::Departments : Clinical : Department of Anaesthesia
    
Departments : Clinical : Department of Anaesthesia
 
Anaesthesiologists are perioperative physicians who provide medical care to patients before, during, and after surgical procedures. Anaesthesiologists are responsible for delivering (or ensuring the delivery of) anaesthesia safely to patients in virtually all health care settings, including all major medical and tertiary care facilities. This includes a preoperative medical evaluation of each patient before surgery, consultation with the surgical team, creating a plan for the anaesthesia tailored to each individual patient, airway management, intraoperative life support and provision of pain control, intraoperative diagnostic stabilization, and proper post-operative management of patients. Preparation of patients for emergency surgery are mandatory, essential, and critical skills that anaesthesiologists have been trained to employ.
Many developments have changed the life of the field of Anaesthesiology. This specialty not only has changed its appearance from a technology to a full- fledged science of Anaesthesiology, but also is almost on the threshold of branching into subspecialties.

   Head of Department : Prof.G.Sivakumar, M.D,.D.A.,

           

                                                      

Location

The department is located on the 1st floor of the PMSSY SPECIALTY BLOCK of GMKMC Hospital. It has one administrative office, Demonstration room, Seminar hall, library, CPCR training centre and storage room. Anaesthesiology OPD is situated in the 1st floor of the same block adjacent to department library. Operating rooms are located in various buildings of main block, AE block, New surgical Block, FP block, PMSSY Trauma Block, PMSSY Specialty Block.

Strength of Department:
  • Professor & Head 1
  • Professors 1
  • Associate Professors 3
  • Assistant professors  8
  • Senior Residents 11
  • Junior Residents 8
  • Anaesthesia Technicians 6
  • OT technicians 6
  • OT Assistants 6
Student and Staff Facilities:

MD (Anaesthesiology) course commenced since June 2013, Letter of permission from MCI granted. MCI recognition Pending. Proposed Inspection on 23rd April 2015.
Departmental library is well equipped with all latest more than 120 books of 97 titles
  • Computer with printer
  • LCD projector for lectures
  • Central library has more than 300 latest books on Anaesthesiology and periodicals
       Emergency: EMS: 3 tables for general surgery and orthopaedic and other emergencies.
       Emergency services other than above whenever required:
       Disaster relief services whenever requested
       Anaesthesia OPD: Used for pre-operative evaluation of patients on OPD basis .Here during preanaesthetic evaluation of patients on OPD basis, information regarding anaesthesia, risk involved in anaesthesia, option of anaesthesia techniques and likely complications are explained. Please do not hesitate to ask any queries. For routine planned surgeries, respective OT anaesthesiologist in wards and operating rooms again screens the patients prior to surgery.
        PACU (Post Anaesthesia Care Unit): 8 bedded situated in 1st floor of PMSSY Specialty Block. This tries to meet the intensive care needs of the Hospital. Patients requiring intensive care therapy in the post-operative period or patients with potentially life-threatening illnesses are treated in this Unit.
         Acute pain relief services
       Mobile team serving National programme - Anaesthesia for family planning – for the whole district                                

 Service
               OT Schedule
      
Equipment Available:
  • All OT complexes are Modular with Laminar airflow &Hepa filters and equipped as per minimum monitoring standards.
  • High end and mid end anesthesia workstations
  • Modular Multi Parameter Monitors (NIBP, ECG, SPO2, RR, TEMP, IBP, ETCO2, GAS Monitor, BIS, CVP, NMT)
  • Ultrasound for Regional Nerve Blocks & Trans thoracic Echocardiography,
  • ABG Machine
  • Fibre-optic Bronchoscope
  • Peripheral Nerve Stimulator (PNS), Nerve locator,
  • Liquid Oxygen Plant (10 KL capacity), N20 Manifold, Central Vacuum & Air compressor.
  • CSSD – Microprocessor controlled Autoclave, Gas plasma steriliser, ETO steriliser, Automated Laundry & Dryer
  • High end ICU Ventilators (Capnography & loop monitoring facilities)
Academics
  • Classes are conducted regularly for
  • Undergraduates
  • LSAS trainees – RCH II Programme
  • Technicians
  • Every year 16th October – ether day is celebrated along with CME programme
  • Department CME Programme - EMACE - Emergency Medicine & Anaesthesia Continuing Education Programme is conducted every December since 2008
Programme Schedule Timing
Lecture Classes On Every Monday & Wednesday 7:30 to 8:30 am
Group Discussions Daily 7:30 to 8:30 am
Case Presentations Every Month First Thursday 7:30 to 8:30 am
PG Seminars Every Month second Thursday 7:30 to 8:30 am
Journal Club Every Month Third Thursday 7:30 to 8:30 am
Departmental Audit Meeting Every Month Fourth Thursday 7:30 to 8:30 am
CME Programmes Yearly  
Guest Lectures Half - yearly  
 
