Anaesthesiology

About the Department & Specialty:

Established : 2003

Modes of Anaesthesia given:

General Anaesthesia
Regional Anaesthesia: Spinal and Epidural Anaesthesia, Peripheral Nerve Blocks using ultrasound, Caudal Block
Sedation for various procedures
Monitored Anaesthesia Care (MAC)
NORA (Non-Operating Room Anaesthesia)

Anaesthesia is given to elective surgeries and emergency surgeries from various surgical specialties in Main OT complex, Super specialty OT complex in SDMCMS&H and OT complex in the Craniofacial unit, SDM Dental college.

General Surgery: Major Abdominal Surgeries like Whipple's Surgery, Abdomino-peroneal Resection of Rectal Carcinoma, Laparoscopic Surgeries, Onco- surgeries like Breast Cancer, Hernia Surgeries, Surgery for Haemorrhoids, Surgery for Varicose Veins, Thoracic Surgeries (Video Assisted Thoracic Surgery VATS), Thyroid Surgery, Parathyroid Gland Surgery, Emergency Surgeries like Appendicectomy, Exploratory Laparotomy, Debridement.

Obstetrics and Gynaecology: Caesarean sections elective and emergencies, Complicated high risk obstetric surgeries, Laparoscopic Hysterectomy, Myomectomy, Diagnostic & Therapeutic procedures for Infertility, Gynaecologic Onco- surgeries.
Orthopaedics: Orthopedic Trauma Surgeries, Hip & Knee Replacement Surgeries, Arthroscopic Surgeries, Pediatric Orthopedic Surgeries.
ENT: Tonsillectomy, Adenoidectomy, Septorhinoplasty, Functional Endoscopic Sinus Surgeries, Tympanoplasty, Mastoid Surgeries, Microlaryngeal Surgeries for Laryngeal Pathologies, Foreign Body removal from Nose & Throat, Tracheostomies, Removal for Nasal Angiofibromas, Trans-Nasal Endoscopic Skull base surgeries.
Paediatric Surgery: Neonatal Abdominal and Thoracic Surgeries, Herniotomies, Pyeloplasties, Circumcision, Laparoscopic Surgeries, Endoscopic / Bronchoscopic Foreign Body Removal, Major Abdominal Surgeries.
Plastic Surgery: Split Skin Grafting & Flap Creations, Cosmetic Surgeries like Mastectomy for Gynaecomastia, Cleft Lip and Palate Correction Surgeries, Burns Contracture Release, Debridement for Infected Trauma Cases, AV Fistula Creations.
Neurosurgery: Head Injuries, Intracranial Tumours, Spine Surgeries, Intracranial Aneurysmal Clipping Surgeries, Intracerebral Shunt Surgeries.
Urologic Surgery: Cystoscopies, Surgery for Renal and Ureteric Stones, Laparoscopic Nephrectomy and Adrenalectomy.
Renal Transplant Surgery.
Oro-maxillofacial Surgeries: Oncologic Surgeries, Dental Surgeries, Trauma Cases with difficult Airway.

Timings & Holidays

Elective OTs : Monday to Saturday : 8.30 am onwards
Emergency OTs : Round the clock
Pre-anaesthetic evaluation Clinic (PAE) : Monday to Saturday : 8.30 am to 5 pm
MECT: Tuesdays, Thursdays and Saturdays : 8:30 am onwards
MRI and CT sedation : Mondays, Wednesdays and Fridays : 8.30 am onwards

Services Available

Postoperative pain control

Acute pain services
Labour analgesia
Epidural analgesia

Intravenous analgesic administration
Ultrasound guided nerve blocks

Patient controlled analgesia (PCA) using PCA pumps
Continuous femoral nerve blocks with catheter insertion for TKR surgeries

Procedures

Central Venous Catheter insertions in adult and paediatric patients
Endotracheal intubations in emergency and difficult airway situations, adult and pediatric
Fiberoptic endotracheal intubation
Percutaneous dilatational tracheostomy
Arterial cannula insertions for BP monitoring in high risk patients

