Office Phone

248-858-6068

Narrative Bio

Dr. Krishnan graduated from Jefferson Medical College in 2004. After completing his transitional year in Pittsburgh, he moved to Chicago for an anesthesiology residency at Rush University Medical Center. He then completed a Cardiothoracic Anesthesia Fellowship at Mount Sinai Hospital in New York.

After certification in advanced perioperative transesophageal echocardiography, Dr. Krishnan joined the cardiac faculty at New York University Medical Center, where he served as Director of the Robotic Mitral Valve Program and taught anesthesia residents and fellows. He was heavily involved in creating the didactic curriculum for residents who desired to become certified in basic transesophageal echocardiography. Since returning to Michigan, Dr. Krishnan has been integral in the growth of the cardiovascular surgery program at Trinity Oakland Hospital.

He serves as Director of Cardiothoracic Anesthesia and Program Director for the anesthesiology residency. His primary interests include transesophageal echocardiography, minimally invasive mitral valve surgery, clinical research, and resident education.

In 2016, he was appointed by the American Board of Anesthesiology as an Oral Board Examiner. He currently serves on The American Society of Anesthesiologists' Committee on Cardiovascular and Thoracic Anesthesia, the Educational Track Subcommittee on Cardiac Anesthesia, and the Committee on Scientific and Educational Exhibits. He also serves on the Society of Cardiovascular Anesthesiologists' Bylaws Committee.

Presentations

4/2024

• Society of Cardiovascular Anesthesiologists 46th Annual Meeting and Workshops
  Comprehensive TEE Examination for a Difficult Diagnosis of Aorto-Right Ventricular Fistula after TAVR
  Patel V, Haque A, Siddiqui N, Krishnan S.
• Society of Cardiovascular Anesthesiologists 46th Annual Meeting and Workshops
  On-Pump Coronary Artery Bypass Grafting in the Setting of MoyaMoya Disease
  Mahendram S, Abdinur H, Krishnan S.
• Society of Cardiovascular Anesthesiologists 46th Annual Meeting and Workshops
  Valve-In-Valve-In-Band Transcatheter Mitral Valve Replacement
  Buller S, Schultz M, Krishnan S.

10/2023

• American Society of Anesthesiologists Annual Meeting
  Anomalous Right Coronary Artery Arising From The Left Coronary Cusp
  Park J, Schultz M, Mahendram S, Krishnan S.

4/2023

• Society of Cardiovascular Anesthesiologists 45th Annual Meeting and Workshops
  Complex Airway Obstruction Requiring Elective Veno-Venous Extracorporeal
  Membrane Oxygenation. Schultz M, Park J, Krishnan S.
• Society of Cardiovascular Anesthesiologists 45th Annual Meeting and Workshops
  Prosthetic Valve Endocarditis after Surgical Aortic Valve Replacement and Late
  Valve-in-Valve Transcatheter Aortic Valve Replacement Requiring Redo Aortic
  Valve Replacement. Haque A, Mah P, Merckel B, Krishnan S.
• Midwest Anesthesia Residents Conference
  Cervicalgia in a Parturient After Epidural Placement for Labor
  Cao M, Roop H, Cerna U, Krishnan S.
• Midwest Anesthesia Residents Conference
  Refractory Status Epilepticus in Creutzfeldt-Jakob Disease
  Roop H, Haque A, Craig S, Krishnan S.

4/2022

• Society of Cardiovascular Anesthesiologists 44th Annual Meeting and Workshops
  Transverse myelitis following thoracic epidural anesthesia
  Lucaj J, Gill O, Schultz M, Zatkoff J, Krishnan S.
• Midwest Anesthesia Residents Conference
  Concomitant duodenal ulcer perforation and acute ischemic limb
  Park J, Cao M, Krishnan S.
• Midwest Anesthesia Residents Conference
  Sternal dehiscence and failure of rigid fixation with subsequent sternocostal separation after cardiac surgery
  Craig S, Cassella A, Krishnan S.
• Midwest Anesthesia Residents Conference
  Cardiac tamponade versus right ventricular inflow obstruction by transesophageal echocardiography
  Latifi I, Cerna A, Krishnan S.
• Midwest Anesthesia Residents Conference
  Pharyngocutaneous fistula after anterior cervical spine fusion
  Mahendram S, Mah P, Krishnan S.
• Midwest Anesthesia Residents Conference
  Anaphylaxis during cardiac surgery: When should surgery be rescheduled?
  Tippireddy S, Burkholder T, Krishnan S.

