| Name: | Gunka, Dr. Vit |
| Degree: | MD |
| Academic Rank: | Clinical Assistant Professor |
| Academic Department: | Anesthesiology |
| Academic Division: | Obstetric Anesthesia |
| Address: | BC Women's Hospital & Health Centre 1Q72 - 4500 Oak Street |
| Phone: | 604 875 2158 |
| Fax: | 604 875 2733 |
| Email: | vgunka@cw.bc.ca |
| Research Interests: | Pregnancy and Coagulopathy Hemodynamic instability after spinal anesthesia Epidural catheter design for labour analgesia Analgesia after Cesarean section |
| Research Projects: | Tetrastarch and Pentastarch Effect on Coagulation in Elective Cesarean Delivery Patients. Colloid intravenous solutions may impair blood's ability to clot. Tetrastarch Voluven is a new colloid approved by Health Canada and FDA. Voluven has been proven to cause less coagulation problems compared to other colloids in cardiac, vascular, pediatric and geriatric patients. There are no published studies related to obstetric population. We will be evaluating Voluven and Pentaspan effects on coagulation using thromboelastopraphy. Pulse Wave Analysis and Augmentation Index changes associated with Neuraxial Anesthesia in the Parturient. Peripheral arterial pulse waves and pressures characteristics may predict incidence and severity of low blood pressure (hypotension) after spinal anesthesia for Cesarean Section. A noninvasive device called Sphymacor measures pulse wave characteristics and calculates "augmentation index" predicting hemodynamic instability in surgical patients. We will be evaluating Sphymacor accuracy and usefulness in pregnant population. |
| Selected Publications: | Inadequate pain relief with labour epidurals: a multivariate analysis of associated factors. Agaram R, Douglas MJ, McTaggart RA, Gunka V. Int J Obstet Anesth. 2009 Jan;18(1):10-4. Anaesthetic management of craniopagus conjoined twin delivery. Drake E, Burym C, Money D, Pugash D, Gunka V. Int J Obstet Anesth. 2008 Apr;17(2):174-6. Hemodynamic stability during labor and delivery with continuous epidural infusion. Gerhardt MA, Gunka VB, Miller RJ. J Am Osteopath Assoc. 2006 Dec;106(12):692-8. Anesthesia for the parturient with pseudoxanthoma elasticum. Douglas MJ, Gunka VB, von Dadelszen P. Int J Obstet Anesth. 2003 Jan;12(1):45-7. Spinal anesthesia for Cesarean section in a parturient with long OT symdrome. Al-Refai A, Gunka V, Douglas J. Can J Anaesth. 2004 Dec:51(10):993-6. CSE for labour: the debate goes on. Gunka VB, Douglas MJ. Can J Anaesth. 2001 Jun;48(6):519-21. |
| Other: |
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