Dr. Gururaj V Gunda

Dr Gururaj V Gunda is a Consultant in Critical Care Medicine at Manipal Hospital, Varthur Road, Bangalore, trained at a quaternary care centre managing approximately 3,000 critically ill patients annually, with subspecialty depth in extracorporeal life support, neurocritical care, advanced mechanical ventilation, and multi-organ failure management.

He secured All India Rank 83 in NEET SS 2020 for his DrNB in Critical Care Medicine and brings hands-on expertise in VV-ECMO, VA-ECMO, CRRT, and invasive haemodynamic monitoring to the management of complex medical, surgical, transplant, and trauma ICU patients.

Area of Expertise

Dr Gunda's critical care practice spans advanced respiratory support, extracorporeal therapies, neurocritical care, haemodynamic management, transplant critical care, and complex trauma ICU care, with active involvement in antimicrobial stewardship, end-of-life care, and ICU teaching programmes.

Advanced Mechanical Ventilation and Airway Management

Complex airway and ventilator-dependent patients are managed with advanced ventilation strategies and bronchoscopic airway techniques.

Conditions Treated

• Acute Respiratory Distress Syndrome (ARDS)
• Ventilator-dependent respiratory failure
• Difficult airway emergencies including traumatic laryngeal fracture
• Pneumothorax and pneumomediastinum

Procedures

• Advanced mechanical ventilation including lung-protective strategies
• Bronchoscopy with BAL sampling
• Bronchoscopy-guided intubation for difficult airway management
• Percutaneous Tracheostomy
• ICD Insertion and Pigtail Insertion

Extracorporeal Life Support

Patients with refractory cardiac and respiratory failure are managed with ECMO and extracorporeal support, including a published case on ECMO use in beta blocker overdose.

Conditions Treated

• Refractory respiratory failure requiring VV-ECMO
• Refractory cardiogenic shock requiring VA-ECMO
• Drug overdose with haemodynamic collapse
• Peripartum cardiomyopathy

Procedures

• VV-ECMO (Veno-Venous Extracorporeal Membrane Oxygenation)
• VA-ECMO (Veno-Arterial Extracorporeal Membrane Oxygenation)
• IABP Monitoring (Intra-Aortic Balloon Pump)

Renal and Extracorporeal Therapies

Critically ill patients with acute kidney injury, sepsis, and multi-organ failure are managed with continuous renal replacement and extracorporeal purification therapies.

Conditions Treated

• Acute kidney injury in the ICU setting
• Multi-organ failure with renal involvement
• Sepsis requiring extracorporeal support
• Spontaneous bacterial peritonitis

Procedures

• Continuous Renal Replacement Therapy (CRRT)
• SLEDD (Sustained Low-Efficiency Daily Dialysis)
• Plasmapheresis
• Extracorporeal therapies for sepsis including Cytosorb and Oxiris filters
• Haemodialysis catheter insertion

Neurocritical Care and Brain Injury

Complex neurological emergencies and brain injury patients are managed with invasive neuromonitoring and multimodal assessment.

Conditions Treated

• Traumatic brain injury
• Raised intracranial pressure
• CNS infections including rare primary ventriculitis and ESBL meningitis
• Neurological emergencies requiring ICU-level care

Procedures

• Invasive ICP Monitoring
• Transcranial Doppler
• Lumbar Puncture
• Bone Marrow Sampling

Haemodynamic Monitoring and Shock Management

Advanced haemodynamic assessment and shock management are performed with point-of-care ultrasound and invasive monitoring techniques.

Conditions Treated

• Septic shock and distributive shock
• Cardiogenic shock including acute coronary syndrome-related cardiogenic shock
• Hypovolaemic and obstructive shock
• Complex coagulation disorders

Procedures

• Point-of-Care Ultrasonography (POCUS)
• Transthoracic Echocardiography (TTE)
• Arterial Line Placement
• Central Venous Access
• Advanced haemodynamic monitoring

Transplant Critical Care

Post-transplant and transplant-related critical illness is managed within a multidisciplinary quaternary care framework.

Clinical Involvement

• Critical care management of post-transplant patients
• Multi-organ support in transplant recipients

Complex Trauma Care

Level IV trauma patients are managed within a quaternary ICU setting with expertise in trauma-related airway emergencies and multi-system injuries.

Conditions Treated

• Complex polytrauma requiring ICU care
• Traumatic laryngeal fracture with bilateral pneumothorax and pneumomediastinum
• Trauma-related airway emergencies

Infection Control and Antimicrobial Stewardship

Evidence-based antimicrobial stewardship, infection control, and diagnostic stewardship are integrated into daily ICU practice.