4/2021

• Society of Cardiovascular Anesthesiologists 43rd Annual Meeting and Workshops 
  Echocardiography to track an evolving Sinus of Valsalva fistula from infective endocarditis
  Lucaj P, Paik P, Krishnan S.
• Society of Cardiovascular Anesthesiologists 43rd Annual Meeting and Workshops 
  An instigating induction: Revelation of pulmonary embolus
  Resnick A, Siddiqui N, Krishnan S.
• Society of Cardiovascular Anesthesiologists 43rd Annual Meeting and Workshops 
  Wandering Watchman: Retrieval of left atrial appendage closure device
  Siddiqui N, Hakim J, Krishnan S.
• Midwest Anesthesia Residents Conference 
  Left Main Coronary Obstruction Following TAVR Procedure
  Lahori A, Isnassuos M, Krishnan S. 

 

Books and Chapters

• Patel, K, Krishnan S, Trivedi, K, Desai R. (2021) Anesthetic Management for Whole Lung Lavage in Patients with Pulmonary Alveolar Proteinosis. In: Goudra B.G., Singh P.M., Green M.S. (eds) Anaesthesia for Uncommon and Emerging Procedures. Springer, Cham. https://doi.org/10.1007/978-3-030-64739-1_8
• Elhoushy A.H., Paik P., Patel K., Desai R., Krishnan S. (2021) Anesthetic Management During Cardiopulmonary Bypass. In: Awad, MD, MBA A.S. (eds) Cardiac Anesthesia. Springer, Cham. https://doi.org/10.1007/978-3-030-51755-7_16
• Waldman B.A., Peters P.J., Wise J., Patel S., Krishnan S. (2021) The Fundamentals of Transesophageal Echocardiography. In: Awad, MD, MBA A.S. (eds) Cardiac Anesthesia. Springer, Cham. https://doi.org/10.1007/978-3-030-51755-7_12
• Krishnan S, Ngai J, Kanchuger M. Complications of transesophageal echocardiography. Perioperative Transesophageal Echocardiography. Philadelphia: Elsevier, 2014.

 

Publications

Peer-Reviewed Publications

Original Work

Park JH, Siddiqui N, Hrebec WK, Szymanski TJ, Uribe-Marquez S, Miletic KG, Krishnan S. Management of Anticoagulation and Antifibrinolytics in Catastrophic Antiphospholipid Syndrome. Semin Cardiothorac Vasc Anesth. 2024 May 5:10892532241249782. doi: 10.1177/10892532241249782. Epub ahead of print. PMID: 38705843.

Neuburger PJ, Krishnan S, Patel KM. Achieving Equipoise in Decision-Making for Aortic Valve Replacement in Low-Risk Patients. J Cardiothorac Vasc Anesth. 2024 Jan 27:S1053-0770(24)00057-0. doi: 10.1053/j.jvca.2024.01.025. Epub ahead of print. PMID: 38360424.

Patel KM, Desai RG, Krishnan S. Conduit Choice in Coronary Artery Bypass Grafting: Insights From an Expert Systematic Review Endorsed by the European Association for Cardio-Thoracic Surgery and the Society of Thoracic Surgeons. J Cardiothorac Vasc Anesth. 2023 Dec 15:S1053-0770(23)00987-4. doi: 10.1053/j.jvca.2023.12.010. PMID: 38199836.

Patel KM, Desai RG, Krishnan S. Outcomes for Patients on Peripheral Venoarterial Extracorporeal Membrane Oxygenation After 10-Year Analysis of the Extracorporeal Life Support Organization Registry-What Lessons Can Be Learned? J Cardiothorac Vasc Anesth. 2023 Sep 17:S1053-0770(23)00742-5. doi: 10.1053/j.jvca.2023.09.012. Epub ahead of print. PMID: 37838508.

