SREE MOOKAMBIKA INSTITUTE OF MEDICAL SCIENCES

Affiliated to the Tamil Nadu Dr. MGR Medical University

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Anaesthesiology & Critical Care

Introduction

Anaesthesiology is an art of science like a tight rope walk to maintain the normal homeostasis of the patient with or without multiple co-morbidities and make him/her unconscious and pain free during surgery using multiple drugs in titrated doses and provide an optimized state for the surgeon to complete the surgery and revert back to regain consciousness and the normal physiology.

The anaesthesia department is managed by qualified and experienced faculty with latest workstations, drugs and monitoring devices in all operating theatres. The Anaesthetist is like a captain of a ship who manages an organised team and assists in carrying out the surgery successfully.  Anaesthetist is involved in

  • Pre anaesthetic evaluation of the patient to make an appropriate plan of anaesthesia.
  • Perioperative management without any complications and complete the surgical procedure successfully.
  • Post operative monitoring, support and pain management in the immediate post operative period for 24 to 48 hrs.

Objectives

  • To provide Anaesthesia for all type of surgeries both elective and emergency
  • To provide anaesthesia for super speciality cases like cardiothoracic, neurosurgery, paediatric surgery and laparoscopic, other endoscopic and transplant surgeries.
  • To organize teaching programmes for the post graduates , undergraduates &
    nursing students.
  • To provide training to the CRRI’s to tackle emergencies in the casualty and do resuscitation including CPR & airway maintenance.
  • To give Respiratory care in all Intensive care units for the needed patients including Mechanical ventilation.
  • To provide care outside the OT like for MRI and CT scan in unconscious /
    uncooperative patients.
  • To provide anaesthesia for CATHLAB procedures including device closure.
  • To provide anaesthesia for the patients getting modified Radiotherapy.

Focus of the Department

  • To provide high quality anaesthetic services to all patients posted for surgery without any complications and give a comfortable post surgical period.
  • To give practical training to the post graduates and conduct theory classes.
  • To give pain relief in the pain clinic and palliative care for the terminally ill patients.

Facilities Available

SpecialtyNo. of OTs

Cardiac Surgery

2

OBGYN

1

General Surgery

1

ENT

1

Orthopaedic Surgery

1

Neurosurgery

1

Urology

1

Minimally Invasive Surgery

1

Ophthalmology

1

Septic OT

1

Emergency OT

1

All the theatres have latest work stations for administering General Anaesthesia with multi para meter monitors having ECG, SPo2, ETCO2, Respiratory rate, NIBP, IBP, Temperature Monitoring facilities, Infusion pumps, Warmer & Defibrillator.  The cardiothoracic OTs also have anaesthesia gas analyzers, BIS monitors, and Trans-oesophageal Echocardiography.

  • Nerve locator to perform Nerve blocks
  • Peripheral nerve stimulator to monitor neuromuscular blockade.
  • Portable Ultrasound for Central Venous cannulation as well as Nerve blocks.
  • Mobile Ventilators.
  • MRI compatible Anaesthesia work station.
  • Fibre-optic bronchoscope for difficult intubations and Tracheal lavage.
  • Video laryngoscope for difficult intubation.
  • Live surgical demonstration videos for students from outside theatre.
  • Museum
  • Department library.

Head of Department

Dr. A.Thavamani, MD, DA

Teaching Programmes

Under Graduate
  1. Lecture classes (total 16) for the Final MBBS (8th semester) with topics including
    • Introduction to Anaestheisa
    • Pre operative preparation
    • Pre medication
    • Gen anaesthesia
    • Regional anaesthesia
    • Peripheral nerve blocks
    • Oxygen therapy and airway management
    • Local anaesthetics
    • Intravenous anaesthetics
    • Inhalational anaesthetics
    • Anaesthesia equipments
    • Acute Respiratory Distress Syndrome
    • Quiz programmes
  1. Nursing students as per the UNIVERSITY regulations.
  2. BLS & ACLS training for MBBS students
Post Graduate
  • Lectures
  • Seminars
  • Journal club meetings
  • Clinical Society meetings
  • Case /Thesis discussions
  • Interdepartmental meeting
  • Monthly clinical & theoretical Internal assessment

