PMID: 33737431.
- Ramirez MF, Gorur A, Cata JP. Opioids and Cancer Prognosis: A Summary of the Clinical Evidence. Neuroscience Letters None(None):None, 2021. e-Pub 2021. PMID: 33482308.
- Ramirez MF, Kamdar B, Cata JP. Optimizing Perioperative Use of Opioids: A Multimodal. Current Anesthesiology Reports None(None):None, 2020. e-Pub 2020. PMID: 33281504.
- Ramirez Manotas MF, Gorur A, Cata JP. The Role of Opioids in Cancer Progression. International anesthesiology clinics None(None):None, 2020. e-Pub 2020. PMID: 32011351.
- Cata JP, Ramirez MF, Velasquez JF, Di AI, Popat KU, Gottumukkala V, Black DM, Lewis VO, Vauthey JN. Lidocaine Stimulates the Function of Natural Killer Cells in Different Experimental Settings. Anticancer Research None(None):None, 2017. e-Pub 2017. PMID: 28870891.
- Cata JP, Velásquez JF, Ramírez MF, Gottumukkala V. Inflammation and Pro-resolution Inflammation after Hepatobiliary Surgery. World Journal of Surgical Oncology None(None):None, 2017. e-Pub 2017. PMID: 28807031.
- Velásquez JF, Ramírez MF, Ai DI, Lewis V, Cata JP. Impaired Immune Function in Patients Undergoing Surgery for Bone Cancer. International Journal of Cancer research and treatment, 2015. e-Pub 2015. PMID: 26408709.
- Ramirez MF, Ai D, Bauer M, Vauthey JN, Gottumukkala V, Kee S, Shon D, Truty M, Kuerer HM, Kurz A, Hernandez M, Cata JP. Innate Immune Function after Breast, Lung, and Colorectal Cancer Surgery. The Journal of Surgical Research None(None):None, 2015. e-Pub 2015. PMID: 25475022.
- Ramirez MF, Tran P, Cata JP. The Effect of Clinically Therapeutic Plasma Concentrations of Lidocaine on Natural Killer Cell Cytotoxicity. Regional anesthesia and pain medicine None(None):None, 2015. e-Pub 2015. PMID: 25469757.
- Ramirez MF, Peter T, Cata JP. Minimizing immunosuppression, an alternative approach for anesthesiologist?. Pain Management, 2014. e-Pub 2014. PMID: 24641336.
- Cata JP, Bauer M, Sokari T, Ramirez MF, Mason D, Plautz G, Kurz A. Effects of Surgery, General Anesthesia, and Perioperative Epidural Analgesia on the Immune Function of Patients with non-small cell Lung Cancer. Journal of Clinical Anesthesia None(None):None, 2013. e-Pub 2013. PMID: 23659826.
- Ramirez MF, Cata JP. The Effects of Regional Anesthesia-analgesia on the Immune System. Open Journal of Anesthesiology None(None):None, 2013. e-Pub 2013. PMID: 23659826.
- Ramírez MF, Huitink JM, Cata JP. Perioperative Clinical Interventions that Modify the Immune Response in Cancer Patients. Open Journal of Anesthesiology None(None):None, 2013. e-Pub 2013. PMID: None.
- Ramirez MF, Bergesio L, Mark T, Cata JP. Low dose of Lidocaine (LD) Enhances in In Vitro Natural Killer (NK) cells function. Minerva Anestesiologica None(None):None, 2013. e-Pub 2013. PMID: None.
- Ramirez MF, Cata JP. Anesthetic Agents, Anesthetic Technique and Cancer Recurrence. Revista Argentina de Anestesiología None(None):None, 2013. e-Pub 2013. PMID: None.
- Gutiérrez JO, Montoya O, Ramírez MF. Gastric Stromal Tumor. A Case Report. Revista Latinoamericana de Cirugia, 2011. e-Pub 2011. PMID: None.
Invited Articles
- Kim DD, Ramirez MF, Cata JP. Opioid use, misuse, and abuse: a narrative review about interventions to reduce opioid consumption and related adverse events in the perioperative setting. Minerva Anestesiologica None(None):None, 2021. e-Pub 2021. PMID: 34636223.
- Ramirez MF, Guerra C, Cata JP. The intersection between the Mu-opioid receptor and opioids in cancer development and progression. World Journal of Clinical Oncology None(None):None, 2021. e-Pub 2021. PMID: None.
Other Articles
- Ramirez MF, Strang A, Roland G, Lasala J, Owusu-Agyemang P Perioperative Pain Management and Cancer Outcomes: A Narrative Review. Journal of Pain Research None(None):None, 2023. PMID: 38078017.
- Ramirez MF, Gan TJ Total Intravenous anesthesia versus Inhalation Anesthesia: How do Outcomes Compare?. Current Opinion in Anesthesiology None(None):None, 2023. PMID: 37338939.
- Ramirez MF, Guerra-Londono JJ, Owusu-Agyemang P, Fournier K, Guerra-Londono CE Temperature management during cytoreductive surgery with hyperthermic intraperitoneal chemotherapy. Frontiers in Oncology None(None):None, 2023. PMID: 36741691.
