CURRICULUM VITAE

Dr.N.Ramakrishnan

AB (Int Med), AB (Crit Care), AB (Sleep Med), MMM, FACP, FCCP, FCCM

American Board Certified

  • Internal Medicine
  • Critical Care Medicine
  • Sleep Medicine
PERSONAL
Present Titles 		Senior Consultant, Critical Care & Sleep Medicine
Director, Critical Care Services
Apollo Hospitals, Chennai, India

Honorary Professor, School of Management
Sri Ramachandra Medical College & Research Institute

Visiting Professor of Medicine
Saveetha Institute of Medical & Technical Sciences

Adjunct Visiting Faculty, Dept. of Medicine
Kasturba Medical College, Manipal

Director, Nithra Institute of Sleep Sciences,
Utopian Healthcare Private Limited

Founder & Managing Director, TACT Academy for Clinical Training
Managing Director, Chennai Critical Care Consultants Group
Managing Trustee, SAGA Charitable Trust
Address
Work 		Department of Critical Care Medicine
Apollo Hospitals
21 Greams Lane
Chennai 600 006
Phone: 91-44-28296517
Fax: 91-44-28295466
Home Plot Number 2230
AF Block First Street
11th Main Road
Annanagar
Chennai 600 040, India
Phone: 91-44-42132987
91-44-26267788
Email icudoctor@gmail.com
ram@nithra.com
EDUCATION & TRAINING

Undergraduate
  • KPCVSS School, All India Senior School Certificate (1981 - 83)

Graduate
  • MBBS, Stanley Medical College, University of Madras, India (1983 - 89)
  • Certificate in Medical Management, American College of Physician Executives (2001)
  • MMM (Master in Medical Management), University of Southern California, Marshall School of Business (2001 -03) Residency
  • Internal Medicine, University of Connecticut (1993 – 95)

Fellowships
  • Transplant Cardiology, Hartford Hospital (1995 - 96)
  • Multidisciplinary Critical Care, University of Pittsburgh (1996 - 98)
  • Senior Research Fellow, Department of Critical Care Medicine, University of Pittsburgh (1998 – 99)

SPECIALITY & SUBSPECIALITY CERTIFICATIONS

  • American Board of Internal Medicine (1995). Was deemed board eligible after only two years of internal medicine residency based on prior training & accomplishments. Recertified in 2005 (Valid until 2015)
  • American Board of Internal Medicine/Critical Care Medicine (1998). Recertified in 2008 (Valid until 2018)
  • American Board of Internal Medicine/Sleep Medicine (2009).
  • Certificate in Medical Management, American College of Physician Executives (2001).
  • Master’s Degree in Medical Management (MMM), University of Southern California Marshall School of Business (2003).

ELECTIVE CERTIFICATIONS

  • Advanced Cardiac Life Support (ACLS) Instructor & Provider (American Heart Association)
  • Fundamental Critical Care Support (FCCS) Instructor & Provider
  • Fundamentals of Disaster Management (FDM) Instructor & Provider

CURRENT LICENSURE

  • Pennsylvania & Georgia, USA
  • India

SELECTED HONORS & AWARDS

  • Fellow, Indian Society of Critical Care Medicine (Honored amongst the first group of 16 Intensivists in India in recognition for outstanding contributions to the field of Critical Care Medicine)
  • Founded TACT Academy for Clinical Training in 2007, which is listed in Limca Book of Records (2009) as ‘India’s first Simulation based healthcare training center’
  • Was invited to meet the Honorable President of India, Dr. A.P.J. Abdul Kalam (January 2007). He personally appreciated my contributions in the field of critical care medicine, sleep medicine and healthcare training and efforts at educating the public through books written in regional language
  • Fellow, American College of Critical Care Medicine
  • Fellow, American College of Physicians
  • Fellow, American College of Chest Physicians
  • Nominated by American College of Chest Physicians for the First Private Practice Leadership development program
  • Was granted permanent residency (green card) in the United States of America based on accomplishments, under a special category, “alien of extraordinary ability”
  • Co-author, Young Investigator award, American College of Chest Physicians.
  • American Medical Association’s Physician Recognition Award
  • Won the Indian Medical Association’s special award for best medical graduate in the state of Tamilnadu, India, based on overall performance in medical school
  • Top ranked medical graduate, Stanley Medical College, India
  • Won 13 merit awards for outstanding performance in medical school, Stanley Medical College, India
  • Ranked first in the country (India) in Biology in the All India Senior School Certification Exam

CURRENT APPOINTMENTS

Clinical
  • Senior Consultant Critical Care & Sleep Medicine, Apollo Hospitals, Chennai.
  • Senior Consultant, Apollo First Med Hospitals, Chennai.
  • Senior Consultant, Apollo Speciality Hospitals, Chennai.
  • Senior Consultant, Internal Medicine & Sleep Medicine, Nithra Institute of Sleep Sciences, Utopian Health Care, Chennai.
  • Consultant Intensivist (Visiting), Westmoreland Regional Hospital, USA

