ANAND KUPPUSAMY

@srmist.edu.in

Professor Department of Anesthesiology
SRM Institute of Science and technology

ANAND KUPPUSAMY


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https://researchid.co/dranandk

EDUCATION

MBBS, MD - Madras Medical College, India
EDAIC

RESEARCH INTERESTS

Difficult airway management, Regional anesthesia, Obstetric anesthesia
7

Scopus Publications

93

Scholar Citations

5

Scholar h-index

4

Scholar i10-index

Scopus Publications

  • Effect of ultrasound guided sciatic nerve block by anterior approach on quality of recovery in patients undergoing below knee orthopaedic surgery: A randomised controlled trial
    Anand Kuppusamy, Teepak Siddartha, Dheepak Kumaran, Karthik Kanthan
    Indian Journal of Clinical Anaesthesia, 2025
    Effect of ultrasound guided sciatic nerve block by anterior approach on quality of recovery in patients undergoing below knee orthopaedic surgery: A randomised controlled trial - Background: Postoperative pain following below-knee orthopaedic procedures is commonly managed with neuraxial blocks, which may delay early ambulation. The conventional posterior approach to sciatic nerve block can be challenging in patients with fractures due to positioning difficulties. The anterior approach offers a viable alternative that allows better positioning for nerve block. The Quality of Recovery-15 (QoR-15) questionnaire is a validated tool to assess postoperative recovery. This study aimed to evaluate the effect of ultrasound-guided sciatic nerve block via the anterior approach on the quality of recovery in patients undergoing below-knee orthopaedic surgery. Materials and Methods: This was a double-blinded randomised controlled trial. Patients in Group A received an ultrasound-guided sciatic nerve block via the anterior approach along with subarachnoid block, while Group B received only subarachnoid block. The QoR-15 questionnaire was administered postoperatively, and scores were recorded. Additional outcomes included time to first analgesic demand, total fentanyl consumption via PCA pump in the first 24 hours, and any post-procedural complications related to the nerve block or fentanyl administration. Results: The QoR-15 scores were significantly higher in Group A (128.63 ± 2.36; 95% CI: 127.75–129.51) compared to Group B (108.40 ± 2.86; 95% CI: 107.33–109.46), with p < 0> Conclusion: Preoperative administration of ultrasound-guided sciatic nerve block via the anterior approach significantly improves the quality of recovery in patients undergoing below-knee orthopaedic surgery. It also prolongs the duration of postoperative analgesia and reduces opioid consumption in the early postoperative period. Keywords: Early ambulation, Postoperative pain, Orthopaedic procedures, Sciatic nerve, Nerve block.
  • Anaesthetic management of a child with syringomyelia undergoing foramen magnum decompression: A case report
    Anand Kuppusamy, Teepak Siddartha, Dheepak Kumaran
    Indian Journal of Clinical Anaesthesia, 2024
    Syringomyelia is a neurological disorder where a cyst consisting of fluid is formed within the spinal cord which results in various neurological symptoms. Treatment could be either conservative in the absence of neurologic symptoms or definitive surgical treatment. The most important task for an anesthesiologist is to provide general anesthesia with the use of intraoperative neuromuscular monitoring (IONM) for better neurological outcomes during foramen magnum decompression. Here through the case report of a 16-year-old male child with syringomyelia posted for foramen magnum decompression, we tend to focus upon anesthetic management of syringomyelia and the use of IONM and its benefits over routine management.
  • Coagulation conundrum in obstetric anesthesia with COVID-19
    Anand Kuppusamy, B. Natarajan, Belinda Cherian, K. Gunasri
    Medical Journal Armed Forces India, 2024
  • Assessment of haemodynamic response to tracheal intubation and prone positioning following clonidine and enalaprilat in lumbar spine surgeries: A double blind randomised controlled trial
    Meshach M. Dhas, Balasubramaniam Gayathri, Anand Kuppusamy, Karthik Mani, Harish Pattu
    Indian Journal of Anaesthesia, 2023
    Background and Aim: This study evaluates the effectiveness of long-acting antihypertensive drugs (clonidine and enalaprilat) in blunting the intubation response. Also, the study seeks to determine how effectively clonidine and enalaprilat can maintain stable haemodynamics during a change in position. Methods: After ethical committee approval and trial registration, a double-blinded, randomised controlled trial was conducted with 71 consenting patients scheduled for elective spine surgery in a prone position under general anaesthesia. Group C received clonidine 2 μg/kg, and Group E received enalaprilat 1.25 mg diluted in normal saline as an intravenous infusion given over 10 min before induction of anaesthesia. The changes in heart rate (HR) and blood pressure (BP) in response to the infusion of the study drugs, induction, tracheal intubation and change in position were recorded. P value &lt;0.05 was considered significant. Statistical analysis was performed using Statistical Package for the Social Sciences (SPSS) version 25. Results: Clonidine infusion caused a significant fall in heart rate post-infusion and post-induction with propofol (p value &lt;0.05). Both clonidine and enalaprilat caused a significant fall in mean arterial pressure (MAP) post-infusion and post-induction (p value &lt;0.05). Clonidine effectively blunted the intubation response with no increase in HR and MAP following intubation. Enalaprilat caused a significant rise in HR in response to intubation. On proning, there was a significant fall in MAP in both groups. Conclusion: Clonidine is effective in blunting the intubation response. Preoperative infusion of clonidine and enalaprilat causes hypotension during a change of position.