Chahal J, Horak J, Thalji N, Augostides J, Garner C, Bradshaw J, Fernando R, Krishnan S, Desai R, Patel K. Left Coronary Artery Reimplantation for Repair of Anomalous Origin of the Left Coronary Artery from the Pulmonary Artery in an Adult. J Cardiothorac Vasc Anesth. 2023 Jun 28. doi: https://doi.org/10.1053/j.jvca.2023.06.036. Epub ahead of print. PMID: 37516597.

Jena N, Patel K, Desai R, Siddiqui N, Ahluwalia G, Halabi AR, Schwartz C, Krishnan S. Surgical Aortic Valve Replacement to Treat Prosthetic Valve Endocarditis After Valve-in-Valve Transcatheter Aortic Valve Replacement. Cureus. 2023 Apr 23;15(4):e38021. doi: 10.7759/cureus.38021. PMID: 37228546.

Frogel J, Navon S, Astbury JC, Augoustides JG, Coleman SR, Fernando RJ, Krishnan S, Desai RG, Patel KM. Echocardiographic Diagnosis and Management of Unexpected Pulmonary Vein Stenosis After Aortic Valve Replacement. J Cardiothorac Vasc Anesth. 2022 Oct 3:S1053-0770(22)00747-9. doi: 10.1053/j.jvca.2022.10.007. Epub ahead of print. PMID: 36372719.

Connelly NR, Adler AC, Vanderberg L; ATEST Collaborators (Krishnan S, et al). Anesthesiology Resident Knowledge of Transfusion Medicine: Results From the Anesthesiology Transfusion Education Study. Anesth Analg. 2022 Dec 12. doi: 10.1213/ANE.0000000000006327. Epub ahead of print. PMID: 36729772.

Krishnan S, Desai R, Paik P, Cassella A, Lucaj J, Ghoddoussi F, Hakim J, Schwartz C, Leicht T, Patel K. Superficial Parasternal Intercostal Plane Blocks (SPIB) With Buprenorphine, Magnesium, and Bupivacaine for Management of Pain in Coronary Artery Bypass Grafting. Cureus. 2022 Nov 1;14(11):e30964. doi: 10.7759/cureus.30964. PMID: 36475128.

Choi JW, Lahori A, Merlo JA, Gill O, Ghoddoussi F, Patel KM, Desai RG, Hakim J, Zatkoff J, Krishnan S. Adductor Canal Blocks with Bupivacaine and Magnesium After Same-day Discharge Total Knee Arthroplasty Improve Post-operative Pain Relief and Decrease Opioid Consumption: A Prospective Randomized Controlled Trial. Clin J Pain. 2022 Apr 20. doi: 10.1097/AJP.0000000000001036. Epub ahead of print. PMID: 35440521.

Patel KM, Desai RG, Krishnan S. Increased Endotracheal Tube Cuff Pressures During Transesophageal Echocardiography-A Hidden Risk Factor for Injury or Inconsequential? J Cardiothorac Vasc Anesth. 2022 Apr 19:S1053-0770(22)00274-9. doi: 10.1053/j.jvca.2022.04.014. Epub ahead of print. PMID: 35570083.

Krishnan S, Park JH, Siddiqui N, Halabi AR, Ahluwalia G, Desai RG, Patel KM. "The Pericardial Effusion is Drained, But the Catheter Is Stuck"-Percutaneous Evacuation of Pericardial Effusion Complicated by Pigtail Catheter Entrapment in Fibrinous Pericarditis. J Cardiothorac Vasc Anesth. 2022 Mar 26:S1053-0770(22)00205-1. doi: 10.1053/j.jvca.2022.03.024. Epub ahead of print. PMID: 35469716.

Pospishil L, Krishnan S, Neuburger PJ. Vascular Access CLOSURE in Transcatheter Aortic Valve Implantation: Is There A Better CHOICE? J Cardiothorac Vasc Anesth. 2022 Mar 24:S1053-0770(22)00198-7. doi: 10.1053/j.jvca.2022.03.019. Epub ahead of print. PMID: 35473815.

