Dr. Ajay Kumar Jha

Dr. Ajay Kumar Jha
Department: 
Anaesthesiology & Critical Care
Designation: 
Additional Professor
Medical Registration number: 
32842/Bihar/MCI
Academic Qualifications: 

MD, DM

Special Area of Interest: 
Pediatric cardiac Anesthesiology, Solid Organ Transplantation, Critical Care Medicine
Publication: 

1. Jha AK, Bhardwaj N, Yaddanapudi S, Sharma RK, Mahajan JK. A randomized study of surgical site infiltration of bupivacaine or ketamine for pain relief in children following cleft palate repair. Pediatr Anaesth. 2013 may; 23(5): 401-6.
2. Jha AK, Pandey R, Gharde P, Devagourou V, Kiran U. Idiopathic left ventricular outflow tract pseudoaneurysm. Ann Card Anaesth. 2013 july-sept; 16(3): 209-11.
3. Jha AK, Gharde P, Devagourou V, Chauhan S, Kiran U. The effect of volume loading on systemic oxygenation after bidirectional superior cavopulmonary anastomosis. Ann Thorac Surg. 2014 March; 97(3): 332-7.
4. Jha AK, Malik V, Hote M. Minimally invasive cardiac surgery and transesophageal echocardiography. Ann Card Anaesth. 2014 April-june; 17(2): 125-132
5. Jha AK, Gharde P, Chauhan S, Kiran U, Kapoor PM. Echocardiographic assessment of changes in pulmonary blood flow in children undergoing tetralogy of Fallot surgery.2015 Jul 19. doi: 10.1111/echo.13014. [Epub ahead of print]
6. Jha AK, Malik V, Kiran U. Role of Doppler echocardiography in patients with tricuspid valve lesion and aorto-right atrial fistula. Journal of perioperative echocardiography (abstract). Jan-june 1(1), 2013, 36.
7. Jha AK. Minimization of bleeding during spine surgery: Is it intraoperative hemodynamic or anti-fibrinolytic which matters most? Comment in British J Anesth; Aug 2017
8. Ajay Kumar Jha, MD,DM, Vishwas Malik, MD,DM, Parag Gharde, MD,DM, Sandeep Chauhan, MD, Usha Kiran, MD,and Milind P Hote, MS,MCH. Echocardiographic Predictors of Immediate Postoperative Outcomesin Patients with Severe Left Ventricular Systolic Dysfunction Undergoing On-Pump Coronary Artery Bypass Grafting. J Cardiothorac Vasc Anesth. 2017 Feb;31(1):184-190.
9. Vishwas Malik, Ajay Kumar Jha, Poonam Malhotra Kapoor. Anesthetic challenges in minimally invasive cardiac surgery: Are we moving in a right direction? Annals of Cardiac Anaesthesia , Jul-Sep-2016 , Vol 19 , Issue 3
10. Jha AK, Makhija N. Cor triatriatum: A review.Sem Cardiothorac Vasc Anesth 2017; 31:178-185
11. Jha AK, Hittalmani SK. Septic Shock in Low-Cardiac-Output Patients With Heart and Lung Transplantation: Diagnosis and Management Dilemma. J Cardiothorac Vasc Anesth 2017;31: 1389-1396
12. Jha N, Jha AK, Chauhan RC, Chauhan NS. Maternal and Fetal Outcome after Cardiac Surgery during Pregnancy: A Meta-Analysis. The Annals of Thoracic Surgery 2018 Apr 13. pii: S0003-4975(18)30496-X. doi: 10.1016/j.athoracsur.2018.03.020
13. Jha AK, Jha N.Pulmonary Arterial Compliance and Pulmonary Vascular Resistance as a Predictor of Survival in Acute Respiratory Distress Syndrome: More Questions Than Answers. Crit Care Med 2017 Aug;45(8):e873-e874
14. Jha N, Jha AK. Sildenafil Citrate Therapy for Oligohydramnios: A Randomized Controlled Trial. Obstet Gynaecol 2017 Jul;130(1):219.
15. Jha N, Jha AK. Intraperitoneal Instillation of Local Anesthetics: Is This a Suitable Alternative for Postcesarean Pain Relief Without Toxicity Profiling? Anesth Analg. 2017 Jul;125(1):352.
16. Jha AK. The use of vasopressin in vasoplegic syndrome with reduced ejection fraction: Asking for trouble. Anesthesiology. 2018 Jan;128(1):227.
17. Jha AK, Malik V. Diagnosis and Management of Ischemic Mitral Regurgitation: Evidence-Based Clinical Decision Making at the Point of Care. Semin Cardiothorac Vasc Anesth 2017; DOI: 10.1177/1089253217745363
18. Vishwas Malik, Ajay Kumar Jha, Poonam Malhotra Kapoor. Anesthetic challenges in minimally invasive cardiac surgery: Are we moving in a right direction? Annals of Cardiac Anaesthesia , Jul-Sep-2016 , Vol 19 , Issue 3
19. Ajay K Jha. Anatomy and physiology of tricuspid valve in Transesophageal echocardiography of congenital heart disease (Jaypee brothers) ed Poonam Malhotra Kapoor. 2014
20. Ajay K Jha. Myocardial protection in Textbook of perfusion (peepee publishers) ed. Sandeep chauhan. 2014.
21. Ajay K Jha. Shock and cardiopulmonary resuscitation in Textbook of perfusion (peepee publishers) ed. Sandeep Chauhan. 2014.