Academic
  • National Educational Co-ordinator, Indian Society of Critical Care Medicine
  • Adjunct Visiting Faculty, Department of Medicine, Kasturba Medical College (KMC), Manipal
  • Honorary Advisor, BBraun Medical Trust Foundation
  • Director, TACT Academy for Clinical Training (India’s first simulation based healthcare training center).
  • Honorary Professor, School of Management, Sri Ramachandra Medical College & Research Institute (Harvard affiliated Institution), Chennai.
  • Professor of Medicine, Saveetha Institute of Medical & Technical Sciences, Chennai.
  • Member, Subcommittee for Certificate Course in Critical Care, Indian Society of Critical Care Medicine (ISCCM).
  • Accredited teacher & examiner for ISCCM Certificate Course in Critical Care Medicine.
  • Inspector for Critical Care fellowship accreditation, National Board of Examiners, India.
  • Member, Board of Studies for MBA (Hospital Management), Sri Ramachandra Medical College & Research Institute.

Administrative
  • Director, Critical Care Services, Chennai. Introduced the concept of semi-closed multidisciplinary ICU model & Critical Care Group practice for the first time in a healthcare system that was 22 years old.
  • Managing Director, Chennai Critical Care Consultants Group (CCCG). (First group practice of Intensivists established at Apollo Hospiital)
  • Director, Nithra Institute of Sleep Sciences, Utopian Healthcare (First, and currently the only free standing sleep center in India), Chennai.
  • Founder & Managing Director, TACT Academy for Clinical Training (First simulation based healthcare training center in India)
  • Member, Clinical Advisory Board, Apollo Hospitals, Chennai
  • Co-ordinator, Innovation for Clinical Excellence Team, Apollo Hospitals, Chennai. As the head of the quality initiatives at Apollo Hospitals, I was a core member of the team that worked towards successful Joint Commission International (JCI) accreditation.

PAST APPOINTMENTS

  • Owner/Operating Manager, Acute Care Consultants of Dublin. Established the first group of Inpatient specialists (Hospitalists) in Dublin, GA (1999-2003).
  • Medical Director, Intensive Care Unit, Fairview Park Hospital. (2000-2003)
  • Director, Inpatient Services, Fairview Park Hospital (2000-2003).
  • Medical Director, Sleep Center at Fairview Park Hospital. Started this Comprehensive Sleep Center in 2000 (2000-2003).
  • Medical Director, Hospice of Laurens County (2001-2003).
  • Clinical Assistant Professor, Mercer University School of Medicine (2000-2004).
  • Physician preceptor for Nurse Practitioners & Physician Assistants, Georgia, USA
  • Senior Research Fellow, Department of Critical Care Medicine, University of Pittsburgh (1998-1999)
  • Member, Cardiovascular subject committee, University of Connecticut School of Medicine (1996-1997).
  • Senior House Officer, Internal Medicine and Cardiology, Aberdeen Royal Hospitals, UK (August 1992 - April 1993).
  • Clinical Instructor for third and fourth year medical students, University of Aberdeen School of Medicine, UK (August 1992 – April 1993)
  • Senior House Officer, Internal Medicine and Cardiology, Sunderland District General Hospital, UK (August 1991 - July 1992).
  • Senior House Officer, Internal Medicine, Western General Hospital, University of Edinburgh, UK (April 1991 - July 1991)
  • Clinical Instructor for third and fourth year medical students, University of Edinburgh School of Medicine, UK (April 1991-July 1991).
  • Clinical Assistant to Dr.K.P.Misra, Cardiologist, Apollo Hospital, Madras, India (August 1990 - January 1991).

COMMITTEE ACTIVITIES

  • Co-ordinator, Innovation for Clinical Excellence Team, A quality initiative at Apollo Hospitals, Chennai
  • Member of Core Committee, JCI Accreditation and Quality Improvement initiative, Apollo Hospitals, Chennai.
  • Member, Credentials Committee, Apollo Hospitals, Chennai
  • Member, Infection Control Committee, Apollo Hospitals, Chennai.
  • Member, Resuscitation Committee, Apollo Hospitals, Chennai. Established the first Medical Emergency Team (MET) services in India.
  • ER Ad hoc committee for quality improvement and redesigning emergency services, Fairview Park Hospital, Dublin, Georgia.
  • Total Quality Management Committee, Fairview Park Hospital, Dublin, Georgia.
  • Ethics Committee, Fairview Park Hospital, Dublin, Georgia.
  • ICU Redesign committee, Fairview Park Hospital, Dublin, Georgia
  • Committee for developing clinical pathways, Fairview Park Hospital, Dublin, Georgia

PROFESSIONAL SOCIETY MEMBERSHIPS

  • American Medical Association (Life Member)
  • American College of Physicians (Fellow)
  • American College of Chest Physicians (Fellow)
  • Society of Critical Care Medicine (Fellow)
  • National Association of Inpatient Physicians (Charter Member)
  • American Academy of Sleep Medicine (Member)
  • Indian Society of Critical Care Medicine (Life Member)
  • Indian Medical Association (Life Member)
  • Indian Sleep Disorders Association (Life Member)

