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Dr. Eugenia Ayrian, guest editor of the February ASA Monitor, speaks with Dr. Keya Locke about neuroanesthesiology. From awake craniotomy to thrombectomy, Drs. Ayrian and Locke review advances in neuromonitoring and the ways physiological optimization, cerebral protection, and hemodynamic control are evolving patient management in this subspecialty. Recorded December 2025.
Eugenia Ayrian, MD, is a clinical professor of anesthesiology and a vice chair of education at the Keck School of Medicine of the University of Southern California in Los Angeles. She earned her medical degree at the Medical Institute in Yerevan, Armenia, and completed her anesthesiology residency training at the University of Southern California in Los Angeles.
Dr. Ayrian’s clinical interests are in neurosurgical anesthesia. She has contributed multiple articles to peer reviewed literature, authored book chapters, and presented multiple invited scientific lectures at national and international conferences. Dr. Ayrian is committed to the process of education, she was awarded the Certificate of Recognition for Dedicated Service to the Committee on Admissions and received the Award in Recognition of Outstanding Teaching of Medical Students at USC.
Dr. Ayrian is the chair of the Committee on Neuroanesthesiology at American Society of Anesthesiologists and is the secretary of the California Society of Anesthesiologists; she serves as a director-at-large of the Society of Neuroscience in Anesthesiology and Critical Care (SNACC).
Keya Locke, MD, MBA, serves as the medical director of perioperative services at UF-North in Jacksonville Florida. Dr. Locke has been an assistant professor at UF Jacksonville since 2017. She completed medical school at UF Gainesville, residency at UF Jacksonville, and graduated from UF Warrington School of Business with an MBA in 2020. Her current interests include practice management and organizational behavior. She hopes to bring a better understanding of how organizations “breathe” and begin to apply strategies of successful organizations to medical ones. Dr. Locke is a member of the ASA practice management and women in anesthesia committees.
Date of last update: January 12, 2026
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