Desai R, Patel K, Krishnan S, Mitrev LV, Trivedi K, Torjman M, Goldberg M. Postoperative Cognitive Dysfunction in the Elderly: A Role for Modafinil. Cureus. 2022 Jun 22;14(6):e26204. doi: 10.7759/cureus.26204. PMID: 35891830

Patel KM, de Guzman K, Wise J, van Helmond N, Krishnan S, Mitrev LV, Trivedi KC, Shersher D, Bowen F, Desai RG. Serratus Anterior Plane Block Versus Intercostal Nerve Blocks in Thoracic Surgery: A Retrospective Analysis. J Cardiothorac Vasc Anesth. 2022 Mar 3:S1053-0770(22)00145-8. doi: 10.1053/j.jvca.2022.02.036. Epub ahead of print. PMID: 35365373.

Patel KM, Desai RG, Trivedi K, Neuburger PJ, Krishnan S, Potestio CP. Complications of Transesophageal Echocardiography: A Review of Injuries, Risk Factors, and Management. J Cardiothorac Vasc Anesth. 2022 Feb 12:S1053-0770(22)00119-7. doi: 10.1053/j.jvca.2022.02.015. Epub ahead of print. PMID: 35317955.

Patel KM, Kumar NS, Desai RG, Mitrev L, Trivedi K, Krishnan S. Blunt Trauma to the Heart: A Review of Pathophysiology and Current Management. J Cardiothorac Vasc Anesth. 2021 Oct 19:S1053-0770(21)00937-X. doi: 10.1053/j.jvca.2021.10.018. Epub ahead of print. PMID: 34840072.

Patel KM, Kumar NS, Neuburger PJ, Desai RG, Krishnan S. Functional Tricuspid Regurgitation in Patients With Chronic Mitral Regurgitation: An Evidence-Based Narrative Review. J Cardiothorac Vasc Anesth. 2021 May 23:S1053-0770(21)00445-6. doi: 10.1053/j.jvca.2021.05.032. Epub ahead of print. PMID: 34175204.

Patel KM, Krishnan S, Desai RG. Progression of Functional Tricuspid Regurgitation May Be Uncommon After Surgery for Ischemic Mitral Regurgitation: Should the Approach to Concomitant Tricuspid Valve Repair Change? J Cardiothorac Vasc Anesth. 2021 Nov;35(11):3158-3160. doi: 10.1053/j.jvca.2021.05.040. Epub 2021 May 24. PMID: 34172366.

Patel K, Desai R, Krishnan S. Mitral Regurgitation in Patients with Coexisting Chronic Aortic Regurgitation: An Evidence-Based Narrative Review. J Cardiothorac Vasc Anesth. 2021 Jan 8:S1053-0770(21)00005-7. PMID: 33558134.

Lucaj J, Paik P, Siddiqui N, Miller A, Patel K, Desai R, Krishnan S. Echocardiography to Diagnose an Evolving Sinus of Valsalva Fistula From Infective Endocarditis. J Cardiothorac Vasc Anesth. 2021 Jan 16:S1053-0770(21)00055-0. PMID: 33563531.

Krishnan S, Patel K, Desai R, Sule A, Paik P, Miller A, Barclay A, Cassella A, Lucaj J, Royster Y, Hakim J, Ahmed Z, Ghoddoussi F. Clinical comorbidities, characteristics, and outcomes of mechanically ventilated patients in the State of Michigan with SARS-CoV-2 pneumonia. J Clin Anesth. 2020;67:110005. PMID: 32707517

Resnick A, Chait M, Landau S, Krishnan S. Erector spinae plane block with catheter for management of percutaneous nephrolithotomy: A three case report. Medicine (Baltimore). 2020 Oct 2;99(40):e22477. doi: 10.1097/MD.0000000000022477. PMID: 33019439

Milam A, Ghoddoussi F, Lucaj J, Narreddy S, Kumar N, Reddy V, Hakim J, Krishnan S. Comparing the Mutual Interchangeability of ECOM, FloTrac/Vigileo, 3D-TEE, and ITD-PAC Cardiac Output Measuring Systems in Coronary Artery Bypass Grafting. J Cardiothorac Vasc Anesth. 2020 Apr 20:S1053-0770(20)30298-6. PMID: 32622708