PROFESSIONAL SOCIETY ACTIVITIES

  • National Advisory Committee, Criticare 2011 to be held in New Delhi.
  • Member, Task force for developing guidelines on ‘quality in critical care’, Indian Society of Critical Care Medicine
  • Organizing Chairperson, SLEEPCON 2009, International Conference of Sleep Disorders held in Chennai
  • Vice President, Indian Sleep Disorders Association (2009)
  • Educational Co-ordinator, Indian Society of Critical Care Medicine (2009)
  • Membership Committee, Society of Critical Care Medicine, USA (2009)
  • International Scientific Advisory Committee, World Sleep ’07 (Fifth World Congress of Sleep Research and Sleep Medicine Societies).
  • Scientific Committee, SLEEPCON 2007, Annual Congress of Indians Sleep Disorders Association.
  • Scientific Advisory Committee, First Asia Pacific Congress on Shock & Sepsis to be held in Nagpur, India (December 2006).
  • Scientific Chair, Criticare Chennai 2006, XII Annual Conference of Indian Society of Critical Care Medicine.
  • Organized the first Fundamentals of Disaster Management (FDM) course in India in February 2006.
  • Joint Secretary, Indian Society of Critical Care Medicine (2004-2006).
  • Secretary, Indian Society of Critical Care Medicine, Chennai Branch
  • Member, Executive Committee, Indian Society of Critical Care Medicine.
  • Member, Finance Committee, Indian Society of Critical Care Medicine.
  • Member, Subcommittee for Certificate Course in Critical Care Medicine, Indian Society of Critical Care Medicine.
  • Member, Task force for developing guidelines to prevent catheter related blood stream infections, Indian Society of Critical Care Medicine.
  • Member, Task force for developing guidelines to define the function, roles & responsibilities of consultant intensivists, Indian Society of Critical Care Medicine.
  • Member, Task force for developing guidelines for use of Non-invasive ventilation, Indian Society of Critical Care Medicine.
  • Member, Task force for developing guidelines for infection control in Indian ICUs.
  • Organized the first Fundaments of Critical Care Support (FCCS) course in Middle Georgia (Dublin) in 2002.
  • Chairman, Membership committee, Society of Critical Care Medicine, Pennsylvania Chapter. Was the fastest growing chapter of SCCM that year (1998).
  • Education committee, Society of Critical Care Medicine, Pennsylvania Chapter.
  • Abstract review committee for annual meeting, Society of Critical Care Medicine, Pennsylvania Chapter.
  • Diversity committee, American College of Physicians, Georgia Chapter.
  • Scientific & Educational committee, American College of Physicians, Georgia Chapter.
  • Membership committee, Society of Critical Care Medicine.
  • Governor’s Advisory Council, American College of Physicians, Georgia Chapter.
  • Communications Committee, National Association of Inpatient Physicians.
  • Membership Committee, American Academy of Sleep Medicine.

EDITORIAL AND REVIEW ACTIVITIES

Editorial Board Member
  • Indian Journal of Sleep Medicine
  • Indian Journal of Critical Care Medicine
  • Guest Editor for a special issue on ICU Management (June 2008, Vol 12, Issue 2)

Scientific Reviewer
  • Internal Medicine (IM)
  • Hospital Physician
  • Critical Care Medicine
  • JAMA
  • CHEST
  • Journal of Intensive Care Medicine
  • National Medical Journal of India
  • Indian Journal of Critical Care Medicine
  • Indian Journal of Sleep Medicine

Reviewer for Professional Organization Meetings
  • Abstract reviewer, SCCM Annual Conference 2008 & 2009
  • Scientific Chair & Abstract reviewer, Criticare Chennai 2006, XII Annual Conference of Indian Society of Critical Care Medicine.
  • Abstract review committee for annual meeting (1998), Society of Critical Care Medicine, Pennsylvania Chapter
  • Contributed to Question bank, American Board of Internal Medicine - Critical Care Medicine
  • Clinical relevance reviewer for board exam questions, American Board of Internal Medicine

