Scholars@Duke

• Background
• 

  Education, Training, & Certifications

  • Fellowship, Anesthesiology, Harvard Medical School 2005 - 2006
  • Residency, Anesthesiology, Boston University School of Medicine 2002 - 2005
  • Internship, Internal Medicine, Berkshire Medical Center 2001 - 2002
  • M.B.B.S., Bangalore University (India) 1998
• 

  Previous Appointments & Affiliations

  • Professor of Anesthesiology, Anesthesiology, Pain Management, Anesthesiology 2017 - 2020
  • Professor in Population Health Sciences, Population Health Sciences, Basic Science Departments 2019 - 2020
  • Professor in Population Health Sciences, Population Health Sciences, Basic Science Departments 2018 - 2019
  • Instructor Temporary in the Department of Anesthesiology, Anesthesiology, Pain Management, Anesthesiology 2016 - 2017
• 

  Leadership & Clinical Positions at Duke

  • Vice Chair, Operations and Performance
    Medical Director, Inpatient Pain Service
    Duke Anesthesiology
• 

  Academic Positions Outside Duke

  • Professor of Anesthesiology, Duke University. 2017 - 2019
• Recognition
• 

  In the News

  • JAN 6, 2023

    School of Medicine Magnify

    Pain Management Gets the Green Light

  • MAR 26, 2021

    Duke Research Blog

    Centering Patients and Expanding Access in the Opioid Epidemic
• Expertise
• 

  Subject Headings

  • Pain Management
• Research
• 

  Selected Grants

  • NIH Health Care Systems Research Collaboratory-Coordinating Center (U24 Clinical Trial Not Allowed) awarded by National Institutes of Health 2017 - 2028
  • Integrated Health Services to Reduce Opioid Use While Managing Chronic Pain awarded by Research Triangle Institute International 2018 - 2024
  • Opioid sparing potential of light-induced analgesia: a pilot trial of a novel, non-pharmacological treatment for pain awarded by National Institutes of Health 2019 - 2021
  • Pain Management for Opioid Tolerant Patients: A Randomized Controlled Trial awarded by National Bureau of Economic Research 2017 - 2019
  • Pain management options for opioid tolerant patients: A randomized controlled trial awarded by Massachusetts Institute of Technology 2016 - 2017
• 

  External Relationships

  • Morpheus Consortium Inc
  • Sapphire Health Innovation LLC
  • Sharprognostics LLC
• Publications & Artistic Works
• 

