Department of Anesthesiology

Department of Anesthesiology- Research Division

	Shobha Malviya, MD Director, Pediatric Research Associate Professor of Anesthesiology Phone: 734-936-6986 Fax: 734-763-6651 Email: smalviya@umich.edu

Dr. Malviya holds the following positions within the University of Michigan Medical School: Assistant Service Chief, Mott OR. Director of Pediatric Pain and Sedation Service, Director of Pediatric Anesthesiology Clinical Research, Member of the Quality Assurance Committee, Member of the Pediatric Cardiac Anesthesia Team. Member of the Anesthesiology Research Committee. Institutionally participates as Co-Chair of the Sedation/Analgesia Task Force, Member of the Mott CPR Committee and Member of the Medical School Admissions Committee.

Clinically, Dr. Malviya supervises anesthesia fellows, residents, medical and dental students, and CRNAs in the Mott O.R. She provides coverage for off site procedures including angiography, MRI, cardiac catheterization suite and radiology. Dr. Malviya provides consultation for pediatric patients with associated medical conditions prior to surgery. She acts as consultant and makes rounds on patients on the pediatric acute pain service. Additionally, Dr. Malviya co-chaired a task force on sedation/analgesia for adult and pediatric patients by non-anesthesiologists, and developed and implemented guidelines for sedation practices throughout the UMHS outside the operating room. She also developed and implemented quality assurance tools for sedation/analgesia. Call responsibilities include regular Mott OR coverage, pediatric cardiac call coverage and in-house obstetric anesthesia call coverage.

Dr. Malviya’s teaching activities include monthly lectures to fellows, residents, CRNAs, and medical students at Mott morning didactic sessions. She supervises and teaches fellows, residents, medical students and dental students in the Mott OR and PACU. She teaches pain management to fellows and residents during pain rounds. Dr. Malviya provides consultation to junior faculty regarding pain management issues. She organizes and supervises mock arrests in the Mott PACU for PACU nurses and anesthesiology residents. Dr. Malviya acts as research advisor to Pediatric Anesthesia Fellows/Junior faculty, and as mentor for several undergraduate students participating in the Undergraduate Research Opportunities Program (UROP). She participated in the organization of a multidisciplinary pain conference in collaboration with Children’s Hospital of Michigan. Dr. Malviya conducts mock orals and preparation for oral boards for several senior residents, fellows and junior faculty upon their request, and she assists in coordinating bi-monthly teaching conferences for Mott PACU nurses. Finally, she conducts in-services for nurses and pediatric house officers on UMHS sedation/analgesia guidelines.

Research Activities:
• Informed consent for studies involving surgical patients (NIH). The purpose of this project is to evaluate the informed consent procedure for studies involving surgical patients.
• Janssen Research Foundation FEN-USA-87. The purpose of this project is to assess the safety, dose conversion, and titration of Duragesic (fentanyl transdermal system) in pediatric patients with chronic pain requiring opioid therapy.

Recent Publications:

Burke CN, Voepel-Lewis T, Hadden S, DeGrandis M, Skotcher S, E'Agostino R, Walton S, Malviya S. Parental presence on emergence: effect on postanesthesia agitation and parent satisfaction. J Perianesth Nurs. 2009 Aug; 24(4):216-21. [PubMed]

Nafiu OO, Kheterpal S, Morris M, Reynolds PI, Malviya S, Tremper KK. Incidence and risk factors for preincision hypotension in a noncardiac pediatric surgical population. Paediatr Anaesth. 2009 Mar; 19(3):232-9. [PubMed]

Tait AR, Voepel-Lewis T, Snyder RM, Malviya S. Parents' understanding of information regarding their child's postoperative pain management. Clin J Pain. 2008 Sep; 24(7):572-7. [PubMed]

Voepel-Lewis T, Marinkovic A, Kostrzewa A, Tait AR, Malviya S. The prevalence of and risk factors for adverse events in children receiving patient-controlled analgesia by proxy or patient-controlled analgesia after surgery. Anesth Analg. 2008 Jul; 107(1):70-5. [PubMed]