PROFESSIONAL INVITATIONS

Selected invited lectures
  • Protocolised weaning works!. Criticare 2010, Hyderabad
  • Managing Change. Management Development Program for Healthcare Professionals held at Sri Ramachandra Medical College & RI, Chennai
  • Psychosocial Impact of Sleep Disorders. PSYNERGY 2009 held in Chennai
  • Fluid management in liver disease. 1st Asia Pacific Advanced Fluid Therapy Conference 2009 held in Malaysia.
  • Incorporating Sleep Medicine in Undergraduate & Postgraduate Education, SLEEPCON 2009.
  • How to interpret a Polysomnograph? SLEEPCON 2009
  • Do we need Intensivists to manage ICUs? 3rd Winter Indo-American CME Program, 2009.
  • What’s new in CPR? Annual Conference of Cardiology Society of India, 2008.
  • Obstructive Sleep Apnea: Myths & Realities. Ceylon College of Physicians 41st Annual Conference 2008.
  • Sleep Medicine: More to it than Sleep Apnea. Sleep Interest & Research Group (SIRGI), Nagpur, 2008.
  • Candida in ICU: Contaminant or Infection? ISCCM Annual Conference, Bhopal, 2008
  • Recent advances in positive airway pressure treatment in obstructive sleep apnea. SLEEPCON 2007, New Delhi
  • Evolution and current status of Sleep Medicine in India. World Sleep 07, Annual congress of World Federation of Sleep Medicine societies, Cairns, Australia.
  • Fluid Management in ARDS: What fluid & how much? ISCCM Annual Conference, 2007.
  • When do I refuse admissions in my ICU? ISCCM Annual Conference, 2007.
  • Weaning protocols are useful: Pro-Con Debate, RACE 2007, Chennai.
  • CPAP is the best option for management of Obstructive Sleep Apnea. NAPCON, 2006.
  • Venous Thromboembolism – An underestimated problem in India. Apollo Speciality Hospitals, Madurai, 2006.
  • Fungal Infections in ICU. ISCCM Mumbai, 2006.
  • Acute Pancreatitis. Second Annual Refresher Course in Critical Care, ISCCM Chennai, 2006.
  • Management of Acute GI Bleed. Second Annual Refresher Course in Critical Care, ISCCM Chennai, 2006.
  • ECG in Critical Illness, ISECON 2006, Annual Conference of the Indian Society of Electrocardiology, 2006.
  • How do I refuse care for terminally ill patients in the ICU? 3rd Annual Critical Care Symposium, ISCCM Delhi Chapter, 2005.
  • Choosing interfaces for Non-invasive ventilation. First annual Non Invasive Ventilation Conference, ISCCM, Delhi Chapter, 2005.
  • Unique aspects of Mechanical ventilation in Neurocritical Care Units. Neurocritical Care Conference, Hyderabad, 2005.
  • Challenges in addressing end of life issues. API Chennai Chapter, 2005.
  • Nutrition in Critical Care, Indian Society of Parenteral Nutrition Annual Conference, 2004.
  • Critical Care Delivery: Open, Closed or without walls? Criticare 2005. XI Annual Conference of ISCCM held in Nagpur.
  • Risk Stratification and prevention of Venous thromboembolism in ICU: Association of Physicians of India (API), Chennai Chapter.
  • Sleep Apnea: A culprit or innocent bystander? FORUM 2004, Chennai.
  • ATLS: Does it make a difference? Criticare 2004, X Annual Conference of ISCCM held in Mumbai.
  • Fluid resuscitation in Critical Care Unit: APICON 2004, Hyderabad.
  • Early detection of critical illness in the Ward, ISCCM Indore Chapter
  • Pulmonary Embolism: Prevention & Treatment, ISCCM Indore Chapter
  • Prevention of Acute Renal Failure in ICU, ISCCM Indore Chapter
  • Management of Ventricular Arrhythmias, ISCCM Indore Chapter
  • Malaria with multi-system failure, ISCCM Indore Chapter
  • Sepsis: Newer Insights, Cancer Institute, Chennai
  • Essentials in Haematology. FDS Part A preparatory course, Saveetha Dental College, Chennai
  • Primer of EKG: Fairview Park Hospital, Dublin
  • Wake up and learn about Sleep: Fairview Park Hospital, Dublin
  • Tachyarrhythmias: Fairview Park Hospital, Dublin
  • Serum cytokines in community-acquired pneumonia : University of Pittsburgh
  • Renal failure: University of Pittsburgh
  • Guidelines and Protocols: University of Pittsburgh
  • Workshop on Mechanical Ventilation: University of Pittsburgh
  • Pharmacology of vasopressors and Inotropes: University of Pittsburgh
  • Meta-analytical techniques: University of Pittsburgh
  • Vasopressors and Inotropes: University of Pittsburgh
  • Central venous catheter-associated infections: University of Pittsburgh
  • Post Partum Cardiomyopathy: University of Connecticut.

Selected Panel discussions
  • Are all Carbepenams the same?
  • Fungal Infections in ICU
  • Antibiotic Stewardship Program
  • ICU 20/20: A program for change
  • Immunonutrition in Critically Ill, 10th Annual Conference of Indian Society of Parenteral & Enteral Nutrition
  • Nursing Care in Nutrition Support, 10th Annual Conference of Indian Society of Parenteral & Enteral Nutrition
  • Current Concepts in management of Sepsis, 2nd Annual Conference of Asia Pacific Center of Excellence.
  • Advanced Life Support, ISCCM Nagpur Branch
  • Advanced Life Support: Criticare 2004, Mumbai.
  • Sepsis: What’s new? ISCCM Indore Chapter
  • Newer antibiotics in respiratory medicine: Where are we heading? Respiratory Research Foundation of India
  • Nutrition in Critically ill (Session Chair), Second Annual TPN Conference, Chennai

BIBLIOGRAPHY

BOOKS
  • Editor, Critical Care Medicine 2006 Year Book. Released during the XII Annual Conference of Indian Society of Critical Care Medicine and annual updates planned.
  • Organ Donation: Myths & Facts. A book written in Tamil published as a serial in popular tamil weekly & subsequently printed by MOHAN Foundation for public awareness.
  • ICU – What is happening inside? A book written in Tamil language for public education. Published by New Horizon Media Pvt Ltd, 2006.
  • Sleep – Problems and solutions. A book written in Tamil Language for public education. Published by New Horizon Media Pvt Ltd, 2007.

