
Vijaya N.R. Gottumukkala, M.B., B.S., M.D.(Anes), F.R.C.A.
Department of Anesthesiology and Perioperative Medicine, Division of Anesthesiology, Critical Care, and Pain Medicine
Present Title & Affiliation
Primary Appointment
Professor, Department of Anesthesiology and Perioperative Medicine, Division of Anesthesiology and Critical Care, The University of Texas MD Anderson Cancer Center, Houston, TX
Education & Training
Degree-Granting Education
1993 | The Royal College of Anesthetists, London, GBR, F.R.C.A, Anesthesiology |
1990 | All India Institute of Medical Sciences (AIIMS), New Delhi, IND, MD, Doctor of Medicine in Anesthesiology |
1985 | Andhra Medical College, Andhra University, Visakhapatnam, IND, MBBS, Bachelor of Medicine and Surgery |
Postgraduate Training
1999-1999 | Fellow Associate, O.B. and Transplant Anesthesia, University of Iowa Hospitals and Clinics (UIHC), Iowa City, IA |
1996-1999 | Resident, Anesthesia, University of Iowa Hospitals and Clinics (UIHC), Iowa City, IA |
1995-1996 | Resident, Anesthesiology, St. Louis University Health Sciences Center, St. Louis, MO |
1993-1994 | Registrar (Post Board Certification in U.K.), Anesthesiology, Bedford Hospital and St. Mary's Hospital, Department of Anesthesiology, Bedford |
1992-1993 | Senior House Officer, Anesthesiology, Bedford Hospital, Bedford |
1990-1991 | Senior Resident (Post Board Certification), Anesthesiology, All India Institute of Medical Sciences, New Delhi |
1987-1990 | Resident, Anesthesiology, All India Institute of Medical Sciences (AIIMS), New Delhi |
1984-1985 | Rotating Internship, King George Hospital, Visakhapatnam (A.P.) |
Board Certifications
2002 | Diplomate in Anesthesiology, American Board of Anesthesiology |
1994 | Educational Commission for Foreign Medical Graduates (ECFMG) |
1993 | Fellowship Examination (FRCA) in Anesthesiology, Royal College of Anesthetists, London, UK |
1991 | M.D. in Anesthesiology, All India Institute of Medical Sciences, New Delhi, India |
Experience & Service
Administrative Appointments/Responsibilities
Associate Head, The University of Texas MD Anderson Cancer Center, Houston, TX, 2019 - Present
Director, Program for Advancement of Perioperative Cancer Care, Department of Anesthesiology and Perioperative Medicine, The University of Texas MD Anderson Cancer Center, Houston, TX, 2017 - Present
Deputy Department Chair, Department of Anesthesiology and Perioperative Medicine, The University of Texas MD Anderson Cancer Center, Houston, TX, 2010 - Present
Anesthesia Resident Education & Program Director, Department of Education & Training @ UIHC, University of Iowa Hospitals and Clinics, Iowa City, IA, 2003 - 2004
Anesthesia Department Chief, Department of Anesthesia, St. Martha's Regional Hospital, Antigonish, 2002 - 2003
Institutional Committee Activities
Co-Lead, Enhanced Recovery Program in Liver Surgery Program, 2013 - Present
Co-Lead, Enhanced Surgical Recovery Program, 2013 - Present
Member, Working Group for Perioperative Enterprise O.R. Block Allocation, MDACC, 2008 - 2017
Member, Perioperative Enterprise Workflow and Operations Advisory Group to Capital Facilities Planning, MDACC, 2008 - 2015
Member, Perioperative Medicine Working Group, MDACC, 2007 - 2015
Member, Curriculum Subcommittee, GME, MDACC, 2007 - 2019
Member, Committee on Care of Pregnant Patients with Cancer, MDACC, 2005 - Present
Member, O.R. Committee, MDACC, 2005 - 2017
Selected Publications
Peer-Reviewed Articles
- Williams WH, Cata JP, Lasala JD, Navai N, Feng L, Gottumukkala V. Effect of reversal of deep neuromuscular block with sugammadex or moderate block by neostigmine on shoulder pain in elderly patients undergoing robotic prostatectomy. Br J Anaesth 124(2):164-172, 2020. e-Pub 2019. PMID: 31780139.