Clinical Focus Areas

• Antimicrobial stewardship programme participation
• Infection control protocols in the ICU
• Diagnostic stewardship for critically ill patients
• Dengue-related cardiac involvement management

End-of-Life and Palliative Care in the ICU

Ethical end-of-life care and palliative support are delivered with an empathy-driven approach for critically ill patients and their families.

Professional Experience

• Manipal Hospital, Varthur Road, Bangalore (Consultant Critical Care Medicine, August 2025 to present)
• Kauvery Hospital, Marathahalli, Bangalore (Junior Consultant Critical Care Medicine, January 2024 to August 2025)
• Manipal Hospital, Old Airport Road, Bangalore (ICU Registrar and DrNB Trainee, December 2020 to December 2023)
• Kempegowda Institute of Medical Sciences, Bangalore (MD Internal Medicine Residency, 2017 to 2021)
• Active involvement in managing COVID wards and ICUs during the first wave of the pandemic

Credentials, Qualifications and Memberships

Academic Qualifications

• MBBS, JSS Medical College, Mysuru
• MD Internal Medicine, Kempegowda Institute of Medical Sciences, Bangalore (2021)
• DNB Internal Medicine, National Board of Examinations
• DrNB Critical Care Medicine, Manipal Hospitals, Bengaluru (2023), secured All India Rank 83 in NEET SS 2020

Professional Memberships

• Indian Society of Critical Care Medicine (ISCCM)
• Indian Medical Association (IMA)

Awards, Academic Contributions and Publications

Awards and Recognition

• Best Poster Award, EUROASIA 2024, European Society of Critical Care Medicine (ESICM) International Conference
• First Prize, Case Presentation, Association of Physicians of India (API) (2019)
• First Place, Medical Quiz, HDR Summit (2018)

Peer-Reviewed Publications and Book Chapters

• "Does Dengue Fever Affect Heart? Our Experience" — Journal of Medical Science and Clinical Research, Volume 7, Issue 11 (November 2019)
• "A Cross-Sectional Study Comparing SpO2/FIO2 Ratio with PaO2/FIO2 Ratio in Patients with ARDS" — Journal of Medical Science and Clinical Research
• "A Rare Case of Primary Ventriculitis Secondary to Community-Acquired ESBL Escherichia coli Meningitis" — DOI: 10.5005/jp-journals-10089-0060
• "The Convergence of Crisis: A Rare Case of Traumatic Laryngeal Fracture Accompanied by Bilateral Pneumothorax and Pneumomediastinum" — Indian Journal of Critical Care Case Report (IJCCR) (April 2025)
• "ECMO: The Last Resort for Refractory Beta Blocker Overdose" (co-authored) — Kauverian Scientific Journal, Volume 7, Issue 3
• "An Intriguing Challenge of Unveiling the Unexpected: Peripartum Cardiomyopathy" (co-authored) — Kauverian Scientific Journal, Volume 7, Issue 3
• Article on Spontaneous Bacterial Peritonitis — ISCCM Newsletter, Volume 16.5 (November to December 2021)
• Book Chapter: "State of the Art Review: Acute Coronary Syndrome and Cardiogenic Shock" — Critical Care Update 2025
• Book Chapter: "Fluid Management in ECMO"

International Trial Participation

• Collaborator, HELLO Trial, European Society of Intensive Care Medicine (ESICM)

Faculty, Teaching and Conference Contributions

• Faculty and Speaker, Nephrocritical Care, GICS Conference (2025)
• Faculty and Speaker, Critical Care Nursing Workshop, Kauvery Group of Hospitals (2025)
• Faculty and Speaker, Advanced Mechanical Ventilation Workshop, KAPICON (2024)
• Speaker, Critical Care and Toxicology CME, KIMS Medical College, Karad (2024)
• Speaker, ISCCM Monthly Meet
• Presentations at APICON, KAPICON, and EUROASIA

Why Consult Dr Gururaj V Gunda

Dr Gururaj V brings DrNB-level superspeciality training from Manipal Hospitals in a quaternary ICU managing 3,000 critically ill patients annually, hands-on ECMO experience across both VV and VA configurations, and a published academic record spanning ARDS, neurocritical care, extracorporeal therapies, and trauma emergencies.

His Best Poster Award at EUROASIA 2024 from the European Society of Critical Care Medicine and collaborator status in the international HELLO Trial reflect active engagement with global critical care standards within a clinically demanding ICU practice in Bangalore.

Book an Appointment with Dr Gururaj V Gunda, Critical Care Medicine Specialist in Bangalore

To check consultation availability and book a priority appointment with Dr Gururaj V Gunda at Manipal Hospital, Varthur Road, Bangalore, visit HexaHealth for a smooth and hassle-free booking experienc