CHAPTERS
  1. 1. Acharya KS, Ramakrishnan N. Are Intensivist led units safer? Safe Practices Save Lives. Theme book published during 16th Annual Conference of Indian Society of Critical Care Medicine, 2009 pp 114.
  2. 2. Ramakrishnan N. Acid-Base Disorders. API Textbook of Medicine, 8th Edition, Association of Physicians of India, 2008, pp 1316
  3. 3. Kellum JA, Ramakrishnan N, Angus DC. Appraising and using evidence in critical care. In Shoemaker PK, Ayers S, Grenvik A, Holbrook (eds). Textbook of Critical Care, W.B.Saunders Co, Philadelphia, PA, 1999. Chapter 1993; pp 2059-2069
  4. 4. Ramakrishnan N, Angus DC. Central venous lines: Indications, placement and management. In: Weinberger S (ed), Up-To-Date in Pulmonary and Critical Care Medicine 1997. American Thoracic Society.
  5. 5. Ramakrishnan N, Clermont G. Arterial line: Indications, placement and management. In: Weinberger S (ed), Up-To-Date in Pulmonary and Critical Care Medicine 1997. American Thoracic Society.

ORIGINAL CONTRIBUTIONS

Peer Reviewed
Articles
1. Shivesh Prakash, N Ramakrishnan. Narcolepsy: How common is the tetrad? Indian J Sleep Med 2009; 4 (2): 68-69.
2. Chavda M, Cherian A, Abraham BK, Ramakrishnan N. Medicolegal aspects of organ transplantation in India. IJPP 2009; 11 (2):112
3. Jayaram R, Ramakrishnan N. Cost of Intensive Care in India. Indian Journal of Crit Care Medicine, 2008; 12: 55
4. Shneiderman H, Ramakrishnan N. Pretibial Myxoedema, autoimmune thyroid disorders, ophthalmopathy, and generalized myxedema: a confusing mixture. CONSULTANT 2008; 48:387-389.
5. Ariga Padma, Ramakrishnan N, Vinod Narayanan. Management of Sleep Apnea: A dental perspective. Indian J Dent Res, 2007; 18 (4): 210
6. Bihari S, Ramakrishnan N. A boy with episodic hypersomnolence – a case report. Indian Journal of Sleep Medicine 2007; 2 (3): 109.
7. Ramakrishnan N, Schneiderman H. Artifactual broad complex tachycardia due to parkinsonian tremor. CONSULTANT 2007; 35: 985-89.
8. Bihari S, Rajesh V, Ramakrishnan N. Value of Noninvasive Positive Pressure Ventilation (NPPV) during fiberoptic bronchoscopy. Indian Journal of Bronchology. 2007: 2:123.
9. A Subrahmanyam, T P Ramesh, N Ramakrishnan. Oxygenation of human blood using photocatalytic reaction. ASAIO Journal 2007; 53
10. Bihari S, Jain N, Ramakrishnan N. Critical Care in India. ICU Management 2006/2007; 6 (4): 38.
11. Raja JR, Ramakrishnan N. Comparison of Critical Care Services in Indian and the UK. ICU Management 2006/2007; 6 (4): 42.
12. Bihari S, Ramakrishnan N. Delayed Sleep Phase Syndrome – A Case report. Indian Journal of Sleep Medicine 2006 (1): 3: 154.
13. JR Raja, BK Abraham, N Ramakrishnan. ICU Telemedicine in India; promises and reality. ICU Management 2005;5 (4):14
14. Babu K. Abraham, Ramakrishnan N. Early detection of a sick patient. Apollo Hospitals Proceedings. Apr 2004, 02 (2): 47-50.
15. Rajan S, Ramakrishnan N. Acute Respiratory Distress Syndrome: A Comprehensive Review. Apollo Hospitals Proceedings 2003. 01; 03; 47-57.
16. Clermont G, Angus DC, Kalassian KG, Linde-Zwirble WT, Ramakrishnan N, Linden PK, Pinsky MR. Reassessing the value of short-term mortality in sepsis: Comparing conventional approaches to modeling. Crit Care Med 2003; 31: 2627-2633.
17. Kellum JA, Angus DC, Johnson JP, Leblanc M, Griffin M, Ramakrishnan N, Linde-Zwirble WT. Continuous versus intermittent renal replacement therapy: A Meta-analysis. Intensive Care Medicine 2002. 28:29-37.
18. Ramakrishnan N. An update on methods of resuscitation. Resident reporter 1999. 4; 45.
19. Angus DC, Ramakrishnan N. Health Services and outcomes research in critical care. Critical Care and Shock 1998. 2: 109.
20. Ramakrishnan N. One Immigrant’s view: Racism in American. Connecticut Medicine 1995. 59:5:568.
Editorials & Consensus guidelines
  • R Parakh, VV Kakkar et al. Management of Venous Thromboembolism. JAPI 2007. 5; 49.
  • Chawla R, Khilnani GC, Suri JC, Ramakrishnan N, Mani RK, Prayag S, Nagarkar S, Kansal S, Sidhu US, Kumar V. Guidelines for noninvasive ventilation in acute respiratory failure. IJCCM 2006. 10: 2: 117
  • Divatia JV, Baronia AK, Bhagwati A, Chawla R, Iyer S, Jani CK, Joad S, Kamat V, Kapadia F, Mehta Y, Myatra SN, Nagarkar S, Nayyar V, Padhy S, Rajagopalan RE, Ramakrishnan N, Ray B, Sahu S, Sampath S, Todi S. Critical Care delivery in Intensive Care Units in India: Defining the functions, roles and responsibilities of a consultant Intensivist. IJCCM 2006. 10: 1: 53
  • Rajagopalan RE, Arunkumar AS, Bhagwati AM, Divatia JV, Gopalakrishnan R, Kamat VN, Mani RK, Nagaraja P, Prayag S, Ramakrishnan N, Singhi S, Todi SK. Guidelines for the prevention of infections associated with the use of vascular catheters in Indian Intensive. IJCCM 2003.
  • Angus DC, Ramakrishnan N. National ICU datasets: Lost at sea without a compass? Crit Care Med 1999. 27; 8: 59. Non-Peer Reviewed