- Solanki SL, Mukherjee S, Agarwal V, Thota RS, Balakrishnan K, Shah SB, Desai N, Garg R, Ambulkar RP, Bhorkar NM, Patro V, Sinukumar S, Venketeswaran MV, Joshi MP, Chikkalingegowda RH, Gottumukkala V, Owusu-Agyemang P, Saklani AP, Mehta SS, Seshadri RA, Bell JC, Bhatnagar S, Divatia JV. Society of Onco-Anaesthesia and Perioperative Care consensus guidelines for perioperative management of patients for cytoreductive surgery and hyperthermic intraperitoneal chemotherapy (CRS-HIPEC). Indian J Anaesth 63(12):972-987, 2019. e-Pub 2019. PMID: 31879421.
- Vicente D, Patino M, Marcus R, Lillemoe H, Limani P, Newhook T, Lee A, Tzeng CW, Segraves-Chun Y, Tweardy D, Gottumukkala V, Vauthey JN, Aloia T, Cata JP. Correction: Impact of epidural analgesia on the systemic biomarker response after hepatic resection. Oncotarget 10(59):6397, 2019. e-Pub 2019. PMID: 31695849.
- Haller G, Bampoe S, Cook T, Fleisher LA, Grocott MPW, Neuman M, Story D, Myles PS, StEP-COMPAC Group. Systematic review and consensus definitions for the Standardised Endpoints in Perioperative Medicine initiative: clinical indicators. Br J Anaesth 123(2):228-237, 2019. e-Pub 2019. PMID: 31128879.
- Lillemoe HA, Marcus RK, Day RW, Kim BJ, Narula N, Davis CH, Gottumukkala V, Aloia TA. Enhanced recovery in liver surgery decreases postoperative outpatient use of opioids. Surgery 166(1):22-27, 2019. e-Pub 2019. PMID: 31103198.
- Yap A, Lopez-Olivio MA, Dubowitz J, et al. Correction to: Anesthetic technique & cancer outcomes: A meta-analysis of total intravenous versus volatile anesthesia. Can J Anaesth 66:1007-1008, 2019.
- Barnes J, Hunter J, Harris S, Shankar-Hari M, Diouf E, Jammer I, Kalkman C, Klein AA, Corcoran T, Dieleman S, Grocott MPW, Mythen MG, StEP-COMPAC group. Systematic review and consensus definitions for the Standardised Endpoints in Perioperative Medicine (StEP) initiative: infection and sepsis. Br J Anaesth 122(4):500-508, 2019. e-Pub 2019. PMID: 30857606.
- Marcus RK, Lillemoe HA, Rice DC, Mena G, Bednarski BK, Speer BB, Ramirez PT, Lasala JD, Navai N, Williams WH, Kim BJ, Voss RK, Gottumukkala VN, Aloia TA. Determining the Safety and Efficacy of Enhanced Recovery Protocols in Major Oncologic Surgery: An Institutional NSQIP Analysis. Ann Surg Oncol 26(3):782-790, 2019. e-Pub 2019. PMID: 30627879.
- Yap A, Lopez-Olivo MA, Dubowitz J, et al. Anesthetic Technique and Cancer Outcomes: A meta-analysis of total intravenous versus volatile anesthesia. Can J Anaesth 66:546-561, 2019.
- Missair A, Cata JP, Votta-Velis G, Johnson M, Borgeat A, Tiouririne M, Gottumukkala V, Buggy D, Vallejo R, Marrero EB, Sessler D, Huntoon MA, Andres J, Casasola OL. Impact of perioperative pain management on cancer recurrence: an ASRA/ESRA special article. Reg Anesth Pain Med 44(1):13-28, 2019. PMID: 30640648.