  • Comparison of real-time ultrasound with capnography to confirm endotracheal tube position in patients in critical care unit - A cross-sectional study
    Gunaseelan Mirunalini, Anand Kuppusamy, MohanaVatsalya Koka, Balaji Ramamurthy
    Bali Journal of Anesthesiology, 2022
    Background: Confirmation of the position of the endotracheal tube is a crucial step in the management of critically ill patients. Confirmation by capnography is the gold standard but it is practically impossible in all situations. Ultrasound (USG) can be used as an effective alternative to confirm the endotracheal tube (ETT) position. We aimed to determine the sensitivity, specificity, positive and negative predictive values, and accuracy of real-time USG with capnography to determine the correct placement of the ETT. Patients and Methods: The study population consisted of a nonselected series of 65 consecutive patients aged above 18 years who required endotracheal intubation in the critical care unit. Outcomes measured were confirmation of ETT by USG and capnography and time taken to confirm ETT position by USG and capnography, ruling out endobronchial placement of the ETT. Results: The sensitivity, specificity, positive predictive value, negative predictive value, and accuracy of real-time USG of the upper airway to detect the ETT position were 98.36% (95% confidence interval [CI]: 91.20%–99.96%), 100% (95% CI: 39.76%–100%), 100%, 80% (95% CI: 36.41%–96.54%), and 98.46% (95% CI: 91.72%–99.96%), respectively. The mean time taken to detect the position of ETT by capnography (T2) was 15.91 ± 3.14 s, whereas that by real-time upper airway ultrasonogram (T1) was 11.85 ± 2.32 s, and the difference was statistically significant. Conclusion: Real-time tracheal USG is an alternative method to confirm the ETT position, which is not only sensitive and accurate but also faster than capnography.
  • Delayed diagnosis of traumatic diaphragmatic rupture with herniation of the liver: A case report
    Anand Kuppusamy, Gayathri Ramanathan, Jayakar Gurusamy, Balaji Ramamoorthy, Karunanithi Parasakthi
    Ulusal Travma Ve Acil Cerrahi Dergisi, 2012
    Diaphragmatic rupture is a potentially life-threatening clinical situation. It occurs as a result of high-velocity blunt or penetrating injury to the abdomen and thorax. Acute traumatic rupture of the diaphragm may go undetected, and there is often a delay between the injury and diagnosis. Right-sided rupture is less common due to hepatic protection and increased strength of the right hemidiaphragm. We report the case of a 28-year-old man who was admitted with breathlessness to our hospital, 72 hours after trauma. Since clinical signs and symptoms were nonspecific, helical computed tomography was done, which revealed diaphragmatic rupture with hepatothorax. Emergency thoracotomy was done to repair diaphragmatic rent. The postoperative period was uneventful, and the patient was discharged three weeks later.
  • Comparison of bougie-guided insertion of Proseal™ laryngeal mask airway with digital technique in adults
    Anand Kuppusamy, Naheed Azhar
    Indian Journal of Anaesthesia, 2010
    The Proseal™ laryngeal mask airway (PLMA™, Laryngeal Mask Company, UK) was designed to improve ventilatory characteristics and offer protection against regurgitation and gastric insufflation. The PLMA is a modified laryngeal mask airway with large ventral cuff, dorsal cuff and a drain tube. These modifications improve seal around glottis and enable better ventilatory characteristics. The drain tube prevents gastric distension and offers protection against aspiration. There were occasional problems, like failed insertion and inadequate ventilation, in placing PLMA™ using the classical digital technique. To overcome these problems, newer placement techniques like thumb insertion technique, introducer tool placement and gum elastic bougie (GEB)-aided placement were devised. We compared classical digital placement of PLMA™ with gum elastic bougie-aided technique in 60 anaesthetised adult patients (with 30 patients in each group) with respect to number of attempts to successful placement, effective airway time, airway trauma during insertion, postoperative airway morbidity and haemodynamic response to insertion. The number of attempts to successful placement, airway trauma during insertion and haemodynamic response to insertion were comparable among the two groups, while effective airway time and oropharyngeal leak pressure were significantly higher in bougie- guided insertion of PLMA. Postoperatively, sore throat was more frequent with digital technique while dysphagia was more frequent with bougie guided technique. Hence gum elastic bougie guided, laryngoscope aided insertion of PLMA is an excellent alternate to classical digital technique.