Case Reports
  • Ramakrishnan N, Nagesh CN, Nachiappan. Scorpion Sting: An Unusual complication. Apollo Hospitals Proceedings. Jan 2004; 02(1):21-23.
  • Ramakrishnan N, Schneiderman H. Necrobiosis lipoidica. Consultant 1996. 36:1011.
  • Ramakrishnan N, Parker L. Thrombotic Thrombocytopenic Purpura following influenza vaccination – a brief case report. Connecticut Medicine 1998. 62; 10:587.
  • Ramakrishnan N, Schneiderman H. Pretibial myxedema. Consultant 1996. 36:309.
  • Ramakrishnan N, Schneiderman H. Pseudoarrhythmia due to tremors. Consultant 1995. 35:1835.
  • Ramakrishnan N, Lakshminarayanan S, Schneiderman H. Hemophilic arthropathy. Consultant 1995. 35:8:1177
  • Olofinboba KA, Ramakrishnan N, Schneiderman H. Ectropion. Consultant 1995. 35: 839.
  • Schneiderman H, Ramakrishnan N. Dupuytren’s Contracture. Consultant 1995. 35: 673.
  • Misra KP, Ramakrishnan N. ECG diagnosis with clinical correlation. The Clinical Practice 1988. 2 (3): 99.
  • Misra KP, Ramakrishnan N. ECG diagnosis with clinical correlation. The Clinical Practice 1988. 2 (2): 63.