1. Jha N, Jha AK. Peripartum cardiomyopathy. Heart Fail Rev. 2021 Jul;26(4):781-797.
2. Jha AK, Lata S. Kidney transplantation in valvular heart disease and pulmonary hypertension: Consensus in waiting. Clin Transplant. 2021 Jan;35(1):e14116.
3. Jha AK. Pulmonary Vascular Changes in Acute Respiratory Distress Syndrome due to COVID-19. Am J Respir Crit Care Med. 2021 Jan 15;203(2):259-260.
4. Kundra P, Padala SRAN, Jha AK. Ultrasound guided tracheal intubation with a styleted tracheal tube in anticipated difficult airway. J Clin Monit Comput. 2021 Apr;35(2):285-287.
5. Jha N, Jha AK. Two physiological phenotypes in preeclampsia: Do they really exist? Am J Obstet Gynecol. 2021 Sep 14:S0002-9378(21)01000-0.
6. Jha AK. Hemodynamic Response During Fluid Challenge After Pediatric Cardiac Surgery. Crit Care Med. 2021 May 1;49(5):e541-e542.
7. Divya MB, Kubera NS, Jha N, Jha AK, Thabah MM. Atypical neurological manifestations in Wernicke's encephalopathy due to hyperemesis gravidarum. Nutr Neurosci. 2021 May 27:1-6.
8. Vinayagamurugan A, Badhe AS, Jha AK. Comparison of external jugular vein-based surface landmark approach and ultrasound-guided approach for internal jugular venous cannulation: A randomised crossover clinical trial. Int J Clin Pract. 2021 Mar;75(3):e13783.
9. Jha AK. Anatomical, physiological and clinical similarities and differences in ARDS physiological subtypes. Intensive Care Med. 2021 Apr;47(4):493-494.
10. Jha N, Jha AK. Impaired cerebral autoregulation, cerebral perfusion pressure and intracranial pressure in eclampsia. Am J Obstet Gynecol. 2021 Sep 26:S0002-9378(21)01055-3.
11. Jha AK, Jha N. Routine use of norepinephrine infusion in caesarean delivery. Eur J Anaesthesiol. 2021 Feb 1;38(2):195.
12. Cherian A, Jha AK, Padala SRAN, Senthilnathan M. Unusual complications of spontaneous pneumomediastinum and subcutaneous emphysema in patients with SARS-CoV-2 infection: A case report. Indian J Anaesth. 2021 Jun;65(6):483-486.
13. Manirajan M, Bidkar PU, Sivakumar RK, Lata S, Srinivasan G, Jha AK. Comparison of paediatric King Vision™ videolaryngoscope and Macintosh laryngoscope for elective tracheal intubation in children of age less than 1 year: A randomised clinical trial. Indian J Anaesth. 2020 Nov;64(11):943-948.
14. Jha AK, Jha N. A Complex Hemodynamic Response After Prone Positioning in Acute Respiratory Distress Syndrome. Crit Care Med. 2021 May
15. Jha AK, Bhardwaj N, Yaddanapudi S, Sharma RK, Mahajan JK. A randomized study of surgical site infiltration of bupivacaine or ketamine for pain relief in children following cleft palate repair. Pediatr Anaesth. 2013 may; 23(5): 401-6.
16. Jha AK, Pandey R, Gharde P, Devagourou V, Kiran U. Idiopathic left ventricular outflow tract pseudoaneurysm. Ann Card Anaesth. 2013 july-sept; 16(3): 209-11.
17. Jha AK, Gharde P, Devagourou V, Chauhan S, Kiran U. The effect of volume loading on systemic oxygenation after bidirectional superior cavopulmonary anastomosis. Ann Thorac Surg. 2014 March; 97(3): 332-7.
18. Jha AK, Malik V, Hote M. Minimally invasive cardiac surgery and transesophageal echocardiography. Ann Card Anaesth. 2014 April-june; 17(2): 125-132
19. Jha AK, Gharde P, Chauhan S, Kiran U, Kapoor PM. Echocardiographic assessment of changes in pulmonary blood flow in children undergoing tetralogy of Fallot surgery. 2015 Jul 19.
20. Jha AK, Malik V, Kiran U. Role of Doppler echocardiography in patients with tricuspid valve lesion and aorto-right atrial fistula. Journal of perioperative echocardiography (abstract). Jan-june 1(1), 2013, 36.
21. Jha AK. Minimization of bleeding during spine surgery: Is it intraoperative hemodynamic or anti-fibrinolytic which matters most? Comment in British J Anesth; Aug 2017