- Guerra-Londono CE, Kim D, Ramirez Manotas MF Ambulatory Surgery for Cancer Patients: Current Controversies and Concerns. Curr Opin Anaesthesiol 34(6):683-689, 2021. PMID: 34456269.
- Ramirez MF, Cata JP Anesthesia Care Influences Long- term Outcomes: What is the Evidence?. Best Practice & Research Clinical Anesthesiology None(None):None, 2021. PMID: 34801212.
- Ramirez MF, Cata JP Anesthesia Techniques and Long-Term Oncological Outcomes. Frontiers in Oncology None(None):None, 2021. PMID: 34956903.
- Ramirez MF, Rangel FP, Cata JP Perioperative Pain, Analgesics and Cancer-related Outcomes: Where do we stand?. Pain Management None(None):None, 2021. PMID: 34636651.
- Cata JP, Guerra CE, Soto G, Ramirez Manotas MF Anesthesia options and the recurrence of cancer: What we know so far?. Local and Regional Anesthesia None(None):None, 2020. PMID: 32765061.
Editorials
- Ramirez MF, Garcia L, Cata JP. Can a single intraoperative dose of non-steroidal anti- inflammatory drugs reduce cancer recurrence?. Annals of Palliative Medicine None(None):None, 2020. PMID: 32075404.
- Cata JP, Ramirez MF. Local anesthetic: Hunting for the Holy Grail of onco-anesthesia. Pain Medicine None(None):None. PMID: 31841154.
- Cata JP, Ramirez MF, Girish P Joshi. Putting cancer patient first. ASA Monitor None(None):None, 2019. PMID: None.
Abstracts
- Ramirez MF, Pascal Owusu-Agyemang P, Fournier K Byars M, Cata JP. Medically challenging case: Successful Use Of AllonTm Warming System As A Single Method To Achieve A Target Temperature During Hyperthermic Intraperitoneal Chemotherapy.". ASA 2022, 2022. e-Pub 2022. PMID: None.
- Ramirez MF, Pascal Owusu-Agyemang P, Fournier K Byars M, Cata JP. Water Garment To Maintain A Target Temperature In Patients Undergoing Hyperthermic Intraperitoneal Chemotherapy. ASA 2022, 2022. e-Pub 2022. PMID: None.
- Sharma I, Farson L, Williams C, Williams UU, Kwater A, Donahue H, Zavala A, Hancher-Hodges S, Casarez V, Ramirez M. Nasal flexible intubation with POM mask: A Case Report. Society of Airway Management, 2022. e-Pub 2022. PMID: None.
- Neycheril R, Joseph Ruiz ED, Abolanle Ojelade AZ, Ramirez M. Successful Emergent Nasotracheal Intubation In the setting of Obstructive Oropharyngeal Mass. SWCR, 2022. e-Pub 2022. PMID: None.
- Alnatour O, Ikoma N, Zavala A, Tsai J, Bailard N, Ramirez MF. Intraoperative Phlebotomy and Hemodilution for a Patient With Polycythemia Undergoing Robotic Whipple Procedure with Subsequent Postoperative Resolution of Polycythemia. ASA, 2021. e-Pub 2021. PMID: None.
- Joseph R, Jackson A, Joseph S, Owusu-Agyemang P, Van Meter A, Williams U, Kapoor R, Tsai J, Zavala A, Ramirez M. Botox Interference of Facial Nerve Monitoring During a Robotic Case. Anesthesia World Congress 2020, 2020. e-Pub 2020. PMID: None.
- Brown J, Hancher-Hodges S, Roland C, Zavala A, Lasala J, Mena G, Ramirez M, Popat K. Bilateral Erector Spinae Catheters for Oncologic Abdominal Sarcoma Surgery. Anesthesia World Congress 2020, 2020. e-Pub 2020. PMID: None.
- Delgado KS, Alnatour O, Zavala A, Williams U, Van Meter A, Kapoor R, Bellard B, Casarez V, Owusu-Agyemang P, Ramirez MF. A Case of Undiagnosed Pseudocholinesterase Deficiency and a Resulting Normal Dibucaine Number. Anesthesia World Congress 2020, 2020. e-Pub 2020. PMID: None.
- Alnatour O, Casarez V, Kapoor R, Ramirez M, Chen S, Tran C, Zavala A. Successful airway management of a Bleeding Lingual Sarcoma. PostGraduate Assembly in Anesthesiology 2020, 2020. e-Pub 2020. PMID: None.
- Ramirez MFand Zhang Y. Postoperative interventions made to optimize pain management in a patient with extraordinary high fentanyl requirement. ASRA 2016. e-Pub 2016. PMID: None.
- Cata JP, Ramirez MF, Gottumukkala V, Kurz A. The different effects of local anesthestetics on natural killer cell function. ASA. e-Pub 2014. PMID: None.
- Ramirez MF, Bergesio L, Mark T, Cata JP. Low dose of lidocaine enhances natural killer cell function. SIMPAR Meeting. e-Pub 2013. PMID: None.