Chiravuri SD, Voepel-Lewis T, Devaney EJ, Malviya S. The use of aprotinin in children undergoing operative repair of isolated atrial septal defects. Paediatr Anaesth. 2008 Feb; 18(2):145-50. [PubMed]

Voepel-Lewis T, Malviya S, Tait AR, Merkel S, Foster R, Krane EJ, Davis PJ. A comparison of the clinical utility of pain assessment tools for children with cognitive impairment. Anesth Analg. 2008 Jan; 106(1):72-8. [PubMed]

Voepel-Lewis T, Mitchell A, Malviya S. Delayed postoperative agitation in a child after preoperative midazolam. J Perianesth Nurs. 2007 Oct; 22(5):303-8. [PubMed]

Malviya S, Voepel-Lewis T, Tait AR, Watcha MF, Sadhasivan S, Friesen RH. Effect of age and sedative agent on the accuracy of bispectral index in detecting depth of sedation in children. Pediatrics. 2007 Sep; 120(3):e461-70. [PubMed]

Tait AR, Voepel-Lewis T, Malviya S.  Presenting research information to children: A tale of two methods.  Anesth Analg 2007 Aug;105(2):358-64. [PubMed]

Sathishkumar S, Malviya S, Dorje P. Management of emergence agitation. Anaesthesia. 2007 May;62(5):530-1. [PubMed]

Tait AR, Burke C, Voepel-Lewis T, Chiravuri DS, Wagner D, Malviya S.  Glycopyrrolate does not reduce the incidence of perioperative adverse events in children with upper respiratory tract infections.  Anesth Analg 2007;104:265-70. [PubMed]

Reynolds PI, Soldes O, Malviya S, and Davis P, "Pediatric Trauma". In Smith's Anesthesia for Infants and Children, Edited by EK Motoyama and P Davis 7th Ed. Mosby Elsevier, pp 991-1012, 2006.

Ragheb J, Malviya S, Burke C, Reynolds P. An assessment of interrater reliability of the ASA physical status classification in pediatric surgical patients. Paediatr Anaesth. 2006 Sep;16(9):928-31. [PubMed]

Malviya S, Voepel-Lewis T, Ramamurthi RJ, Burke C, Tait AR. Clonidine for the prevention of emergence agitation in young children: efficacy and recovery profile. Paediatr Anaesth. 2006 May;16(5):554-9.[PubMed]

Malviya S, Voepel-Lewis T, Burke C, Merkel S, Tait AR. The revised FLACC observational pain tool: improved reliability and validity for pain assessment in children with cognitive impairment. Paediatr Anaesth. 2006 Mar;16(3):258-65.[PubMed]

Malviya S, Voepel-Lewis T, Tait AR.A comparison of observational and objective measures to differentiate depth of sedation in children from birth to 18 years of age. Anesth Analg 102:389-94, 2006. [PubMed]

Tait AR , Voepel-Lewis, T, Malviya S, Philipson, SJ. Improving the readability and processability of a pediatric informed consent document. Arch Pediatr Adolesc Med 159:347-352, 2005. [PubMed]

Voepel-Lewis T, Malviya S, Tait AR. Validity of parent rating as proxy measures of pain in children with cognitive impairment. Pain Management Nursing 6: 168-174, 2005. [PubMed]

Voepel-Lewis T, Burke C, Hadden SM, Tait AR, Malviya S. Nurses’ diagnoses and treatment regarding care of the agitated child. J Perianesth Nurs 20: 239-48, 2005. [PubMed]

Malviya S, Voepel-Lewis T, Merkel S, Tait AR. Difficult pain assessment and lack of clinician knowledge are ongoing barriers to effective pain management in children with cognitive impairment. Acute Pain 7:27-32, 2005.

Tait AR and Malviya S. Anesthesia for the child with an upper respiratory tract infection: still a dilemma? Anesth Analg 100:59-65, 2005. [PubMed]

Research Divisions