Drs. Anoushka Afonso and Lori Dangler, guest editors of November’s ASA Monitor, join Dr. Zach Deutch to discuss the perioperative care of cancer patients. Learn about how oncoanesthesia is evolving, preoperative strategies that make a difference, best communications practices, and more. Recorded September 2026.
Anoushka Afonso, MD, FASA, associate professor of clinical anesthesiology at Weill Cornell and vice chair of faculty affairs at Memorial Sloan Kettering Cancer Center (MSK) in New York City. On top of her clinical leadership, she serves as president of the American Society of Enhanced Recovery and Perioperative Medicine (ASER-PM).
Dr. Afonso earned both her undergraduate and medical degrees at Georgetown University before completing dual residency training in internal medicine and anesthesiology at Mount Sinai Hospital. For over a decade, she’s been dedicated to caring for cancer patients at MSK, and her outstanding work as a leader and mentor earned her the prestigious American Medical Women’s Association (AMWA) Inspire Award.
Lori A. Dangler, MD, MBA, FASA is a board-certified anesthesiologist and clinical professor of anesthesiology and perioperative medicine currently practicing at the University of Texas MD Anderson Medical Center (MDACC) in Houston, TX. She is a graduate of The Ohio State University and the Medical College of Georgia. Her residency training was done at the University of Florida in Gainesville, followed by a regional anesthesia and acute pain fellowship at Virginia Mason Medical Center in Seattle, Washington.
After completing her fellowship, she joined the Mayo Clinic staff in Jacksonville. In 2006, Dr. Dangler accepted a position at MD Anderson Cancer Center, Houston, Texas in the department of anesthesiology. Her clinical focus was primarily providing anesthesia care to complex oncology patients for hepatobiliary surgery. Her interests in perioperative medicine were quickly reignited again when she was appointed Medical Director of MDACC’s Preoperative Assessment Clinic, which under her direction grew to assess approximately one hundred patients daily. Dr. Dangler now provides clinical anesthesiology services to ambulatory cancer patients. She also holds a joint appointment in gastroenterology, hepatology and nutrition. She is an active member of the Texas Medical Society (TMA), Texas Society of Anesthesiologists (TSA), and the American Society of Anesthesiologists (ASA). Within the ASA, she has been engaged with the Committee on Professional Diversity, Professional Wellness, Occupational Health, Palliative Care, Late Careers, and the Ambulatory Subcommittee.
Her clinical research interests are in pain medicine, vasopressor use in flap surgery, enhanced recovery (ERAS) options, and anesthesia techniques impacting oncologic surgery. Her latest professional achievements have been in editing various anesthesiology journals. When not providing perioperative care, writing or editing, Dr. Dangler stays busy fulfilling other pursuits such as engaging colleagues in OR sustainability. However, her true passion is traveling the world and enjoying other cultures.
Zachary Deutch, MD, FASA, is an attending physician with US Anesthesia Partners-Florida and is a guest editor for The Central Line Podcast. Dr. Deutch serves on the editorial board for the ASA Monitor, and is the author of the bimonthly column "Ask The Expert." Dr. Deutch is also the physician review editor of the ASA Monitor Today, is a member of several ASA Committees, and is an at-large member of the ASA House of Delegates from Florida.
Dr. Deutch is a graduate of Princeton University and The George Washington University School of Medicine. His residency training was done at Brigham and Women's Hospital in Boston, followed by a cardiothoracic anesthesia fellowship at Massachusetts General Hospital.
Date of last update: October 19, 2026