- Vicente D, Patino M, Marcus R, Lillmoe H, Limani P, Newhook T, Lee A, Tzeng CW, Segraves-Chun Y, Tweardy D, Gottumukkala V, Vauthey JN, Aloia T, Cata JP. Impact of epidural analgesia on the systemic biomarker response after hepatic resection. Oncotarget 10(5):584-594, 2019. e-Pub 2019. PMID: 30728909.
- Owusu-Agyemang P, Cata JP, Kapoor R, Speer BB, Bellard B, Feng L, Gottumukkala V. Patterns and predictors of outpatient opioid use after cytoreductive surgery with hyperthermic intraperitoneal chemotherapy. Int J Hyperthermia 36(1):1058-1064, 2019. PMID: 31646916.
- Moonesinghe SR, Grocott MPW, Bennett-Guerrero E, Bergamaschi R, Gottumukkala V, Hopkins TJ, McCluskey S, Gan TJ, Mythen MMG, Shaw AD, Miller TE, Perioperative Quality Initiative (POQI) I Workgroup. American Society for Enhanced Recovery (ASER) and Perioperative Quality Initiative (POQI) joint consensus statement on measurement to maintain and improve quality of enhanced recovery pathways for elective colorectal surgery. Perioper Med (Lond) 6:6, 2017. e-Pub 2017. PMID: 28331608.
- McEvoy MD, Scott MJ, Gordon DB, Grant SA, Thaker JKM, VU CL, Gan TJ, Mythen MG, Shaw AD, Miller TE. Perioperative Quality Initiative (POQI) I Workgroup. American Society for Enhanced Recovery (ASER) and Perioperative Quality Initiative (POQI) joint consensus statement on optimal analgesia within an enhanced recovery pathway for colorectal surgery: Part 1-from the preoperative period to PACU. Perioper Med, 2017.
- Cata JP, Jones J, Sepesi B, Mehran RJ, Rodriguez-Restrepo A, Lasala J, Feng L, Gottumukkala V. Lack of association between dexamethasone and long term survival after non-small cell lung cancer surgery. J Cardiothorac Vasc Anesth 30(4):930-5, 2016. e-Pub 2016. PMID: 27521965.
- Owusu-Agyemang P, Cata JP, Fournier KF, Zavala AM, Soliz J, Hernandez M, Hayes-Jordan A, Gottumukkala V. Evaluating the Impact of Total Intravenous Anesthesia on the Clinical Outcomes and Perioperative NLR and PLR Profiles of Patients Undergoing Cytoreductive Surgery with Hyperthermic Intraperitoneal Chemotherapy. Ann Surg Oncol 23(8):2419-29, 2016. e-Pub 2016. PMID: 26975738.
- Aloia TA, Gottumukkala V. Reply: Transfusion reduction in liver surgery is a team sport. Surgery 160(1):248, 2016. e-Pub 2016. PMID: 26936522.
- Lee BM, Rodriguez A, Mena G, Gottumukkala V, Mehran RJ, Rice DC, Feng L, Yu J, Cata JP. Platelet-to-Lymphocyte Ratio and Use of NSAIDs During the Perioperative Period as Prognostic Indicators in Patients With NSCLC Undergoing Surgery. Cancer Control 23(3):284-94, 2016. PMID: 27556669.
- Miralpeix E, Nick AM, Meyer LA, Cata J, Lasala J, Mena GE, Gottumukkala V, Iniesta-Donate M, Salvo G, Ramirez PT. A call for new standard of care in perioperative gynecologic oncology practice: Impact of enhanced recovery after surgery (ERAS) programs. Gynecol Oncol 141(2):371-8, 2016. e-Pub 2016. PMID: 26906066.