Surgical ICU services

Postoperative surgical cases
Oxygen supplementation
Endotracheal intubation for patients in respiratory distress
Mechanical ventilation, Non-invasive ventilation
Peripheral venous cannulation , Central Venous catheter insertions, Haemodialysis catheter insertions

Emergency treatment for polytrauma cases
Surgical emergency cases are stabilized prior to surgery
Anaphylactic reactions treated
Cases of diabetic ketoacidosis are treated
Intercostal drainage for patients coming with pneumothorax and respiratory distress

Perioperative myocardial ischemia prevention and treatment
Critical obstetric cases like postpartum haemorrhage, peripartum cardiomyopathy, severe pre-eclampsia and eclampsia, ruptured ectopic pregnancy, pregnancies with heart disease
Any patient coming with life threatening conditions or severe pain is cared for.

Neurosurgical ICU services

Patients with traumatic brain injuries, cervical spine injuries
Neurosurgical postoperative patients : decompressive craniotomy, cervical spine stabilization procedures, intracranial tumour excision, intracranial aneurysmal clipping procedures
Critical Urological surgery patients
Endotracheal intubation for patients in respiratory distress

Non-Operating Room Anaesthesia (NORA)

Procedural sedation and general anaesthesia are provided for patients scheduled for CT and MRI in the CT room and MRI suite in the Radiology block.
General anaesthesia for Medical electroconvulsive therapy in psychiatry ward

Facilities

Outpatient Department:
— PAE Clinic: Consultation

— Evening Bedside Pre-anaesthetic Evaluations done the day before surgery

Pre-operative Area:
i) Beds Availability

ii) Staff Availability:

— Clinical Assistants

— Nursing Staff

— Office Assistants

— Co-Ordinators

ii) Equipments:

Standard Monitors: ECG, Pulse Oximeters, NIBP, Oxygen Supply, Suction Equipment, Nebulizer, Infusion Pumps, Defibrillator, USG Machine, Blow-air Warmers (Patient Warmer).

Post Anaesthesia Care Unit (PACU):
i) Beds Availability

ii) Staff Availability:

— Clinical Assistants

— Nursing Staff

— Office Assistants

— Co-Ordinators

ii) Equipments:

Multi Parameter Monitors, Nebuliser, ECG, USG Machine, Infusion Pumps, Syringe Pumps, Blood Warmer, Defibrillator, Suction Equipment, Patient Warmers

Surgical Intensive Care Unit (SICU):
i) Beds Availability

ii) Staff Availability:

— Clinical Assistants

— Nursing Staff

— Office Assistants

— Co-Ordinators

iii) Equipments:

Multi Parameter Monitors, Mechanical Ventilator, Nebuliser, ECG Machine, USG Machine, Infusion Pumps, Syringe Pumps, Blood Warmer, Defibrillator, Blow- air Warmers.

Neurosurgical ICU (NSICU):
i) Beds Availability

ii) Staff Availability:

— Clinical Assistants

— Nursing Staff

— Office Assistants

— Co-Ordinators

ii) Equipments:

Multi Parameter Monitors, Mechanical Ventilator, Nebuliser, ECG Machine, USG Machine, Infusion Pumps, Syringe Pumps, Blood Warmer, Defibrillator, Blow-air Warmers.

Main OT:

i) Operation Theatres

ii) Staff Availability:

— Clinical Assistants

— Nursing Staff

— Office Assistants

— Co-Ordinators

ii) Equipped with:

— Anaesthesia Workstation one in each OT

— Standard Monitors: ECG, Pulse Oximeters, NIBP, Oxygen Supply, Suction Equipment, Nebulizer, Infusion Pumps, defibrillator

— Airway Equipment: Airways, Endotracheal Tubes of all sizes, Flexible Fiberoptic Bronchoscope, USG Machine, Blow-air Warmers (Patient Warmers).