ABSTRACTS

1. N Ramakrishnan, S Bhuvaneshwari, R Venkataraman, B Abraham. Are we feeding our critically ill patients appropriately? Accepted for presentation at 30th International Symposium in Critical Care Medicine to be held in Brussels, March 2010.
2. PK Reddy, KP Ravi, R Venkataraman, R Annigeri, BK Abraham, N Ramakrishnan. Acute Kidney Injury: Occurrence and impact on outcome. Presented in Criticare 2010, Annual Conference of Indian Society of Critical Care Medicine.
3. S Purwar, KP Ravi, R Venkataraman, V Ramasubramanian, BK Abraham, N Ramakrishnan. Antibiotic prescription patterns in a open tertiary critical care unit. Presented in Criticare 2010, Annual conference of Indian Society of Critical Care Medicine
4. M Chavda, R Venkataraman, BK Abraham, N Ramakrishnan. Acinetobacter infections in ICU: Epidemiology, risk factors and sensitivity patterns. Presented in Criticare 2010, Annual conference of Indian Society of Critical Care Medicine
5. Kavita K, Devaprasad D, Rajagopal M, Venkataraman R, Ramakrishnan N. Toxic Epidermal Necrolysis – More than skin deep. Presented in Criticare 2010, Annual conference of Indian Society of Critical Care Medicine (2010)
6. Venkataraman R, Janardhanam A, Abraham BK, Porchelvan S, Ramakrishnan N. Medical Simulation is a useful additive tool for teaching Advanced Life Support. Submitted for presentation in annual conference of Society for Simulation in Healthcare (2010)
7. Ramakrishnan N, Bhuvaneswari S, Venkataraman R, Abraham BK. Are we feeding our critically ill patients appropriately? Submitted for presentation in 30th International Symposium of Intensive Care & Emergency Medicine, Brussels (2010)
8. K. P. Ravi, P.K. Reddy, R. Venkataraman, V. Ramasubramaniam, B.K.Abraham, N.Ramakrishnan. Sensitivity & Resistance: Does East meet West? Int Care Med 2009. 35 Suppl 1. S267: 1039
9. Ramakrishnan N, Bihari S, Senthilkumar R, Abraham BK. Is epidemiology of Catheter Related Blood Stream Infections (CRBSI) in India different? Accepted for presentation at the ESICM Congress, Berlin, 2007.
10. Ramakrishnan N, Chavda M, Senthilkumar R, Abraham BK. Is Procalcitonin level a useful tool for early diagnosis of bacterial sepsis? Accepted for presentation at the ESICM Congress, Berlin, 2007.
11. Ramakrishnan N, Bihari S. Quality of sleep in Information Technology (IT) professionals in India: Business Processes outsourced (BPO) or Sleep processes outsourced? Sleep and Biological Rhythms 2007. 5: A 89: PO305.
12. Ramakrishnan N, Bihari S. Quality of sleep in nurses working on rotating shifts in an Intensive Care Unit (ICU). Sleep and Biological Rhythms 2007. 5; A 23: PO076.
13. Nikhilesh J, Nandeesh V, Ramprasad M, Annigeri RA, Subbarao B, Prakash KC, Abraham BK, Ramakrishnan N. Outcome predictors in Acute Renal Failure cohorts on renal replacement therapy. Souvenir, Criticare 2007. Pg 238.
14. Nikhilesh J, Joshi V, Abraham BK, Ramakrishnan N. Outcomes in Sepsis: Does age really matter? Souvenir, Criticare 2007. Pg 250 (Won the award for the best poster in the 13th Annual Congress of Indian Society of Critical Care Medicine)
15. Akila J, Abraham BK, Ramakrishnan N. MET the expectations of staff; What about patients? Presented in XII Annual Conference of Indian Society of Critical Care Medcine, Criticare 2007.
16. J Nikhilesh, C Anita, BK Abraham, Ramakrishnan N. Intra-aortic balloon pump in cardiogenic shock; Intensivist’s perspective. Ind Heart Journal 2006. 58; 494
17. Nikhilesh J, Uma T, Abraham BK, Ramakrishnan N. Recombinant factor VIIa (rfVIIa) in non- trauma settings: Holy grail for bleeding in critical care unit (CCU)? Souvenir, Criticare Chennai 2006, A25; 21.
18. Nikhilesh J, Uma T, Abraham BK, Ramakrishnan N. From Penicillin resistance to Meropenem resistance: Where are we heading? Souvenir, Criticare Chennai 2006, A24; 20
19. Raja JR, Abraham B, Ramakrishnan N. ICU SANS Frontiers: Role of telemedicine in critical care environment in a developing country. Intensive Care Medicine 2005, 31 (Suppl 1): 802:S207
20. L Ramanathan, Rajadurai, N Ramakrishnan, B K Abraham. Usefulness of an airway assessment score in predicting difficult airway in critical care set up. Scientific Proceedings and Souvenir, Hillcon 2005, 21: 196
21. N Ramakrishnan, BK Abraham, JR Raja. Medical Emergency Team: ICU Sans Frontiers. Presented at the 9th Congress of the WFSICCM, Buenos Aires, Argentina.
22. B Abraham, J Raja, N Ramakrishnan. Serum Cholesterol level: Is it a maker of sepsis? Critical Care 2005, 9(Suppl 1): P151:S64. 23. B Abraham, M Mohan, J Raja, N Ramakrishnan. Activated protein C in sepsis: an
Indian experience. Critical Care 2005, 9(Suppl 1): P195:S83
24. Raja JR, Prabhakar R, , Nagesh CN, Abraham BK, Raja JR, Jain N, Nachiappan R,
Ramakrishnan N. Bedside tracheostomy in ICU: A quality care initiative.
Presented at 2nd annual Asia Pacific Center of Excellence in Critical Care
Meeting, July 2004. (Won award for best poster presentation)
25. Raja JR, Ramakrishnan N, Abraham BK. Hypocholesterolaemia as a marker of sepsis. Presented at 2nd annual Asia Pacific Center of Excellence in Critical Care Meeting, July 2004.
26. Madhubashini M, Abraham BK, Ramakrishnan N. A single center experience with Activated Protein C in sepsis. Presented at 2nd annual Asia Pacific Center of Excellence in Critical Care Meeting, July 2004.
27. Nagesh CN, Raja JR, Abraham BK, Ramakrishnan N. Role of tracheal gas insufflation as an adjunctive therapy in hypercapnoeic respiratory failure. Presented at 2nd annual Asia Pacific Center of Excellence in Critical Care Meeting, July 2004.
28. Madhubashini M, Janardhanam A, Nagesh CN, Ramakrishnan N. Novel therapies in Sepsis:Does East meet West? Indian J Crit Care Med. Sep 2003; 7: 3.
29. Nagesh CN, Raja JR, Ramakrishnan N. Tracheal gas insufflation in respiratory failure: A breath of fresh air? Indian J Crit Care Med. Sep 2003; 7: 3
30. Raja JR, Ramakrishnan N. Is there life on MARS? Indian J Crit Care Med. Sep 2003; 7: 3.
31. John A Kellum, Martine Leblanc, Derek C Angus, Walter T Linde-Zwirble, John P Johnson, Nagarajan Ramakrishnan. Continuous versus intermittent renal replacement therapy: Is there a difference in survival? Critical Care Med 1999.
32. Clermont G, Angus DC, Linde-Zwirble WT, Griffin M, Ramakrishnan N, Fine MJ. Acute organ dysfunction is not a proxy for long-term morbidity.
Chest 1998. 114(4): 272 S.
33. Ramakrishnan N, Angus DC, Clermont G, Linde-Zwirble WT, Fine MJ, Pinsky MR. Tracing original data for meta-analyses: Is it possible? Am J Resp Crit Care Med 1998. 157(3): A300.
34. WT Linde-Zwirble, G Clermont, DC Angus, N Ramakrishnan, MB Coleman, R Newbold III. Trends in hospitalized pneumonia- relevance to resource allocation. Crit Care Med 1998. 26; 1:A110.
35. Nagarajan Ramakrishnan, G Clermont, WT Linde-Zwirble, DC Angus, MR Pinsky. Can discharge ICD-9 codes be used to identify organ failure in critically ill patients? Chest 1997. 112; 2:100S.
36. Gilles Clermont, MS Roberts, DC Angus, WT Linde-Zwirble, MB Coleman, N Ramakrishnan, RC Newbold III, MR Pinsky. A cost analysis of inhaled nitric oxide in the treatment of neonatal hypoxemic respiratory failure. Intensive Care Med 1997. 23; S19: 219.
37. Nagarajan Ramakrishnan, G Clermont, DC Angus, WT Linde-Zwirble, MR Pinsky. Hidden information in sepsis mortality: the case for the time constant to death. Intensive Care Med 1997. 23; S52: 339.
38. Nada Zecevic, Harold Yamase, Nagarajan Ramakrishnan, Barbara Ehrlich, W. David Hager, Frank Messineo. Ultrastructural morphometric analysis of myocytes in non-ischemic cardiomyopathy JMCC 1996. 28; 6:A200.