  Selected Publications

  • Academic Articles

    • Mamoun, Negmeldeen, Mary Cooter Wright, Brandi Bottiger, Ryan Plichta, Rebecca Klinger, Michael Manning, Karthik Raghunathan, and Padma Gulur. “Pain Trajectories After Valve Surgeries Performed via Midline Sternotomy Versus Mini-Thoracotomy.” J Cardiothorac Vasc Anesth 36, no. 9 (September 2022): 3596–3602. https://doi.org/10.1053/j.jvca.2022.05.007.
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    • Hepner, David, Catriona M. Harrop, Christopher Whinney, and Padma Gulur. “Pro-Con Debate: Anesthesiologist- Versus Hospitalist- Run Preoperative Clinics and Perioperative Care.” Anesth Analg 134, no. 3 (March 1, 2022): 466–74. https://doi.org/10.1213/ANE.0000000000005877.
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    • Mariano, Edward R., David M. Dickerson, Joseph W. Szokol, Michael Harned, Jeffrey T. Mueller, Beverly K. Philip, Jaime L. Baratta, et al. “A multisociety organizational consensus process to define guiding principles for acute perioperative pain management.” Reg Anesth Pain Med 47, no. 2 (February 2022): 118–27. https://doi.org/10.1136/rapm-2021-103083.
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    • Sun, Eric C., Edward R. Mariano, Samer Narouze, Rodney A. Gabriel, Hesham Elsharkawy, Padma Gulur, Sharon K. Merrick, T Kyle Harrison, and J David Clark. “Making a business plan for starting a transitional pain service within the US healthcare system.” Reg Anesth Pain Med 46, no. 8 (August 2021): 727–31. https://doi.org/10.1136/rapm-2021-102669.
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    • Kreiner, D Scott, Paul Matz, Christopher M. Bono, Charles H. Cho, John E. Easa, Gary Ghiselli, Zoher Ghogawala, et al. “Corrigendum to "Guideline summary review: an evidence-based clinical guideline for the diagnosis and treatment of low back pain" [The Spine Journal 20/7 (2020) p 998-1024].” Spine J 21, no. 4 (April 2021): 726–27. https://doi.org/10.1016/j.spinee.2021.02.006.
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    • Cobert, Julien, Paul M. Lantos, Mark M. Janko, David G. A. Williams, Karthik Raghunathan, Vijay Krishnamoorthy, Eric A. JohnBull, Atilio Barbeito, and Padma Gulur. “Geospatial Variations and Neighborhood Deprivation in Drug-Related Admissions and Overdoses.” J Urban Health 97, no. 6 (December 2020): 814–22. https://doi.org/10.1007/s11524-020-00436-8.
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    • Kreiner, D Scott, Paul Matz, Christopher M. Bono, Charles H. Cho, John E. Easa, Gary Ghiselli, Zoher Ghogawala, et al. “Guideline summary review: an evidence-based clinical guideline for the diagnosis and treatment of low back pain.” Spine J 20, no. 7 (July 2020): 998–1024. https://doi.org/10.1016/j.spinee.2020.04.006.
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    • Gulur, Padma, and Amanda H. Nelli. “The Opioid-Tolerant Patient: Opioid Optimization.” J Arthroplasty 35, no. 6S (June 2020): S50–52. https://doi.org/10.1016/j.arth.2020.01.001.
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    • Aronson, Solomon, Gavin Martin, Padma Gulur, Mike E. Lipkin, Sandhya A. Lagoo-Deenadayalan, Christopher R. Mantyh, David E. Attarian, Joseph P. Mathew, and Allan D. Kirk. “Preoperative Optimization: A Continued Call to Action.” Anesth Analg 130, no. 4 (April 2020): 808–10. https://doi.org/10.1213/ANE.0000000000004492.
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    • Abdelgadir, Jihad, Edmund W. Ong, Salma M. Abdalla, John C. Hunting, Mohamed Mustafa Diab, Michael M. Haglund, C Rory Goodwin, Amanda Nelli, and Padma Gulur. “Demographic Factors Associated with Patient-Reported Outcome Measures in Pain Management.” Pain Physician 23, no. 1 (January 2020): 17–24.
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    • Gulur, Padma, and Amanda Nelli. “Persistent postoperative pain: mechanisms and modulators.” Curr Opin Anaesthesiol 32, no. 5 (October 2019): 668–73. https://doi.org/10.1097/ACO.0000000000000770.
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    • Edwards, David A., Traci L. Hedrick, Jennifer Jayaram, Charles Argoff, Padma Gulur, Stefan D. Holubar, Tong J. Gan, et al. “American Society for Enhanced Recovery and Perioperative Quality Initiative Joint Consensus Statement on Perioperative Management of Patients on Preoperative Opioid Therapy.” Anesth Analg 129, no. 2 (August 2019): 553–66. https://doi.org/10.1213/ANE.0000000000004018.
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    • Kent, Michael L., Robert W. Hurley, Gary M. Oderda, Debra B. Gordon, Eric Sun, Monty Mythen, Timothy E. Miller, et al. “American Society for Enhanced Recovery and Perioperative Quality Initiative-4 Joint Consensus Statement on Persistent Postoperative Opioid Use: Definition, Incidence, Risk Factors, and Health Care System Initiatives.” Anesth Analg 129, no. 2 (August 2019): 543–52. https://doi.org/10.1213/ANE.0000000000003941.
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    • Wu, Christopher L., Adam B. King, Timothy M. Geiger, Michael C. Grant, Michael P. W. Grocott, Ruchir Gupta, Jennifer M. Hah, et al. “American Society for Enhanced Recovery and Perioperative Quality Initiative Joint Consensus Statement on Perioperative Opioid Minimization in Opioid-Naïve Patients.” Anesth Analg 129, no. 2 (August 2019): 567–77. https://doi.org/10.1213/ANE.0000000000004194.
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    • Aronson, Solomon, Julie Westover, Nicole Guinn, Tracy Setji, Paul Wischmeyer, Padma Gulur, Thomas Hopkins, et al. “A Perioperative Medicine Model for Population Health: An Integrated Approach for an Evolving Clinical Science.” Anesth Analg 126, no. 2 (February 2018): 682–90. https://doi.org/10.1213/ANE.0000000000002606.
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    • Brown, Rebecca, Michelle A. Fortier, Sheeva Zolghadr, Padma Gulur, Brooke N. Jenkins, and Zeev N. Kain. “Postoperative Pain Management in Children of Hispanic Origin: A Descriptive Cohort Study.” Anesth Analg 122, no. 2 (February 2016): 497–502. https://doi.org/10.1213/ANE.0000000000001042.
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    • Gulur, P., B. Tsui, R. Pathak, K. M. Koury, and H. Lee. “Retrospective analysis of the incidence of epidural haematoma in patients with epidural catheters and abnormal coagulation parameters.” Br J Anaesth 114, no. 5 (May 2015): 808–11. https://doi.org/10.1093/bja/aeu461.
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    • Gulur, Padma, Katharine Koury, Paul Arnstein, Hang Lee, Patricia McCarthy, Christopher Coley, and Elizabeth Mort. “Morphine versus Hydromorphone: Does Choice of Opioid Influence Outcomes?” Pain Res Treat 2015 (2015): 482081. https://doi.org/10.1155/2015/482081.