22. Ajay Kumar Jha, MD,DM, Vishwas Malik, MD,DM, Parag Gharde, MD,DM, Sandeep Chauhan, MD, Usha Kiran, MD,and Milind P Hote, MS,MCH. Echocardiographic Predictors of Immediate Postoperative Outcomesin Patients with Severe Left Ventricular Systolic Dysfunction Undergoing On-Pump Coronary Artery Bypass Grafting. J Cardiothorac Vasc Anesth. 2017 Feb;31(1):184-190.
23. Vishwas Malik, Ajay Kumar Jha, Poonam Malhotra Kapoor. Anesthetic challenges in minimally invasive cardiac surgery: Are we moving in a right direction? Annals of Cardiac Anaesthesia , Jul-Sep-2016 , Vol 19 , Issue 3
24. Jha AK, Makhija N. Cor triatriatum: A review. Sem Cardiothorac Vasc Anesth 2017; 31:178-185
25. Jha AK, Hittalmani SK. Septic Shock in Low-Cardiac-Output Patients With Heart and Lung Transplantation: Diagnosis and Management Dilemma. J Cardiothorac Vasc Anesth 2017;31: 1389-1396
26. Jha N, Jha AK, Chauhan RC, Chauhan NS. Maternal and Fetal Outcome after Cardiac Surgery during Pregnancy: A Meta-Analysis. The Annals of Thoracic Surgery 2018 Apr 13. pii: S0003-4975(18)30496-X.
27. Jha AK, Jha N.Pulmonary Arterial Compliance and Pulmonary Vascular Resistance as a Predictor of Survival in Acute Respiratory Distress Syndrome: More Questions Than Answers. Crit Care Med 2017 Aug;45(8):e873-e874
28. Jha N, Jha AK. Sildenafil Citrate Therapy for Oligohydramnios: A Randomized Controlled Trial. Obstet Gynaecol 2017 Jul;130(1):219.
29. Jha N, Jha AK. Intraperitoneal Instillation of Local Anesthetics: Is This a Suitable Alternative for Postcesarean Pain Relief Without Toxicity Profiling? Anesth Analg. 2017 Jul;125(1):352.
30. Jha AK. The use of vasopressin in vasoplegic syndrome with reduced ejection fraction: Asking for trouble. Anesthesiology. 2018 Jan;128(1):227.
31. Jha AK, Malik V. Diagnosis and Management of Ischemic Mitral Regurgitation: Evidence-Based Clinical Decision Making at the Point of Care. Semin Cardiothorac Vasc Anesth 2017;
32. Jha AK. Routine Preoperative Intra-Aortic Balloon Pump: Shooting in the Dark. Crit Care Med. 2019 Jan;47(1):e66.
33. Jha AK. Letter by Jha Regarding Article, "High-Target Versus Low-Target Blood Pressure Management During Cardiopulmonary Bypass to Prevent Cerebral Injury in Cardiac Surgery Patients: A Randomized Controlled Trial". Circulation. 2018 Nov 20;138(21):2443-2444.
34. Jha AK, Lata S. Kidney transplantation and cardiomyopathy: Concepts and controversies in clinical decision-making. Clin Transplant. 2020 Mar;34(3):e13795.
35. Jha AK, Lata S. Liver transplantation and cardiac illness: Current evidences and future directions. J Hepatobiliary Pancreat Sci. 2020 May;27(5):225-241.
36. Jha N, Jha AK, Mishra SK, Sagili H. Pulmonary hypertension and pregnancy outcomes: Systematic Review and Meta-analysis. Eur J Obstet Gynecol Reprod Biol. 2020 Oct;253:108-116.
37. Kumar Jha A, Lata S. Kidney transplantation in valvular heart disease and pulmonary hypertension: Consensus in waiting. Clin Transplant. 2020 Oct 13:e14116.
38. Jha AK. Left ventricular diastolic dysfunction as a predictor of weaning failure from mechanical ventilation. Intensive Care Med. 2020 Jun 2.
39. Jha AK. Effect of Terlipressin in Complex Hemodynamic Environment of Acute Pulmonary Embolism. Crit Care Med. 2020 Oct;48(10):e982.
40. Jha AK. Continued Vigorous Inspiratory Effort as a Predictor of Non-invasive Ventilation Failure. Am J Respir Crit Care Med. 2020 Sep 18.
41. Parida S, Patil P, Prasad SKS, Jha AK, Panneerselvam S. Accelerated Intravascular Activation of Coagulation During Cardiopulmonary Bypass. Indian J Hematol Blood Transfus. 2020 Jul;36(3):585-587.