Book Chapters
- Ramirez Manotas, MF, Cata JP. Pharmacology of opioids. In: None. None. None, None, 2023.
- Ramirez Manotas, MF, Brown J. Diuretics in Anesthesia. In: Basic Anesthesia Review. None. None, None, 2023.
- Ramirez Manotas, MF, Cata JP. Anesthesia for Laparoscopic Surgery. In: Advanced Anesthesia Review. None. None, None, 2023.
- Ramirez Manotas, MF, Tran, P, Cata, JP. Perioperative period, stress response, immune suppression and cancer recurrence. In: Intensive Care Manual, 77-99, 2014.
- Ramirez Manotas ,MF, Cata JP. From theory to practice. Evaluation, diagnosis and treatment approach for patients with tumor lysis syndrome. In: Intensive Care Manual. None. None, None.
Selected Presentations & Talks
Local Presentations
- 2024. Short and Long-term Consequences of Anesthesia Management: Total Intravenous Anesthesia versus Inhalational Agents. Invited. 9th Annual Anesthesia Tech Conference. Houston, Rexas, US.
- 2023. Student Clinical Skills Society for an Aspirations in Medical Professions outreach conference. Conference. Student Clinical Skills Society for an Aspirations in Medical Professions outreach conference. Houston, TX, US.
Regional Presentations
- 2023. Career Day. Conference. Black Elementary School. Houston, US.
National Presentations
- 2024. Total Intravenous Anesthesia vs. Volatile Anesthetics: Does the Type of Anesthesia Matter for Our Patients?. Invited. American Society of Anesthesia Technologist and Technicians. Webinar, US.
- 2022. Medically challenging case: Successful Use Of AllonTm Warming System As A Single Method To Achieve A Target Temperature During Hyperthermic Intraperitoneal Chemotherapy. Poster. Medically challenging case: Successful Use Of AllonTm Warming System As A Single Method To Achieve A Target Temperature During Hyperthermic Intraperitoneal Chemotherapy. New Orleans, LA, US.
- 2022. Water Garment To Maintain A Target Temperature In Patients Undergoing Hyperthermic Intraperitoneal Chemotherapy. Poster. Water Garment To Maintain A Target Temperature In Patients Undergoing Hyperthermic Intraperitoneal Chemotherapy. New Orleans, LA, US.
- 2022. Hispanic Heritage Month Panel Event. Conference. Hispanic Heritage Month Panel Event. Houston, US.
- 2021. Intraoperative Phlebotomy and Hemodilution for a Patient With Polycythemia Undergoing Robotic Whipple Procedure with Subsequent Postoperative Resolution of Polycythemia. Conference. Intraoperative Phlebotomy and Hemodilution for a Patient With Polycythemia Undergoing Robotic Whipple Procedure with Subsequent Postoperative Resolution of Polycythemia. San Diego, CA, US.
- 2021. Anesthesia and long term consequences. Conference. Anesthesia and long term consequences. Virtual, US.
- 2016. Postoperative interventions made to optimize pain management in a patient with extraordinary high fentanyl requirement. Poster. ASA 2016. New Orleans, US.
International Presentations
- 2023. Artificial Intelligence and Scientific Publications. Invited. Congreso Internacional de SADEA de Actulizacion en Anestesiologia. Medellin, CO.
- 2023. Artificial Intelligence and Anesthesia Implications. Invited. 40th Reunion Annual del Instituto Nacional de Cancerologia. Mexico City, MX.
- 2022. Effect of the anesthesia techniques on the immune system and tumor microenvironment during cancer surgery,. Invited. Symposium of Cancer Research 2022. Singapore, SG.
- 2022. Successful Emergent Nasotracheal intubation in the setting of obstructive orophyaryngeal mass. Poster. Symposium of Cancer Research 2022. Singapore, SG.
- 2021. Total Intravenous Anesthesia vs Inhalational Agents and Cancer Recurrence. Basic Research. Conference. Total Intravenous Anesthesia vs Inhalational Agents and Cancer Recurrence. Basic Research. Buenos Aires, AR.
- 2021. Doffing and donning for COVID patients: MD Anderson experience. Conference. Doffing and donning for COVID patients: MD Anderson experience. Virtual:Mexico City, MX.
- 2021. Total Intravenous Anesthesia vs Inhalational Agents and Cancer Recurrence. What is the evidence?. Conference. Total Intravenous Anesthesia vs Inhalational Agents and Cancer Recurrence. What is the evidence?. Virtual: Mexico City, MX.
- 2013. The different effects of local anesthestics on natural killer cell function. Poster. Study In Multidisciplinary Pain Research Meeting. Pavia, IT.
- 2013. Low dose of lidocaine enhances natural killer cell function. Poster. Study In Multidisciplinary Pain Research Meeting. Pavia, IT.
Formal Peers
- 2023. Anesthesia Basics. Invited. McGovern Medical School at UTHealth, US.
- 2022. WIA Hispanic Heritage Month panel September. Invited. College of Osteopathic Medicine Sam Houston State University. Houston, TX, US.
Patient Reviews
CV information above last modified February 17, 2025