- Day RW, Brudvik KW, Vauthey JN, Conrad C, Gottumukkala V, Chun YS, Katz MH, Fleming JB, Lee JE, Aloia TA. Advances in hepatectomy technique: Toward zero transfusions in the modern era of liver surgery. Surgery 159(3):793-801, 2016. e-Pub 2015. PMID: 26584854.
- Zimmitti G, Soliz J, Aloia TA, Gottumukkala V, Cata JP, Tzeng CW, Vauthey JN. Positive Impact of Epidural Analgesia on Oncologic Outcomes in Patients Undergoing Resection of Colorectal Liver Metastases. Ann Surg Oncol 23(3):1003-11, 2016. e-Pub 2015. PMID: 26511261.
- Hagan KB, Bhavsar S, Raza SM, Arnold B, Arunkumar R, Dang A, Gottumukkala V, Popat K, Pratt G, Rahlfs T, Cata JP. Enhanced Recovery After Surgery for Oncological Craniotomies. J Clin Neurosci 24:10-6, 2016. e-Pub 2015. PMID: 26474504.
- Cata JP, Gutierrez C, Mehran RJ, Rice D, Nates J, Feng L, Rodriguez-Restrepo A, Martinez F, Mena G, Gottumukkala V. Preoperative Anemia, Blood Transfusion, and Neutrophil-to-Lymphocyte Ratio in Patients with Stage I Non-Small Cell Lung Cancer. Cancer Cell Microenviron 3(1):e1116, 2016. PMID: 26949721.
- Kim BJ, Caudle AS, Gottumukkala V, Aloia TA. The Impact of Postoperative Complications on a Timely Return to Intended Oncologic Therapy (RIOT): the Role of Enhanced Recovery in the Cancer Journey. Int Anesthesiol Clin 54(4):e33-46, 2016. PMID: 27623128.
- Wigmore T, Gottumukkala V, Riedel B. Making the Case for the Subspecialty of Onco-Anesthesia. Int Anesthesiol Clin 54(4):19-28, 2016. PMID: 27648888.
- Day RW, Fielder S, Calhoun J, Kehlet H, Gottumukkala V, Aloia TA. Incomplete reporting of enhanced recovery elements and its impact on achieving quality improvement. Br J Surg 102(13):1594-602, 2015. e-Pub 2015. PMID: 26364714.
- Cata JP, Zafereo M, Villarreal J, Unruh BD, Truong A, Truong DT, Feng L, Gottumukkala V. Intraoperative opioids use for laryngeal squamous cell carcinoma surgery and recurrence: a retrospective study. J Clin Anesth 27(8):672-9, 2015. e-Pub 2015. PMID: 26371714.
- Day RW, Cleeland CS, Wang XS, Fielder S, Calhoun J, Conrad C, Vauthey JN, Gottumukkala V, Aloia TA. Patient-Reported Outcomes Accurately Measure the Value of an Enhanced Recovery Program in Liver Surgery. J Am Coll Surg 221(6):1023-1030.e2, 2015. e-Pub 2015. PMID: 26611799.
- 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. J Surg Res 194(1):185-93, 2015. e-Pub 2014. PMID: 25475022.
- Buggy DJ, Borgeat A, Cata J, Doherty DG, Doornebal CW, Forget P, Gottumukkala V, Gottschalk A, Gupta A, Gupta K, Hales TG, Hemmings HC, Hollmann MW, Kurz A, Ma D, Parat MO, Sessler DI, Shorten G, Singleton P. Consensus statement from the BJA Workshop on Cancer and Anaesthesia. Br J Anaesth 114(1):2-3, 2015. e-Pub 2014. PMID: 25104229.