Krishnan S, Kumar N, Diaz E, Thornton I, Ghoddoussi F, Ellis T. Anesthesiology Handoff Simulation Case: A Handoff from Intensive Care Unit to Operating Room for Anesthesiology Learners. MedEdPORTAL. 2020 Mar 13;16:10887. PMID: 32206703

Mouri M, Krishnan S, Maani CV. Airway, Assessment. StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2020 Jan–2020 March 18. PMID: 29262092

Battista C, Harmon E, Patel S, Ghoddoussi F, Lynch B, Nabavighadi K, Krishnan S. Ultrasound-guided out-of-plane (OOP) adductor canal continuous catheter placement compared to in-plane (IP) placement in total knee arthroplasty: A randomized, single blinded, pilot clinical trial. J Clin Anesth. 2019 Dec 9:109692. PMID: 31826830

Nabavighadi K, Battista C, Ghoddoussi F, Kumar N, Aiello A, Reeves B, Krishnan S, Ellis T. Oral multimodal preemptive analgesia improves postoperative pain control and decreases opioid utilization in spinal fusion patients. J Clin Anesth. 2019 Dec 7:109679. PMID: 31822438

Applefield D, Krishnan S. Protamine. StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2019 Jan-2019 Oct 1. PMID: 31613533

Battista C, Krishnan S. Pectoralis Nerve Block. StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2019 Jan-2019 Oct 1. PMID: 31613471

Krishnan S, Cascella M. Erector Spinae Plane Block. StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2019 Jan-2019 Aug 13. PMID: 31424889

Ellis T, Hammoud H, Dela Merced P, Nooli N, Ghoddoussi F, Kong J, Krishnan S. Multimodal Clinical Pathway with Adductor Canal Block Decreases Hospital Length of Stay, Improves Pain Control, and Reduces Opioid Consumption in Total Knee Arthroplasty Patients: A Retrospective Review. J Arthroplasty. 2018 Aug;33(8):2440-2448. PMID: 29691180

Krishnan S, Milam A, Singh H, Ghoddoussi F, Hakim J, and Ellis T. Perioperative pain control with continuous interscalene catheters: a comparison of intra-plexus versus peri-plexus catheter placement. Middle East Journal of Anesthesiology. 2017;24(1):13-19. PMID: Pending

Ellis TA II, Bracho DO, Krishnan S. Responding to a respiratory complication in the recovery room: a simulation case for anesthesiology students. MedEdPORTAL Publications. 2017;13:10529. PMID: 30800731

Kumar N, Gilbert L, Ellis T, Krishnan S. Consequences of delivery at home in a woman without prenatal care. BMJ Case Rep. 2017 Feb 9;2017:bcr2016217572. doi: 10.1136/bcr-2016-217572. PMID: 28183709; PMCID: PMC5307272.

Krishnan SH, Gilbert LA, Ghoddoussi F, Applefield DJ, Kassab SS, Ellis TA. Addition of buprenorphine to local anesthetic in adductor canal blocks after total knee arthroplasty improves postoperative pain relief: a randomized controlled trial. Journal of Clinical Anesthesia. 2016 Sep;33:432-7. PMID: 27555206

Aird D, Ellis T, Krishnan S. Problem-based learning discussion on neuraxial anesthesia in parturients with repaired tetralogy of Fallot. MedEdPORTAL Publications. 2016;12:10491. PMID:30984833

Yaffee D, Loulmet D, Kelly L, Ward A, Ursomanno P, Rabinovich A, Neuburger P, Krishnan S, Hill F, Grossi E. Can the learning curve of totally endoscopic robotic mitral valve repair be short-circuited? Innovations., 2014; Jan-Feb; 9(1):43-48. PMID: 24562290

Raikhelkar J, Anyanwu A, Krishnan SH, Kahn RA. Noncardiac entrapment of a pulmonary artery catheter during heart transplantation: inadvertent cannulation and perforation of the internal thoracic vein. J Clin Anesth. 2011 May;23(3):238-40. doi: 10.1016/j.jclinane.2010.03.010. PMID: 21570620.

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