    STATISTICS


       Year 2015
DEPARTMENT JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC TOTAL
OBSTETRICS 310 273 315 303 322 313 306 316 285 334 341 308 3726
GYNAECOLOGY 40 51 50 44 44 57 53 52 65 55 45 48 604
Family planning 30 31 31 36 42 38 33 28 48 37 43 20 417
ORTHO 150 157 161 163 194 236 256 251 241 255 200 213 2477
GEN. SURGERY 504 716 640 579 758 825 825 769 718 560 574 690 8158
ENT 53 60 64 59 69 65 59 59 53 61 45 55 702
OPTHOL 257 364 446 446 402 516 422 338 398 330 195 299 4413
PAED. SURGERY 57 53 68 73 89 82 79 80 79 103 76 78 917
PLASTIC SURG 40 39 47 35 51 48 42 39 46 31 33 31 482
UROLOGY 42 42 42 45 46 47 51 45 46 47 38 41 532
SGE 26 27 23 22 27 24 36 24 28 20 18 18 293
NEURO SURG 21 22 21 11 15 18 16 19 11 20 17 24 215
DENTAL 6 4 2 2 4 2 3 1 1 1 1 2 29
PSYCHIATRY 26 47 28 29 25 18 42 38 34 34 51 26 398
CTVS 6 0 5 1 4 3 5 2 4 3 1 4 38
TOTAL 1568 1886 1943 1848 2092 2292 2228 2061 2057 1891 1678 1857 23401


          

             YEAR 2014

         

 
            
 OPERATION THEATRE STATISTICS FOR THE YEAR 2015

 
MONTH ELECTIVE EMERGENCY ELECTIVE AND EMERGENCY
MAJOR MINOR TOTAL MAJOR MINOR TOTAL MAJOR MINOR TOTAL
JAN 662 488 1150 404 14 418 1066 502 1568
FEB 831 680 1511 364 11 375 1195 691 1886
MAR 973 573 1546 390 7 397 1363 580 1943
APR 893 561 1454 381 13 394 1274 574 1848
MAY 982 670 1652 429 11 440 1411 681 2092
JUN 1056 787 1843 404 45 449 1460 832 2292
JUL 1016 751 1767 409 52 461 1425 803 2228
AUG 866 719 1585 408 68 476 1274 787 2061
SEP 953 642 1595 398 64 462 1351 706 2057
OCT 870 507 1377 446 68 514 1316 575 1891
NOV 638 600 1238 404 36 440 1042 636 1678
DEC 773 634 1407 402 48 450 1175 682 1857
TOTAL 10513 7612 18125 4839 437 5276 15352 8049 23401


     Advanced Anesthesia work station and Ultrasound for nerve blocks

         

          
   Academic Schedule  for PGs

      1) Case Discussion  on Every Month Ist Thursday
      2) Symphosium -every month IInd Thursday
     3) Journal Club -every month IIIrd Thursday
     4) Internal Audit -every month IVth Thursday
     5) Dissertation discussion -every month Vth Thursday


       

  

ACADEMIC ACTIVITIES 2017 (JANUARY to MARCH)
  1. INTERESTING CASE PRESENTATION:
S.no DATE TOPIC PRESENTOR
1. 05.01.2017 Blind nasal intubation and difficult airway - A series of 8 cases. Dr. Muthamilselvan
2. 02.02.2017 A case of ARDS Dr. Afreen Nahar
3. 02.03.2017 Anaesthesia management of a Case of Hyperthyroidism posted for total thyroidectomy  
Dr. Megala
 
  1. PG SYMPOSIUM:
S.no DATE TOPIC PRESENTOR
1. 12.01.2017 1. Pressure volume loop, interpretation of PV loop in valvular Heart Disease.
2. Interpretation of Hemodynamic data
3. Perioperative Cardiac Arrhythmias
Dr. Megala
 
Dr. Megala
Dr. Jayashree
2. 09.02.2017 1. Management of kyphoscoliosis case coming for scoliosis correction
2. Intraoperative neurological assessment
Dr. Muthamilselvan
 
