Dr. Sabin Koirala

Dr. Sabin Koirala is a skilled, qualified and trained Intensivist working as a Consultant Intensivist and Clinical Incharge of Intensive Care Units at HAMS. He completed his MBBS in 2009 from Institute of Medicine (IOM), Maharajgunj, following which he did his MD in Anesthesiology from the same esteemed institute. After gaining experience for 3 years by working as a Critical Care Physician, he completed his Fellowship in Critical Care Medicine from University of Toronto, Canada. He has been working at HAMS since 2018 AD.

Apart from being the clinical lead at ICU at HAMS he is also leading Department of Infection Prevention & Control,  and Quality Control Committee. He is also involved as an active member of training Committee at HAMS. Being a research enthusiast, he is also actively involved in various research activities, including multinational clinical trails, ongoing at HAMS. Dr. Koirala is also a faculty of National Board of Medical Specialities (NBMS)- Fellowship in Critical Care Medicine Program and also the program coordinator of this fellowship program at HAMS.

  • Nepal Medical Council- Speciality- Anesthesiology
  • Nepal Medical Council- Speciality- Fellowship in Critical Care Medicine
  • Life Member- Nepalese Society of Critical Care Medicine (NSCCM)
  • Life Member- Society of Anaesthesiologists of Nepal (SAN)
  • Life Member- Nepal Critical Care Development Foundation (NCCDF)
  • Associate Member- Society of Internal Medicine of Nepal (SIMON)
  • Joint Secretary- Nepalese Society of Critical Care Medicine (NSCCM); 2018 AD-2022 AD
  • General Secretary- Nepalese Society of Critical Care Medicine (NSCCM); 2022 AD- 2024 AD
  • National Coordinator- Basic Assessment and Support in Intensive Care (BASIC) Course
  • National Editor- Journal of Nepalese Society of Critical Care Medicine (JNSCCM)
Skills and Trainings
  • Advanced and Difficult Airway Management
  • Point of Care Ultrasonography (POCUS) and Acute Care Ultrasound
  • Trans-Cranial Doppler
  • Bronchoscopy in ICU
  • Advanced Mechanical Ventilatory Management
  • Advanced Hemodynamic Monitoring
  • Simulation in Critical Care
  • Trans-esophageal Echocardiography (TEE)
  • Extra Corporeal Membrane Oxygenation (ECMO)
  • Renal Replacement Therapies in ICU
  • Emergency Neurological Life Support (ENLS)
  • Research Methodology (NHRC)
  • Good Clinical Practice (GCP
Areas of Interest
  • Management of Critically ill Patients
  • Trauma & Neuro Critical Care
  • ARDS
  • Sepsis and Septic Shock
  • Undifferentiated Shock
  • Antibiotics and Antibiotic Stewardship
  • Research and Training
  • MBBS- 2009; Institute of Medicine (Maharajgunj, Nepal)
  • MD Anesthesiology- 2014; Institute of Medicine (Maharajgunj, Nepal); (Gold Medalist, IOM; Gold Medalist, SAN)
  • Fellowship in Adult Critical Care (Medical Surgical Critical Care & Neuro-Trauma Critical Care)- 2018; St. Michael’s Hospital (University of Toronto, Canada)
Selected Research and Publications
  • Aryal D, Paneru HR, Koirala S et al. Incidence, risk and impact of unplanned ICU readmission on patient outcomes and resource utilisation in tertiary level ICUs in Nepal: A cohort study [version 1; peer review: awaiting peer review]. Wellcome Open Res 2022, 7:272 (https://doi.org/10.12688/wellcomeopenres.18381.1)
  • REMAP-CAP Writing Committee for the REMAP-CAP Investigators. Effect of Antiplatelet Therapy on Survival and Organ Support–Free Days in Critically Ill Patients With COVID-19: A Randomized Clinical Trial. JAMA. 2022;327(13):1247–1259. doi:10.1001/jama.2022.2910
  • ISARIC Clinical Characterization Group., Garcia-Gallo, E., Merson, L. et al. ISARIC-COVID-19 dataset: A Prospective, Standardized, Global Dataset of Patients Hospitalized with COVID-19. Sci Data 9, 454 (2022). https://doi.org/10.1038/s41597-022-01534-9
  • ISARIC Clinical Characterisation Group. The value of open-source clinical science in pandemic response: lessons from ISARIC. Lancet Infect Dis. 2021 Dec;21(12):1623-1624. doi: 10.1016/S1473-3099(21)00565-X.
  • Arabi, Y.M., Gordon, A.C., Derde, L.P.G. et al. Lopinavir-ritonavir and hydroxychloroquine for critically ill patients with COVID-19: REMAP-CAP randomized controlled trial. Intensive Care Med 47, 867–886 (2021). https://doi.org/10.1007/s00134-021-06448-5
  • Interleukin-6 Receptor Antagonists in Critically Ill Patients with Covid-19. N Engl J Med [Internet]. 2021 Feb 25;384(16):1491–502. Available from: https://doi.org/10.1056/NEJMoa2100433
  • Koirala S, Shakya BM, Marhatta MN. Comparison of Upper Lip Bite Test with Modified Mallampati Test and Thyromental Distance for Prediction of Difficult Intubation. Nep J Med Sci [Internet]. 2020 Feb. 15;5(1):2-9. Available from: https://www.nepjol.info/index.php/NJMS/article/view/36792
  • Shrestha GS, Acharya SP, Shrestha PS, Shrestha N, Paneru HR, Paudel S, Lohani B, Pradhan S, Aryal D, Bista N, Shah BL, Bhattarai AS, Parajuli BD, Koirala M, Acharya P, Koirala S, Amatya AG, Bhandari S, Gurung A, Shrestha B, Sigdel S, Shakya BM, Keyal N, Thakur A, Sharma A, Bajracharya T. Point-of-care ultrasonography: training, applications and barriers. A survey study. J Adv Intern Med [Internet]. 2019 Jun. 30;8(1):1-4. Available from: https://www.nepjol.info/index.php/JAIM/article/view/27995
  • Shrestha, G. S., Koirala, S., Gurung, A., & Chand, P. (2017). Ultrasound guided emergency cannulation of internal jugular vein in coagulopathic adult patients – a prospective observational pilot study. Bangladesh Critical Care Journal, 5(2), 93–96. https://doi.org/10.3329/bccj.v5i2.34384
  • Shrestha GS, Gurung A, Koirala S. Comparison between long- and short-axis techniques for ultrasound-guided cannulation of internal jugular vein. Ann Card Anaesth. 2016 Apr-Jun;19(2):288-92. doi:10.4103/0971-9784.179629. PMID: 27052071; PMCID: PMC4900334.
  • Acharya S, Koirala S, Shrestha A, Aryal D. ICU acquired weakness or something else?. J. Soc. Anesth. Nep. [Internet]. 2015 Oct. 1;2(1):25-7. Available from: https://www.nepjol.info/index.php/JSAN/article/view/13554