RECENT SCHOLAR PUBLICATIONS

  • Cervicofacial Subcutaneous Emphysema Post Tonsillectomy: A Case Report.
    AA KuppuSAmy, TA RESHMA, MB VISHAK, A PUSHPARANI
    Journal of Clinical & Diagnostic Research 19 (8) , 2025
    2025.0
  • A Randomized Control Study to Assess the Efficacy of Intrathecal Morphine in Patients on Patient-Controlled Analgesia Pump With Morphine for Postoperative Pain Relief After …
    A Kuppusamy, SH Angel, K Kandan, B Gayathri, A KUPPUSAMY
    Cureus 16 (1) , 2024
    2024.0
    Citations: 1
  • A randomized control trial to compare hemodynamic parameters of patients undergoing percutaneous nephrolithotomy under combined spinal-epidural and general anesthesia in a …
    K Sankar, K Anand, S Ramani, B Gayathri
    Local and Regional Anesthesia, 41-49 , 2023
    2023.0
    Citations: 5
  • Comparison of high flow nasal cannula and continuous positive airway pressure in COVID-19 patients with acute respiratory distress syndrome in critical care unit: a randomized …
    G Mirunalini, K Anand, A Pushparani, G Kadirvelu, A KUPPUSAMY
    Cureus 15 (9) , 2023
    2023.0
    Citations: 10
  • Assessment of haemodynamic response to tracheal intubation and prone positioning following clonidine and enalaprilat in lumbar spine surgeries: A double blind randomised …
    MM Dhas, B Gayathri, A Kuppusamy, K Mani, H Pattu
    Indian Journal of Anaesthesia 67 (7), 633-637 , 2023
    2023.0
    Citations: 2
  • A comparison between the effects of single-dose oral gabapentin and oral clonidine on hemodynamic parameters in laparoscopic surgeries: a randomized controlled trial
    L Gayathri, A Kuppusamy, G Mirunalini, K Mani, L GAYATHRI, ...
    Cureus 15 (4) , 2023
    2023.0
    Citations: 6
  • Comparison of real-time ultrasound with capnography to confirm endotracheal tube position in patients in critical care unit—A cross-sectional study
    A Kuppusamy, G Mirunalini, MV Koka, B Ramamurthy
    Bali Journal of Anesthesiology 6 (1), 43-48 , 2022
    2022.0
    Citations: 3
  • Comparison of dexmedetomidine with nitroglycerinefor hypotensive anaesthesia in functional endoscopic sinus surgery
    DV Praveen, A Pushparani, K Anand, B Sundaraperumal
    Indian Journal of Clinical Anaesthesia 3 (3), 380-392 , 2016
    2016.0
    Citations: 10
  • Comparison of Proseal Laryngeal Mask Airway (Proseal LMA™) with I-Gel by Fireoptic View of Glottic Aperture in Anaesthetised Adult Patients
    A Kuppusamy, J Guruswamy, K Parasakthi
    Indian Journal of Clinical Anaesthesia 3 (1), 12-15 , 2016
    2016.0
  • Delayed diagnosis of traumatic diaphragmatic rupture with herniation of the liver: a case report
    A Kuppusamy, G Ramanathan, J Gurusamy, B Ramamoorthy, ...
    Ulus Travma Acil Cerrahi Derg 18 (2), 175-7 , 2012
    2012.0
    Citations: 23
  • Comparison of bougie-guided insertion of Proseal™ laryngeal mask airway with digital technique in adults
    A Kuppusamy, N Azhar
    Indian Journal of Anaesthesia 54 (1), 35-39 , 2010
    2010.0
    Citations: 33
  • Comparison of Recovery Profile of Sevoflurane and Desflurane in Patients Undergoing Elective Neurosurgical Procedures
    A Kuppusamy, R Vetrivel, S Govindarajan