Dr Afreen Nahar
 
  1. JOURNAL CLUB:
S.no DATE TOPIC PRESENTOR
1. 19.01.2017 Use of extraglottic airways in ambulatory laparoscopic Surgeries without the need for tracheal intubation Dr. Parvathy
2. 15.02.2017 Efficacy of intranasal Dexmeditomidine Vs oral midazolam for paediatric pre medication Dr. Suganya
3. 16.03.2017 1. Prone Positioning in Patients with Moderate and Severe ARDS : A Randomized Controlled Trial-JAMA 2009
2. Prone Positioning in Severe ARDS - NEJM 2013
Dr. Yuvaraj
 
  1. INTERNAL AUDIT AND CENSUS:
S.no DATE TOPIC PRESENTOR
1. 01.02.2017 1. Case of massive intraoperative pulmonary embolism
2. OT and PACU census
Dr. Afreen Nahar
 
Dr. Megala
2. 23.02.2017 1. A case of foreign body ingestion (Lithium battery cell)
2. OT and PACU census
Dr. Rajarajan
 
Dr. Parvathy
3. 15.03.2017 1. OT and PACU Census February 2017
2. A case of 3rd ventricular colloid cyst- Post craniotomy- Death audit
3. A case of ICH with IVH
Dr. Suganya
 
 
 




  


GUEST LECTURE:
1) A lecture on ‘Basics of Mechanical Ventilation’ on November 17th, 2015, by
Dr.Damodaran, Consultant Anesthesiologist from USA.


2) Lecturer: Prof. Dr. R.Rajendran, retired Professor of Anesthesiology, Maternity Hospital, Egmore, Chennai.
Topic:    1. Obstetric Anesthesia
                2. Interpretation of Chest X-ray
Date: 16.06.2016, Venue: Lecture Hall, Department of Anesthesiology, PMSSY block

3) COMPREHENSIVE EMERGENCY AND CRITICAL CARE LECTURE AND HANDS ON TRAINING:
Target audience: Post graduate students of any speciality, CRRIs, and paramedical personal.
On all Wednesdays (Theory) and Fridays (Hands on training), 2pm to 3pm
Topics: BLS, ACLS, ATLS basics, basics of airway management, and ventilator management


 
 
 
  • Research activites

          
List of scientific researches done:
S.no Title Author Progress of the study
1. Barriers for Labor analgesia in South India, knowledge and attitude of relevant stakeholders: A hospital based cross sectional study Dr.S Syed ThahirHussain, MD third year PG
 
Won K.O.P award at National ISA conference held on December 2014 at Madurai.
2. A comparative study of Ropivacaine and Ropivacaine with Dexmeditomidine as postoperative analgesia for lower abdominal surgeries under ultrasound guided Trans abdominal plane block Dr.Selvaraj, MD third year postgraduate
Guide      : Prof. Dr. G. Sivakumar
Co-guide : Dr. Venkat Raghavan
Completed. Submitted to TN Dr.MGR Medical University
3. Bilateral superficial cervical plexus block combined with general anesthesia for thyroid surgery- A comparative study of analgesic efficacy, safety and intraoperative hemodynamic status. Dr. Nedumaran, MD third year PG.
Guide     : Dr. Murugesan
Co-guide: Dr.Mohanhariraj
Completed. Submitted to TN Dr.MGR Medical University
4. A prospective randomised study to compare and evaluate Macintosh laryngoscope and KingVision video laryngoscope for routine intubation in adults scheduled for elective surgery Dr.R. Megala, MD third year postgraduate. Guide     : Dr.K.Murugesan
Co-guide: Dr.S.Ramesh Kumar.
Completed. Submitted to TN Dr.MGR Medical University
5. Postdural puncture headache in lower limb and lower abdominal surgeries- A comparative study between 25G Quincke and 25G Whitacre needle. Dr. Lidiya George, MD third year postgraduate.
Guide: Dr. K Murugesan
Completed. Submitted to TN Dr.MGR Medical University
6. The effect of Dexmeditomidine on hemodynamics, postoperative sedation and analgesia in paediatric patients undergoing adenotonsillectomy. Dr. S. Vijay Kumar, M.D third year PG.
Guide     : Dr. Santhanakrishnan
Co-guide: Dr. Jothi Anand
Completed. Submitted to TN Dr.MGR Medical University
 