RESEARCH GRANTS

Projects completed
  • Primary investigator: Inflammatory markers as predictors of outcome in community-acquired pneumonia
  • Co-investigator: International comparisons of critical care outcome and resource use in patients with respiratory failure
  • Co-investigator: Analysis of cost and outcome of severe community-acquired pneumonia’, Amgen Inc.
  • Site Co-investigator: Double-blind, randomized, placebo-controlled, parallel-group, multi-center study of the safety and efficacy of intravenous taurolidine in septic patients’, University of Pittsburgh
  • Site Co-investigator: Neuro Endocrine Suprression Trial (NEST) study, University of Connecticut.
  • Primary Investigator: Evaluating serum cytokine patterns in community-acquired pneumonia and exploring their relationship to outcome and hospital resource use. Funded by University Anesthesiology and Critical Care Medicine research fund, University of Pittsburgh.

Current Grants
  • Steering Committee, Indian Intensive Care Case Mix and Practice Patterns Study (INDICAPS), Project funded by Indian Society of Critical Care Medicine.
  • Primary Investigator in India for SAVE Study, a multicenter global study to evaluate effectiveness of CPAP in moderate sleep apnea to reduce cardiovascular morbidity & mortality.
  • Co-Investigator, “Effective of Human Simulation for ACLS training in India. Grant awarded by Laerdal foundation.
  • Primary Investigator of ongoing Industry sponsored clinical research trials in Critical Care Medicine at Apollo Hospitals. Details with held for confidentiality purposes.
  • Primary Investigator of ongoing Industry sponsored clinical research trials in Sleep Medicine at Nithra Institute of Sleep Sciences. Details with held for confidentiality purposes.

Community education initiatives & publications
1. Authored a book “Thookkam – Prachnaigal, Theervugal” (Tamil) to educate the public about Sleep related problems.
2. Public education program entitled “Save a Life, Give a Life” (SAGA) offered through TACT Academy for Clinical Training (TACT).
3. Authored a book “ICU- Ulle nadappadhu Enna” (Tamil) to educate the public about ICU.
4. Regular meetings organized by ‘Nithra Support Group’ to promote awareness on importance of sleep on health.
5. Invited public education lectures in healthcare feature of ‘AVM’s Mangaiyar Choice’ program which has a large audience and has successfully completed over 1000 shows on SUN TV, a popular Indian Television Network that is broadcast worldwide.
6. Series in Tamil Monthly magazine (Mangayar Malar) to educate the public on issues relating to organ donation.
7. Articles to promote awareness on sleep problems published in popular Tamil and English newspapers and magazines in India.
8. Invited as speaker to address various aspects of healthcare by companies & various organizations.

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