42. Padala SRAN, Badhe AS, Parida S, Jha AK. Comparison of preincisional and postincisional parasternal intercostal block on postoperative pain in cardiac surgery. J Card Surg. 2020 Jul;35(7):1525-1530.
43. Jha AK. Iloprost and One-Lung Ventilation in Chronic Obstructive Lung Disease: A Long Way to Go. Anesth Analg. 2020 Sep;131(3):e164-e165.
44. Jose JM, Padala SRAN, Rajkumar S, Prasad SK, Jha AK. Epicardial blebs and septal hematoma after ventricular septal defect closure. Asian Cardiovasc Thorac Ann. 2020 Jul;28(6):336-338.
45. Neeti Makhijaa, Ira Dhawana, Ajay K. Jha, Sachin TalwarbRole of transesophageal echocardiography for intraoperative decision-making in double-chamber right ventricle with ventricular septal defect and absent pulmonary valve. Egypt J Cardiothorac Anesth 10:64–66
46. Jha N, Thabah MM, Divya MB, Kubera NS, Jha AK. Distal renal tubular acidosis and hypokalaemic periodic paralysis during pregnancy. J Nephrol. 2021 Nov 8.
47. Jha N, Balachandran DM, Jha AK. Fever, cough and gastrointestinal symptoms in a pregnant woman. Clin Med (Lond). 2021 Sep;21(5):e526-e528.
48. Jha AK, Jha N. Phenotypic Characterization of Right Ventricular Dysfunction and Prognostication in Coronavirus Disease 2019-Induced Acute Respiratory Distress Syndrome. Crit Care Med. 2021 Dec 20.
49. Jha N, Sagili H, Sharma J, Jha AK. A Rare Type of Uterine Rupture Following Over-the-Counter Use of Misoprostol in Second Trimester Abortion. Sultan Qaboos Univ Med J. 2021 Nov;21(4):657-659.
50. Rajan S, Jha N, Jha AK. Clinical characteristics, predictors and pregnancy outcomes in Indian women with peripartum cardiomyopathy. Obstetric Medicine. December 2021.
51. Thangaswamy CR, Sundararaj R, Parida S, Jha AK. Describing right ventricular dysfunction: Diagnostic accuracy studies and sources of bias. Ann Card Anaesth. 2021 Oct-Dec;24(4):514-515.
52. Jha AK. Addition of 5% CO2 to Inspiratory Gas in Preventing Lung Injury Due to Pulmonary Artery Ligation. Am J Respir Crit Care Med. 2021 Dec 10.
53. Jha AK. The Role of Transoesophageal Echocardiography in Surgical Removal of a Mediastinal Tumour. 2020; 14(2);
54. Ajay K Jha. Anatomy and physiology of tricuspid valve in Transesophageal echocardiography of congenital heart disease (Jaypee brothers) ed Poonam Malhotra Kapoor. 2014
55. Ajay K Jha. Myocardial protection in Textbook of perfusion (peepee publishers) ed. Sandeep chauhan. 2014.
56. Ajay K Jha. Shock and cardiopulmonary resuscitation in Textbook of perfusion (peepee publishers) ed. Sandeep Chauhan. 2014.

Presentations: 

Interest
Heart and Lung transplantation
Complex congenital Heart Disease
Reviewer
Journal of American college of cardiology
Annals of Cardiac Anesthesia
BMC Pulmonary medicine

Awards
Won Quiz contest in Gynaecology during internship
Won 1st prize in quiz contest on pain organized in a national conference on pain
Presented paper in Echo conference in PGI Chandigarh and Society of cardiac Anaesthesiology conference in New Delhi

Innovation
Challanged the existent of autoregulation in brain {(paper published in Annals of Thoracic Surgery (best journal in cardiothoracic surgery) and regarded as best paper in the field of cavopulmonary anastomosis)
Provided human model of study brain autoregulation
Provided correction formula (for effective regurgitant orifice area and regurgitant volume) for classifying the severity of Ischemic mitral regurgitation

Current Research Work
Working on formula for non-invasive derivation of PVR, and classification of pulmonary artery hypertension
Involved as coinvestigator of one MD and one DM trainee

Positions Held: 

Assistant Professor; Anesthesiology and Critical Care- AIIMS, Bhubaneswar

Country: 
India