List of ongoing research works:
7. Comparison of the analgesic efficacy of two different doses of Bupivacaine verses Saline Placebo in Ultrasound Guided Transverse Abdominis Plane Block for Postoperative Pain Relief in Patients undergoing Lower SEGMENT Caesarean Section Author: Dr.R. Arunachalam
Co-authors: Dr.A.K.Prasath
Dr.MohanHariraj
Prof.G.Sivakumar
Ethical committee approved
 
 
 
8. Comparison of an ultrasound guided technique with traditional landmark technique for performing penile block in paediatric patients undergoing circumcision surgery. Author: Dr.R. Arunachalam
Co-authors: Dr.A.K.Prasath
Prof.G.Sivakumar
Dr.Ramesh, MD postgraduate
Ethical committee approved.
 
 
 
 
9. A prospective study comparing effects of oral clonidine and oral metaprolol for induced hypotension in functional endoscopic sinus surgery. Author: Dr.Dilish
Co-authors: Dr.MohanHariraj
Prof.G.Sivakumar
 
Ethical committee approved on 23.12.2015  
10. A prospective randomised study about attenuation of hemodynamic changes during laryngoscopy and endotracheal intubation with intravenous lidocaine versus intravenous Dexmeditomidine. Dr. S Ramesh, MD second year PG.
Guide: Prof Dr.R. Nagarajan
Co-guide: Dr. S Ramesh Kumar.
 
Ethical committee approved. Study being conducted.  
11. Ultrasound guidance with nerve stimulation compared with ultrasound guidance alone for performing infraclavicular brachial plexus block- A randomised control study. Dr. S Muthamilselvan, MD PG.
Guide: Dr. Santhanakrishnan
Co-guide: Dr.R Arunachalam.
 
Ethical committee approved. Study being conducted.  
12. Correlative study between preoperatively assessed Mallampati grading with Cormack-Lehane and POGO scoring in predicting difficult airway Dr. N Rajarajan, MD first year PG.
Guide      : Prof. G.Sivakumar
Co-guide : Dr. R Arunachalam
Ethical committee approved. Study being conducted.  
13. Paediatric caudal analgesia- comparative study of plain Bupivacaine, Dexmeditomidine as an adjuvant to bupivacaine and clonidine as an adjuvant to bupivacaine Dr. D Sasirekha, MD first year potgraduate.
Guide: Dr. K Murugesan
Co-guide: Dr. A. Senthil Kumar.
Ethical committee approved. Study being conducted.  
14. A comparative study of three supraglottic airway devices (LMA-Classic, LMA-Proseal and i-gel) in adult patients undergoing elective surgery. Dr R Afreen Nahar, MD first year PG. Guide: Prof. Dr. G. Sivakumar.
Co-guide: Dr. P Aravind Kumar.
 
Ethical committee approved. Study being conducted.
 
 
 
15 A comparative study on the effects of propofol, Thiopentone and etomidate for modified electroconvulsive therapy Dr. N Rajarajan, MD first year PG.
Guide: Dr.Santhanakrishnan
Co-guide: Dr. G Dilish.
Ethical committee approved. Study being conducted.
 
 
           
 
Scientific papers published on TN Dr. MGR Medical University Med e-journal:
16. Caesarean delivery under spinal anaesthesia in a parturient with poliomyelitis and scoliosis- A case report. Dr. V Nedumaran, MD third year PG.
Guide     : Prof. Dr.G.Sivakumar
Co-guide: Dr.P.Arvindkumar
Got published on e-journal
17. Removal of three years old retained central venous catheter guidewire – A case report. Dr. G. Selvaraju, MD third year PG.
Guide     : Prof. Dr.G.Sivakumar
Co-guide: Dr.P.Arvindkumar
Got published on e-journal
18. Anaesthetic management of surgical resection of bullous lesion of lung; awake laryngoscopic double-lumen tube insertion- A case report. Dr. R Megala, MD third year postgraduate.
Guide     : Prof Dr.G.Sivakumar
Co-guide: Dr.Mohanhariraj.
Got published on e-journal
19. Oxygen embolism during hydrogen peroxide irrigation during minor orthopaedic surgery- A case report. Dr. Lidiya George, MD third year PG.
Guide: Prof. Dr.G.Sivakumar
Got published on e-journal
20. Newer horizon in airway management for thyroid surgery- A case report. Dr S Vijaykumar, MD third year PG.
Guide:Prof.Dr.G.Siva kumar
Got published on e-journal
 

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