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    • Koury, Katharine M., Becky Tsui, and Padma Gulur. “Incidence of serotonin syndrome in patients treated with fentanyl on serotonergic agents.” Pain Physician 18, no. 1 (2015): E27–30.
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    • Shah, Shalini, Esther T. Banh, Katharine Koury, Gaurav Bhatia, Roneeta Nandi, and Padma Gulur. “Pain Management in Pregnancy: Multimodal Approaches.” Pain Res Treat 2015 (2015): 987483. https://doi.org/10.1155/2015/987483.
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    • Wang, Jingping, Mary E. Lau, and Padma Gulur. “Delayed spinal epidural hematoma after epidural catheter removal with reinitiation of warfarin.” J Cardiothorac Vasc Anesth 28, no. 6 (December 2014): 1566–69. https://doi.org/10.1053/j.jvca.2013.05.023.
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    • Gulur, Padma, Ari R. Cohen, Lisa Watt, Mary E. Lau, and Chadi El Saleeby. “Elevated lidocaine serum concentration after subcutaneous lidocaine administration using a needle-free device in pediatric patients.” Pediatr Emerg Care 30, no. 11 (November 2014): 829–31. https://doi.org/10.1097/PEC.0000000000000178.
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    • Pace, Meredith, Katharine Koury, and Padma Gulur. “Epidurals in patients receiving thromboprophylaxis with unfractionated heparin three times a day: the value of activated partial thromboplastin time testing.” Anesth Analg 119, no. 5 (November 2014): 1215–18. https://doi.org/10.1213/ANE.0000000000000437.
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    • Kang, Stanley, Jagmeet Singh, Marcos Vidal Melo, and Padma Gulur. “Spinal cord stimulation for intercostal neuralgia in a patient with implantable cardiac defibrillator and biventricular pacing.” Neuromodulation 17, no. 4 (June 2014): 386–88. https://doi.org/10.1111/ner.12082.
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    • Gulur, Padma, Chadi El Saleeby, Lisa D. Watt, Katharine M. Koury, and Ari R. Cohen. “Elevated lidocaine serum levels following the use of a needle free device in healthy adult volunteers.” Pediatr Emerg Care 30, no. 5 (May 2014): 335–39. https://doi.org/10.1097/PEC.0000000000000125.
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    • Bengali, Raheel, Mary S. Huang, and Padma Gulur. “The use of an intrathecal pump to manage intractable cancer pain in a pediatric patient: a case report.” J Pediatr Hematol Oncol 36, no. 3 (April 2014): e162–64. https://doi.org/10.1097/MPH.0b013e31828e5dca.
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    • Gulur, Padma, Libby Williams, Sanjay Chaudhary, Katharine Koury, and Michael Jaff. “Opioid tolerance--a predictor of increased length of stay and higher readmission rates.” Pain Physician 17, no. 4 (2014): E503–7.
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    • Nizamuddin, Sarah L., Katharine M. Koury, Mary E. Lau, Lisa D. Watt, and Padma Gulur. “Use of targeted transversus abdominus plane blocks in pediatric patients with anterior cutaneous nerve entrapment syndrome.” Pain Physician 17, no. 5 (2014): E623–27.
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    • Gulur, P., and F. S. Buonanno. “Erratum: Intracranial hypotension caused by anterior cervical CSF alleviated by an epidural blood patch (Headache: The Journal of Head and Face Pain (2013) 53:5 (838-841) DOI: 10.1111/head.12051).” Headache 53, no. 6 (June 7, 2013): 1030. https://doi.org/10.1111/head.12143.
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    • Gulur, Padma, and Ferdinando S. Buonanno. “Intracranial hypotension caused by anterior cervical CSF leak alleviated by an epidural blood patch [corrected].” Headache 53, no. 5 (May 2013): 838–41. https://doi.org/10.1111/head.12051.
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    • Bhatia, Gaurav, Mary E. Lau, Katharine M. Koury, and Padma Gulur. “Intrathecal Drug Delivery (ITDD) systems for cancer pain.” F1000res 2 (2013): 96. https://doi.org/10.12688/f1000research.2-96.v4.
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    • Keel, John C., Mary E. Lau, and Padma Gulur. “Spinal cord stimulation for radicular pain following retained bullet in the spinal canal.” Pain Physician 16, no. 2 (2013): E103–6.
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    • Gulur, P., and J. P. Rathmell. “A child in pain: What health professionals can do to help.” Journal of Pain and Palliative Care Pharmacotherapy 25, no. 4 (November 11, 2011): 393. https://doi.org/10.3109/15360288.2011.620690.
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    • Jamison, Robert N., Tabitha A. Washington, Padma Gulur, Gilbert J. Fanciullo, John R. Arscott, Gregory J. McHugo, and John C. Baird. “Reliability of a preliminary 3-D pain mapping program.” Pain Med 12, no. 3 (March 2011): 344–51. https://doi.org/10.1111/j.1526-4637.2010.01049.x.
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    • Brookman, Jason C., Haris I. Sair, Claudia Benkwitz, and Padma Gulur. “Wandering epidural catheter.” Anesthesiology 113, no. 5 (November 2010): 1198. https://doi.org/10.1097/ALN.0b013e3181e4f349.
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    • Lehmann, N., G. P. Joshi, D. Dirkmann, M. Weiss, P. Gulur, J. Peters, and M. Eikermann. “Development and longitudinal validation of the overall benefit of analgesia score: a simple multi-dimensional quality assessment instrument.” Br J Anaesth 105, no. 4 (October 2010): 511–18. https://doi.org/10.1093/bja/aeq186.
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    • Gulur, Padma, Scott W. Rodi, Tabitha A. Washington, Joseph P. Cravero, Gilbert J. Fanciullo, Gregory J. McHugo, and John C. Baird. “Computer Face Scale for measuring pediatric pain and mood.” J Pain 10, no. 2 (February 2009): 173–79. https://doi.org/10.1016/j.jpain.2008.08.005.
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    • Gulur, Padma, Simon Maurice Soldinger, and Martin A. Acquadro. “Concepts in pain management.” Clin Podiatr Med Surg 24, no. 2 (April 2007): 333–51. https://doi.org/10.1016/j.cpm.2007.01.001.
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    • Gulur, Padma, Mina Nishimori, and Jane C. Ballantyne. “Regional anaesthesia versus general anaesthesia, morbidity and mortality.” Best Pract Res Clin Anaesthesiol 20, no. 2 (June 2006): 249–63. https://doi.org/10.1016/j.bpa.2005.10.002.
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  • Book Sections

