Services - Anesthesiology


Pre- anaesthesia clinic
The PAC clinic iswhere each patient is evaluated for their pre-operative status with comprehensive assessment tools, following which anaesthesia plans are discussed with patients and their families. Surgical teams are encouraged to send patients for early assessments so that adequate optimization and referral care may be done prior to surgery. This enhances surgical and post-operative outcomes.

Operating room
The department has faculty adept to handle a wide range of surgical specialities. A combination of anaesthetic techniques are used for patients depending on the clinical status, comfort of the patient and the requirement of the surgeon.

Some of these specialitiesinclude-
1. General surgery- gastro intestinal, hepatobiliary, endocrine, laproscopic surgeries.

2. Obstetric and gynaecology- complex pregnancies, laproscopicsurgeries ,chromopertubation.

3. ENT- nasal endoscopies, tracheal reconstruction surgeries, laser surgeries, cochlear implant surgeries.

4. Ophthalmology- cataracts, vitrectomies,laser surgeries.

5. Paediatric surgery- GI, spina bifida corrections, VP shunt surgeries, paediatric thoracotomies, foreign body removal and bronchoscopies, trauma surgeries, surgical intervention for neonates including congenital malformations and urological procedures.

6. Urology- laser surgeries, renal stenting, lithotripsy, tumor resections, nephrectomies and prostrate surgeries.

7. Plastic and reconstructive surgery- trauma, burns care, congenital malformations correction, cosmetic surgery.

8. Neurosurgery- tumor resections with neuronavigation systems, trauma care, craniectomies for bleed evacuations, spine surgeries.

9. Orthopaedics - adult and paediatric, trauma care, joint replacements, corrective surgeries for congenital conditions.

10. Cardiothoracic and vascular surgery– CABGs, valve replacements, thrombectomies, lobectomies, thoracotomies.

11. Oncology surgeries- oral and facial cancer, breast cancer, GI cancer surgeries, Hyperthermic Intraperitoneal Chemotherapy (HIPEC) procedures.

12. Gynaecological oncology- uterine, ovarian and cervical cancer surgeries.

13. Renal transplant- live and cadaver transplant.

Post operative care
Patients who require continuous monitoring and clinical support after major surgeries are shifted to our Surgical ICU for recuperation.Patients who receive epidural analgesia or require IV PCA pumps are followed up regularly in the first 72 hours of the post-operative period.

Non- operating room anaesthesia
While most of our work involves perioperative care, anaesthesia is now also a part of diagnostics, interventional procedures and treatment in collaboration with specialities outside the operating room. The department has fully functional and recent equipment along with trained faculty in the field of remote anaesthesia.

Some of the common specialities include-
1. Interventional procedures in neurological conditions with neuroradiology.

2. MRI and CT imaging and interventions with radiology

3. Endoscopic procedures with gastroenterology

4. Radiotherapy procedures with radio-oncology

5. Electroconvulsive therapy with psychiatry.

Surgical ICU
Surgical ICU is a 10 bedded closed ICU which aims to give totally dedicated and compassionate care to every patient by motivated team of doctors, nurses, physiotherapists and nutritionists. We provide high level of intensive care to critically ill patients from different surgical disciplines including comprehensive care for trauma patients. We also provide multidisciplinary intensive care to neurosurgical patients ranging from tumour excisions and strokes to traumatic brain injury and aneurysms .

Teaching
The undergraduates and interns rotate through the department and are taught the importance of anaesthesia along with basic airway management, life support and regional anaesthesia techniques.

The postgraduate training program was first started in 1985 and has since been one of the most sought afterpostgraduate degree programs in the country. Currently 14 aspiring postgraduates are inducted each year. They are trained by faculty members with adept expertise and knowledge in the field of anaesthesiology, peri-operative medicine, pain management non-operating room anaesthesia and critical care.

The large number and the complexity of cases seen in our hospital allows ample opportunity for hands-on training techniques and research. Innovative teaching methods like simulation and skills lab training, integrated teaching with other departments, regular case discussions, seminarsand journal critiquing are a large part of the curriculum. The BSc Anaesthesia- OT technology course is the latest offering from the department to increase the numbers of qualified OT personnel towards providing thorough perioperative care.

The department of anaesthesiology is an integral part of code blue services in the hospital, including auditing and training of all interns, PGs and faculty in BLS and ACLS.

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