- Koay EJ, Baio FE, Ondari A, Truty MJ, Cristini V, Thomas RM, Chen R, Chatterjee D, Kang Y, Zhang J, Court L, Bhosale PR, Tamm EP, Qayyum A, Crane CH, Javle M, Katz MH, Gottumukkala VN, Rozner MA, Shen H, Lee JE, Wang H, Chen Y, Plunkett W, Abbruzzese JL, Wolff RA, Maitra A, Ferrari M, Varadhachary GR, Fleming JB. Intra-tumoral heterogeneity of gemcitabine delivery and mass transport in human pancreatic cancer. Phys Biol 11(6):065002, 2014. e-Pub 2014. PMID: 25427073.
- Cata JP, Gottumukkala V. Blood Loss and Massive Transfusion in Patients. Review Article ISRN Anesthesiology 2012:1-11, 2012.
- Choi JE, Villarreal J, Lasala J, Gottumukkala V, Mehran RJ, Rice D, Yu J, Feng L, Cata JP. Perioperative neutrophil: lymphocyte ratio and postoperative NSAID use as predictors of survival after lung cancer surgery: a retrospective study. Cancer Med. e-Pub 2015. PMID: 25756351.
- Konda P, Ai D, Guerra CE, Rodriguez-Restrepo A, Mehran RJ, Rice D, Hofstetter W, Heir J, Kwater P, Gottumukkala V, Hernandez M, Cata JP. Identification of Risk Factors Associated With Postoperative Acute Kidney Injury After Esophagectomy for Esophageal Cancer. J Cardiothorac Vasc Anesth. e-Pub 2016. PMID: 27720491.
- Cata JP, Chavez-MacGregor M, Valero V, Black W, Black DM, Goravanchi F, Ifeanyi IC, Hernandez M, Rodriguez-Restrepo A, Gottumukkala V. The Impact of Paravertebral Block Analgesia on Breast Cancer Survival After Surgery. Reg Anesth Pain Med. e-Pub 2016. PMID: 27685344.
- Egger ME, Gottumukkala V, Wilks JJ, Soliz J, Ilmer M, Vauthey JN, Conrad C. Anesthetic and operative considerations for laparoscopic liver resection. Surgery. e-Pub 2016. PMID: 27545995.
Invited Articles
- Afonso A, Gottumukkala V. "Data Strategy for successful implementation, sustaining, and scaling enhanced recovery programs". ASA monitor, 2020.
- Gottumukkala V, Kehlet H. Optimized Perioperative Care: Why is Change So Difficult? And What Can We Do To Overcome Barriers?. ASA News Letter 78:14-16, 2014.
- Cata JP, Gottumukkala V. Transfusion Practices in cancer surgery. Indian Journal of Anaesthesiology 58(5):637-42, 2014.
Editorials
- Riedel B, Wigmore T, Gottumukkala V. Preface: cancer anaesthesia. Best Pract Res Clin Anaesthesiol 27(4):397-8, 2013.
Abstracts
- Lasala J, Singh Heir J, Mena GE, Nick A, Meyer L, Iniesta M, Munsell M, Cata J, Ifeanyi I, Gottumukkala V, Cain K, Ramirez P. Implementation of an Enhanced Surgical Recovery Program (ESRP) on postoperative renal function: Is euvolemia idea for all or only select few?. Abstracts/Clinical Nutrition ESPEN:e30-e59, 2016.
- Lasala J, Singh Heir J, Mena G, Nick A, Meyer L, Iniesta M, Munsell M, Salvo G, Cata J, Ifeanyi I, Gottumukkala V, Cain K, Ramirez P. Implementation of an enhanced surgical recovery program (ESRP) in gynecologic oncology: Has the development of a preoperative order set improved compliance for preventive analgesia and deep venous thromboembolic (DVT) prophylaxis?. Abstracts/Clinical Nutrition ESPEN:e30-e59, 2016.