    • Gulur, P., M. A. Fortier, L. C. Mayes, and Z. N. Kain. “Perioperative Behavioral Stress in Children.” In A Practice of Anesthesia for Infants and Children, 25-34.e3, 2019. https://doi.org/10.1016/B978-0-323-42974-0.00003-3.
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    • Gulur, P., M. A. Fortier, L. C. Mayes, and Z. N. Kain. “Perioperative Behavioral Stress in Children.” In A Practice of Anesthesia for Infants and Children, 25-34.e3, 2018. https://doi.org/10.1016/B978-0-323-42974-0.00003-3.
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    • Gulur, P., B. J. Wainger, and A. Young. “Head and Facial Trigeminal Neuralgia.” In Pain Procedures in Clinical Practice, 297–304, 2011. https://doi.org/10.1016/B978-1-4160-3779-8.10033-8.
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    • Gulur, P. “Head and facial trigeminal neuralgia.” In Pain Procedures in Clinical Practice: Expert Consult, 297–304, 2011. https://doi.org/10.1016/B978-1-4160-3779-8/10033-8.
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    • Specktor, B., P. Gulur, and J. P. Rathmell. “Diagnostic and Therapeutic Blocks.” In Clinical Pain Management: A Practical Guide, 151–60, 2010. https://doi.org/10.1002/9781444329711.ch19.
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    • Gulur, P., S. Abdi, A. Sharma, and L. Raghavan. “Pain in children.” In Current Therapy in Pain, 373–82, 2009. https://doi.org/10.1016/B978-1-4160-4836-7.00049-3.
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    • Gulur, P., S. Abdi, A. Sharma, and L. Raghavan. “Pain in children.” In Current Therapy in Pain: Expert Consult, 373–82, 2008. https://doi.org/10.1016/B978-1-4160-4836-7/00049-3.
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  • Conference Papers