Research Work

  • Comparison of Intra venous ranitidine and metoclopramide versus Intravenous Ondansetron in preventing PONV in post General Anaesthesia (2015- Dr. Mohsina Basheer / Dr. Romy Giever )
  • A study of the effectiveness of IV Dexmedetomidine in reducing the hemodynamics stress response to Laryngocopy and Intubation during General Anaesthesia (2015- Dr. Rakhi S. P. / Dr. Romy Giever )
  • A Comparative study on the effects of IV tramadol and Pethidine for post operative shivering of patients under Spinal Anaesthesia (2016- Dr. Jisha Roy Babu / Dr. Thavamani )
  • A study on the anaesthetic and analgesic effect of IV Dexmedetomidine as pre medication for spinal anaesthesia (2016- Dr. Suzanne Prasad / Dr. Jayaprakash)
  • Bi- spectral index monitoring and incidence of awareness in open heart surgeries done under Cardio pulmonary bypass (2017- Dr. Sahil N.S. / Dr. Prashanthan)
  • Saftey and efficacy of Dexmedetomidine on patients randomised clinical trial. (2017- Dr. Archana Biju / Dr. Thavamani )
  • Anaesthetic and analgesic effect of Levobupivacaine versus Levobupivacaine with Dexmedetomedine for supraclavicular block in a tertiary level hospital (2018- Dr. Anitha R. / Dr. Mahilamani )
  • Dexmedetomedine versus Clonidine as an adjuvant in 0.75% Ropivacaine for epidural anaesthesia in lower abdominal and lower limb surgeries in a tertiary care hospital (2018- Dr. Satheshkumar B. M. /Dr. Thavamani)
  • A comparative study of haemodynamic response with laryngoscopic endotracheal intubation and laryngeal mask air way insertion in hypertensive patient at tertiary care hospitals (2019- Dr. Shrey Sharma /Dr. Somasundharam )
  • The comparative efficacy of intra venous Dexmedetomidine versus Lidocaine in attenuation of stress response during intubation at tertiary care hospital (2019- Dr. Sheen Tarsis / Dr. Mahilamani)
  • Correlation of serum estrogen level with duration of post operative analgesia (2020- Dr. Karikalan A. /Dr. Paramasivan )
  • A comparison of Bupivacaine with Buprenorphine versus Bupivacaine with Fentanyl for spinal anaesthesia at a tertiary care hospital- A cross sectional study (2020- Dr. B. Aswini /Dr. Balakrishnan)
  • Duration of post operative analgesia using Epidural Magnesium sulphate with Bupivacaine, Dexmedetomidine with Bupivacaine & Bupivacaine alone (2021- Dr. Vijayarahavan/Dr.Beula)
  • Haemodynamic and cardio vascular responses to laryngoscopy and intubation in patients receiving intravenous magnesium sulphate versus intra venous lignocaine (2021- Dr.Felin Paul P. /Dr. Mahilamani)
Conferences & CMEs
  • CME on the eve of anaesthesia day celebration conducted at Souparnika Auditorium on 15th October 2016- INSPIRE 2016
  • Anaesthetic management of a case of pseudo aortic aneurysm of Ascending aorta under deep hypothermic circulatory arrest ( Poster presentation by Dr. Anitha at South Zone, Kerala, 2018)
  • POSTERIOR REVERSIBLE ENCEPHALOPATHY SYNDROME (PRES) with seizure in post partum Caesarian Section under spinal anaesthesia (Poster presentation by Dr. Sathesh Kumar at South Zone, Kerala 2018)
  • Successful anaesthetic management of a patient with low Ejection Fraction for Cystolithotripsy and post operative resuscitation of Cardiac arrest (National Conference, Kolkata – 2017)
Faculty as Speaker/Guest Lecturer

All faculties are speakers in Regional conferences, Dr. Prashanthan in state conference and Dr. Thavamani in state and national conferences.