- Soliz J, Owusu-Agyemang P, Cata J.P, Zavala A.M, Fournier K, Hernandez M, Hayes-Jordan A, Rahlfs T.F, Gottumukkala V. Evaluating the Effects of TIVA on Postoperative Pain After Cytoreductive Surgery with Hyperthermic Intraperitoneal Chemotherapy. Anesthesia & Analgesia-World Congress of Anesthesiology 2016 123(3S):370-371, 2016.
- Cata J, Chavez-MacGregor M, Valero V, Gottumukkala V. Abstract PR485: Paravertebral Block use is not Associated with Longer Survival After Breast Cancer Surgery. Anesthesia & Analgesia 123:182-183, 2016.
- Ferson D, Calhoun J, Lipski I, Gottumukkala V, Lang F, Sawaya R, Chi L. Superselective Scalp Block (SSB) and opioid sparing as an integral part of Enhanced Recovery After Neurosurgery (ERANS). Clin Nutr ESPEN 12:e39, 2016. e-Pub 2016. PMID: 28531693.
- Calhoun J, Gottumukkala V, Aloia T, Feeley T. Enhanced Recovery as a mechanism for demonstrating value creation in healthcare. Abstracts/Clinical Nutrition ESPEN:e30-e59, 2016.
- Gottumukkala V, Philip J, Alexander J, Sharma S. Epidural Analgesia, Maternal fever and Neonatal Sepsis Workups: A Randomized study. Anesthesiology Supplement:A56, 1999.
- Gottumukkala V, Sharma SK, Philip J. Assessment of platelet function using modified Thromboelastography in women with severe preeclampsia and thrombocytopenia. Anesthesiology Supplement:A2, 1999.
- Taylor M, Gottumukkala V, Philip J, Sharma S. Platelet dysfunction in preeclampsia: A reevaluation. Anesthesiology Supplement:A58, 1999.
Book Chapters
- Wilks J, Hancher- Hodges S, Gottumukkala V.. Anesthesia for Laparoscopic Liver Surgery. In: Laparoscopic Management of Hepato-Pancreato-Biliary Diseases. Textbook and Illustrated Video Atlas 1st Edition. Wiley, 2017.
- Hagan K, Gottumukkala V. In: Positioning of surgical patients. In: Anesthesiology. McGraw-Hill Medical Publishing: New York, 2017.
- Speer BB, Gottumukkala V. Perioperative Care of the Elderly Cancer Patient. In: Geriatric Anesthesiology. Springer Science, 2016.
- Gottumukkala V. Abdominoperineal Resection. In: The 5-Minute Anesthesia Consult. First Edition. Wolters Kluwer, 2012.
- Gottumukkala V. Whipple Procedure. In: The 5-Minute Anesthesia Consult. First Edition, 2012.
- Gottumukkala V. Positioning of surgical patients. In: Principles of Anesthesiology. Second. McGraw-Hill Medical Publishing: New Your, 2010.
- Gottumukkala V. Positioning of surgical patients. In: Principles of Anesthesiology. First Edition. McGraw-Hill Medical Publishing: New York, 2008.
- Gottumukkala V, Truong DT, Truong A. Evaluation of Anesthetic Risk. In: Complications in Anesthesiology (In process). Third Edition, 2007.
- Saltzman C, Boezaart A, Gottumukkala VNR. Ankle Surgery, surgical and anesthetic considerations. In: Anesthesia and Orthopedic Surgery. First Edition. McGraw Hill Medical Publishing: New York, 2006.
- Brown DL, Gottumukkala V. Spinal, Epidural and Caudal Anesthesia: Anatomy, Physiology and Technique. In: Obstetric Anesthesia Principles and Practice. Third Edition. Elsevier Mosby, 2004.
Books (edited and written)
- Gottumukkala, V. Cancer Anaesthesia: Best Practice & Research. In: Clinical Anaesthesiology, 2013.
Letters to the Editor
- Singh Heir J, Gottumukkala V. Beach Chair Position: Is it Really Feasible in Laparoscopic Procedures?. Anesthesiology 108: 1153, 2008.