    • Molasky, Whitney, Ramona Irabor, Shannon Shea, Lisa Rhodes, and Padma Gulur. “Duke University Health System Patient Controlled Analgesia Standardization for Adults.” In Pain Management Nursing, 21:215–16. ELSEVIER SCIENCE INC, 2020.
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    • Gulur, P., and A. Nelli. “Preoperative Optimization of Chronic Pain Patients Undergoing Surgery.” In Techniques in Orthopaedics, 35:19–24, 2020. https://doi.org/10.1097/BTO.0000000000000433.
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    • Cobert, Julien, Paul M. Lantos, Mark M. Janko, David G. Williams, Karthik Raghunathan, Vijay Krishnamoorthy, Eric A. JohnBull, Atilio Barbeito, and Padma Gulur. “Geospatial Variations and Neighborhood Deprivation in Drug-Related Admissions and Overdoses.” In Anesthesia and Analgesia, 130:289–92, 2020.
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    • Howell, Elizabeth, Jihad Abdelgadir, Edmund Ong, Salma Abdalla, John Hunting, Mohamed Diab, C Rory Goodwin, Padma Gulur, and Michael Haglund. “Pain Management Matters: Demographic Differences in Patient Reported Outcomes.” In Journal of Neurosurgery, Vol. 131. AMER ASSOC NEUROLOGICAL SURGEONS, 2019.
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    • Abdelgadir, Jihad, Jacquelyn Corely, Aaron Tarnasky, Kevin Wall, Hanna Kemeny, Diego Galan, Edmund Ong, C Rory Goodwin, Padma Gulur, and Isaac O. Karikari. “121 Opioid Disposal Patterns in Postoperative Adult Spine Patients.” In Neurosurgery, 65:87–88. Ovid Technologies (Wolters Kluwer Health), 2018. https://doi.org/10.1093/neuros/nyy303.121.
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    • Anderson, Jennifer, Kathryn Komaki, Steven Prakken, Lance Roy, Thomas Buchheit, John Hunting, and Padma Gulur. “ROLE OF PAIN SPECIALISTS IN REDUCING HEALTHCARE COSTS FOR PATIENTS WITH CHRONIC PAIN.” In Anesthesia and Analgesia, 126:452–54. LIPPINCOTT WILLIAMS & WILKINS, 2018.
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    • Brown, Alison F., Michael Ferrandino, Edmund Ong, Thomas J. Hopkins, Michael Kent, and Padma Gulur. “UTILIZATION, STORAGE, AND DISPOSAL OF PRESCRIPTION OPIOIDS FOLLOWING UROLOGIC SURGERY: A CASE FOR PROCEDURE-SPECIFIC OPIOID PRESCRIPTIONS AND PATIENT EDUCATION.” In Anesthesia and Analgesia, 126:461–62. LIPPINCOTT WILLIAMS & WILKINS, 2018.
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    • Koepke, Elena, David G. Williams, Arun Ganesh, Kathryn Komaki, John Hunting, Solomon Aronson, and Padma Gulur. “POOR OUTCOMES IN PATIENTS ON HIGH DOSES OF OPIOIDS PRIOR TO SURGERY: TIME FOR PERIOPERATIVE OPTIMIZATION FOR PAIN.” In Anesthesia and Analgesia, 126:635–37. LIPPINCOTT WILLIAMS & WILKINS, 2018.
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    • Pleticha, Josef, Steven Prakken, Thomas Buchheit, Padma Gulur, Scott Bearrows, Julie Westover, and Solomon Aronson. “Financial Impact of Intensive Outpatient Pain Management of Duke Health System High Utilizers.” In Anesthesia and Analgesia, 124:786–88. LIPPINCOTT WILLIAMS & WILKINS, 2017.
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    • Dang, J., V. Desai, D. Nguyen, E. Banh, and P. Gulur. “PREVALENCE AND CHARACTERISTIC OF OPIOID USE PRIOR TO ADMISSION BASED ON GENDER, AGE, AND ETHNICITY.” In Anesthesia and Analgesia, Vol. 122. LIPPINCOTT WILLIAMS & WILKINS, 2016.
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