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Rita Agarwal, MD

Rita Agarwal is a double board-certified pediatric anesthesiologist at Stanford University and Lucile Packard Children's Hospital. Her work focuses on pediatric pain management, neuroanesthesia, medical education, advocacy, mentorship, and sponsorship. She serves as chair of the California Society of Anesthesiologists' Women in Anesthesiology Committee, is active with the ASA and CSA communications committees, and is one of two hosts of the CSA podcast Vital Times.

Dr. Agarwal is an active member of the Society for Pediatric Anesthesia and the Society for Pediatric Pain Medicine, where she contributes to educational and editorial initiatives. A representative sample of her publications includes work on pediatric sedation safety in Pediatrics, anesthesia for pediatric chest trauma in Seminars in Cardiothoracic and Vascular Anesthesia, airway management in laryngotracheal injuries in children in Paediatric Anaesthesia, opioid use in children during the perioperative period, perioperative management of pediatric patients using medicinal marijuana, dental anesthesia safety, outpatient opioid prescribing guidelines for children and adolescents, and safe and effective pain management in children in American Family Physician. She has also written on workforce trends in pediatric anesthesiology, adverse event disclosure, and perioperative considerations for adolescents and young adults with substance use disorders.

She has completed training in evidence-based coaching and is passionate about advocacy for safer care for children undergoing dental anesthesia and appropriate pain management for pediatric patients, while also supporting physicians through mentorship and coaching. She shares updates through her Stanford profile, on X as @ritaagarwal6, on Instagram as @ragarwal62, and on Bluesky as @momdoc3.bsky.social.

How a hidden genetic mutation creates a severe pediatric anesthesia risk

Claudia Bruguera, MD & Luis Rodriguez, MD & Rita Agarwal, MD & Veronica Zoghbi, MD
Physician
April 6, 2026

Imagine a healthy eight-year-old boy going under general anesthesia for a routine procedure. His preanesthetic workup is unremarkable. His family history raises no flags. He receives sevoflurane, the most commonly used inhaled anesthetic in pediatric practice worldwide, and he does not wake up the same.

This is not a theoretical scenario. It has happened to families of Venezuelan ancestry on multiple continents, across multiple decades, and no one connected the dots. …

Read more…

How a hidden genetic mutation creates a severe pediatric anesthesia risk

The risks of the single-provider dental sedation model

Rita Agarwal, MD & Sangeeta Kumaraswami, MD
Conditions and Diseases
December 28, 2025

Anesthesia and sedation in dental patients has come under scrutiny in recent years, fueled in part by high-profile tragedies, such as the deaths of six-year-old Caleb in 2015, cardiologist Dr. Henry Patel in 2020, and the five media-reported deaths in 2025. These incidents serve as a stark reminder that the current landscape of dental sedation practices is fraught with inconsistencies and a lack of oversight, which can have devastating consequences …

Read more…

The risks of the single-provider dental sedation model

Stop and listen: How listening to patients and families is ever important for optimal care

American Society of Anesthesiologists & Anna Swenson, MD & Barbra Orlando, MD, PhD & Christina Menor, MD & Rita Agarwal, MD
Physician
May 13, 2024

A guest column by the American Society of Anesthesiologists, exclusive to KevinMD.

We always hear about the art and science of medicine, but with our busy practices, the science stays at the forefront, while the art can get lost. Personal experiences or a special patient can help open our eyes. The …

Read more…

Stop and listen: How listening to patients and families is ever important for optimal care

Words matter: Caring for pain patients with suspected opioid use disorder

American Society of Anesthesiologists & Rita Agarwal, MD
Physician
April 20, 2023

“We need an urgent pain consult for patient Lucy Bee in room 5621. She’s a 17-year-old drug addict and is screaming and wanting morphine,” I was told. Lucy Bee is not a real patient, but a composite of patients I have cared for either when providing pain management services on our inpatient floors, or in the operating …

Read more…

Words matter: Caring for pain patients with suspected opioid use disorder

Pediatric patients need appropriate pain management after surgery

Rita Agarwal, MD & Stephen Hays, MD & Vidya Chidambaran, MD
Conditions and Diseases
March 8, 2021

Fear of opioid addiction and misuse has been instilled into the American public – in many cases rightfully so. However, we are concerned that new guidelines for opioid prescribing in children and adolescents after surgery recently published in JAMA Surgery do not adequately address the intricacies of pediatric pain management. Generalization of these recommendations may unnecessarily scare families and mislead physicians as they determine an …

Read more…

Pediatric patients need appropriate pain management after surgery

How do we manage pain in the era of the opioid crisis?

Rita Agarwal, MD
Medications
October 2, 2019

“6 in 10 Kids Got Opioids After Tonsil Surgery, Study Says.”

So screams the headline from The Daily Beast.

“In the midst of the opioid crisis, doctors sent many kids home with oxycodone and hydrocodone,” it goes on to say. Another example of scaremongering and sensational headlines, or is this something we should still be concerned about?

Well, according to the actual article, there was no greater risks of complications …

Read more…

How do we manage pain in the era of the opioid crisis?

Harassment of women in medicine: We are all in this together

Rita Agarwal, MD
Physician
February 7, 2018

Almost every day there is a new revelation about men committing horrible, criminal, bizarre, or nauseating acts of sexual misconduct. Harassment and assault seem to be rampant. The #MeToo and #TimesUp movements have illuminated the vast scope of the problem.  Most stories have focused on famous men in politics, business, sports, and entertainment, but this type of behavior is pervasive. Lately, the lay press, medical blogs, and social media have …

Read more…

Harassment of women in medicine: We are all in this together

After Las Vegas: What is the change that needs to occur?

Rita Agarwal, MD
Physician
October 10, 2017

Las Vegas: 59 dead, 500+ injured. I worry about our medical colleagues who will suffer tremendously while treating the injured; they will be wracked with guilt for the patients they could not help and false back to the horror of that night and the ensuing days and weeks caring for the living. We must find ways to support each other help them cope as well as looking for sensible solutions.

My …

Read more…

After Las Vegas: What is the change that needs to occur?

Finding the right balance in pain relief: A physician’s story

Rita Agarwal, MD
Physician
August 7, 2016

After surgery for my broken tibia, I realized that there were only four points on the pain scale that really mattered to me:

  1. I’m OK. This acetaminophen/ibuprofen/whatever is enough.
  2. I wouldn’t mind a little something more, preferably something that binds mu
  3. Um, could you please hurry that up?
  4. NOW! NOW!  I need it NOW!

On the 0 to 10 pain scale, who really cares if you are at a 2 or …

Read more…

Finding the right balance in pain relief: A physician’s story

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  • Most Popular

  • Past Week

    • Retirement isn’t the end of medicine, it’s a second act [PODCAST]

      The Podcast by KevinMD | Podcast
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      Mustafa Kemal Çalık, MD | Physician
    • Why haven’t ambient AI scribes boosted productivity?

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      Farid Sabet-Sharghi, MD | Physician
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      Heather Buckley | Conditions and Diseases
  • Past 6 Months

    • Why CDC opioid guidelines get the overdose data wrong

      Richard A. Lawhern, PhD | Conditions and Diseases
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      The Podcast by KevinMD | Podcast
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      Josette Pelatan, PhD | Conditions and Diseases
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      Manisha Kaliaperumal | Health Policy
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      Vaishali Popat, MD, MPH | Physician
    • A cold cost $945. The cost of primary care is broken.

      Susan Newman, MD | Physician
  • Recent Posts

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      Farid Sabet-Sharghi, MD | Physician
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      Deepak Gupta, MD | Conditions and Diseases
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