MOST CITED SCHOLAR PUBLICATIONS

  • Comparison of bougie-guided insertion of Proseal™ laryngeal mask airway with digital technique in adults
    A Kuppusamy, N Azhar
    Indian Journal of Anaesthesia 54 (1), 35-39 , 2010
    2010.0
    Citations: 33
  • Delayed diagnosis of traumatic diaphragmatic rupture with herniation of the liver: a case report
    A Kuppusamy, G Ramanathan, J Gurusamy, B Ramamoorthy, ...
    Ulus Travma Acil Cerrahi Derg 18 (2), 175-7 , 2012
    2012.0
    Citations: 23
  • Comparison of high flow nasal cannula and continuous positive airway pressure in COVID-19 patients with acute respiratory distress syndrome in critical care unit: a randomized …
    G Mirunalini, K Anand, A Pushparani, G Kadirvelu, A KUPPUSAMY
    Cureus 15 (9) , 2023
    2023.0
    Citations: 10
  • Comparison of dexmedetomidine with nitroglycerinefor hypotensive anaesthesia in functional endoscopic sinus surgery
    DV Praveen, A Pushparani, K Anand, B Sundaraperumal
    Indian Journal of Clinical Anaesthesia 3 (3), 380-392 , 2016
    2016.0
    Citations: 10
  • A comparison between the effects of single-dose oral gabapentin and oral clonidine on hemodynamic parameters in laparoscopic surgeries: a randomized controlled trial
    L Gayathri, A Kuppusamy, G Mirunalini, K Mani, L GAYATHRI, ...
    Cureus 15 (4) , 2023
    2023.0
    Citations: 6
  • A randomized control trial to compare hemodynamic parameters of patients undergoing percutaneous nephrolithotomy under combined spinal-epidural and general anesthesia in a …
    K Sankar, K Anand, S Ramani, B Gayathri
    Local and Regional Anesthesia, 41-49 , 2023
    2023.0
    Citations: 5
  • Comparison of real-time ultrasound with capnography to confirm endotracheal tube position in patients in critical care unit—A cross-sectional study
    A Kuppusamy, G Mirunalini, MV Koka, B Ramamurthy
    Bali Journal of Anesthesiology 6 (1), 43-48 , 2022
    2022.0
    Citations: 3
  • Assessment of haemodynamic response to tracheal intubation and prone positioning following clonidine and enalaprilat in lumbar spine surgeries: A double blind randomised …
    MM Dhas, B Gayathri, A Kuppusamy, K Mani, H Pattu
    Indian Journal of Anaesthesia 67 (7), 633-637 , 2023
    2023.0
    Citations: 2
  • A Randomized Control Study to Assess the Efficacy of Intrathecal Morphine in Patients on Patient-Controlled Analgesia Pump With Morphine for Postoperative Pain Relief After …
    A Kuppusamy, SH Angel, K Kandan, B Gayathri, A KUPPUSAMY
    Cureus 16 (1) , 2024
    2024.0
    Citations: 1
  • Cervicofacial Subcutaneous Emphysema Post Tonsillectomy: A Case Report.
    AA KuppuSAmy, TA RESHMA, MB VISHAK, A PUSHPARANI
    Journal of Clinical & Diagnostic Research 19 (8) , 2025
    2025.0
  • Comparison of Proseal Laryngeal Mask Airway (Proseal LMA™) with I-Gel by Fireoptic View of Glottic Aperture in Anaesthetised Adult Patients
    A Kuppusamy, J Guruswamy, K Parasakthi
    Indian Journal of Clinical Anaesthesia 3 (1), 12-15 , 2016
    2016.0
  • Comparison of Recovery Profile of Sevoflurane and Desflurane in Patients Undergoing Elective Neurosurgical Procedures
    A Kuppusamy, R Vetrivel, S Govindarajan