::Departments : OTHER SPECIALITIES : ANAESTHESIOLOGY

DEPARTMENT OF ANAESTHESIOLOGY

History

Hanaoka Seishū (1760�??1835) - Osaka. A Japanese surgeon of Edo period with knowledge of Chinese herbal medicine and Western surgical techniques. In 1785, Hanaoka re-created a compound similar to Hua Tuo's mafeisan. After years of research and experimentation, he finally developed a formula which he named tsūsensan (mafutsu-san) - a compound composed of extracts of several different plants. The active ingredients in tsūsensan were scopolamine, hyoscyamine, atropine, aconitine and angelicotoxin - consumed in sufficient quantity, produced general anesthesia and skeletal muscle paralysis.

Message of the Chair:

Dr. THAVAMANI, MD DA

Professor & Head

The department of Anaesthesiology was started in the year 1965 with only 2 anaesthesiologists. Now it has grown to a major & vital department in the hospital and the southern districts of Tamilnadu with 28 faculty, 40 other nursing, paramedical and office staff. We have recognized MD postgraduate residency program with an annual intake of 4 graduates per year. Our hospital being a tertiary referral centre, I take pride of being here.



 

SUCCESSION OF HEADS

Dr. Krishnan MD DA

1968 -

1975

Dr. Ian Sundararajan MD DA

1975 -

1976

Dr. Madanagopal MD DA

1976 -

1977

Dr. Mohan Roy MD DA

1979 -

1981

Dr. Sambandham MD DA

1981 -

1984

Dr. Prema MD DA

1987 -

1991

Dr, Rathnam MD DA

1991 -

1992

Dr. Parthasarathy MD DA

1992 -

1993

Dr. Ranganath MD DA

1993 -

1998

Dr. Balasubramanian MD DA

1998 -

2005

Dr. Kannan MD DA

2005

till date

PRIZE EXAMINATION FOR INTERNS

A medal exam is held for CRRIs (a pioneer endeavor among the anaesthesia departments in the TN). Interns take an examination of MCQs. 6 are short listed for the final evaluation which comprised of clinical, reasoning and skills in anesthesiology as an OSCE. Ms. Parimala Devi, was awarded the Gold Medal for the year 2010-2011(sponsored by Indian Society of Anaesthesiologists (ISA), Tirunelveli chapter.

Academic Program�??Graduate The graduate training is placed on a broad objective that at the end of the training, the student should be able to

  • perform cardio-pulmonary resuscitation with the available resources and transfer the patient to a bigger hospital for advanced life support.
  • Set up intravenous infusion.
  • Clear and maintain airway in an unconscious patient.
  • Administer oxygen correctly.
  • Perform simple nerve block procedures.
  • Exhibit awareness of the principles of administration of general and local anaesthetics.

He should know the principles of and the processes of

  1. Cardiopulmonary resuscitation (C.P.R.) �?? basic and advanced, including use of simple ventilators.
  2. Anatomy of upper airway; sites of respiratory obstruction and management of airway in an unconscious patient.
  3. The pharmacology of local anaesthetics, their use and how to perform simple nerve blocks like, 
    • Infiltration anaesthesia.
    • Digital block, Ankle block, Pudendal and paracervical blocks.

He should have fair knowledge of

  • Various methods of oxygen therapy and its indications.
  • Management of complication of regional anaesthesia.
  • The principles of administration of general anaesthetics.

How to

  • Start a intravenous line and infusion in adults, children and neonates.
  • Do a venous cutdown.
  • Insert and manage a Centrla Line.
  • Conduct C.P.R. ( Cardiopulmonary resuscitation ) and first aid in newborns, children and adults including endotracheal intubation.
  • Do lumbar puncture.
  • Perform nerve blocks like infiltration, digital, pudendal, paracervical and field block.
  • Administer O2 by mask, catheter and O2 tent and be able to handle O2 wall units and cylinders

Academic Program�??Residency

The Resident in our department goes through a strict routine of postings in various OT rooms and spaces. Genera! Surgery, Orthopaedic Theatre, Cardiothoracic Theatre, Neuro Surgical Theatre, Urology, Plastic & facio - maxillary, Paediatrics, Obstetrics & Gynoecology Theatre & E.N.T. Theatre. The residents also receive formal teaching schedules with Basic Sciences Departments for discussions in topics related to anaesthesia including anatomy, physiology, Pharmacology, Biochemistry, Physics including electronics, computers and lasers. The residents undertake pre anaesthetic evaluation and preparation including pre, per and post operative care. The residents receive hands on training in different methods of Anaesthetic Techniques. Regional anaesthesia including, spinal, epidural and caudal etc, Local anaesthesia including nerve blocks, management of chronic pain. They are trained in blood transfusion - Fluid and electrolyte balance, Theatre sterilization procedures, Oxygen therapy and Management of both acute and chronic respiratory insufficiencies, and ventilator committments in I.C.U and Critical care Anaesthesiology.

STATISTICS OF THE DEPARTMENT

Year

Major Surgeries

OG

Minor Surgeries

Total

2007

2,736

4752

12,486

19974

2008

3,986

4728

13,987

22701

2009

4,101

5013

12,881

21995

2010

4,610

5401

12,347

22358

Hospital Services Photos

 

OT AND ANAESTHESIA TECHNICIANS TRAINING PROGRAMME

These technicians are trained in the OT complexes for a period of 1 year. Basic sciences are also taught to them to equip themselves better inside the OT atmosphere. The training is focused on Operation Theatre maintenance sterilization procedure. Understanding the basic principles of anesthesia equipments and circuits. Assisting the anesthesiologists in all anesthestic procedures inside the Operation Theatre.

RESEARCH ACTIVITIES

  1. Nutrition in critical care: Kannan M, et al Indian journal of Anaesthesia (IJA):2008
  2. Mitral stenosis and pregnancy: Current concepts in anaesthetic practice. Kannan M, Vijayanand G. Indian J Anaesth 2010;54:439-44
  3. Differential blockade to assess surgical repair by intraoperative active mobilization in knee injuries-
  4. Beyond labour analgesia; Vijayanand G, Kannan M, Palaramakrishnan D. Indian J Anaesth 2011;55:181-3
  5. Effects of dexmedetomidine added to caudal ropivacaine in paediatric lower abdominal surgeries. Vijayanand G, Kannan M, Thavamani A, Bridgit MJ. Indian J Anaesth 2011;55:340-6.
  6. Comparison of subarachnoid blockade in pre-eclampsia patients and normal pregnant patients coming for caesarean section
  7. Effect of dexmedetomidine added to ropivacaine in paediatric day care surgeries
  8. Effect of intravenous paracetamol for post-operative pain relief following tonsillectomy
  9. Effect of intra-thecal clonidine on post-operative analgesia in pregnant patients undergoing lower segment caesarean section.
  10. Comparison of Buprenorphine and clonidine as adjuvants in supraclavicular brachial plexus blockade.
  11. Comparative study between epidural magnesium sulphate with ropivacaine and ropivacaine in lower limb surgeries.
  12. Comparative study of three different doses of dexmedetomidine added to hyperbaric bupivacaine for infra umblical surgeries.
  13. Comparison of three supraglottic airway devices �?? Proseal LMA, LMA supreme and I-gel in anaesthetized non-paralyzed patients.
  14. A study of lignocaine with dexmedetomidine for intra-venous regional analgesia.
  15. A comparative study of intra-thecal clonidine and fentanyl added to hyperbaric bupivacaine for lower segment caesarean section.

OUT REACH TRAINING PROGRAMME IN RURAL ANESTHESIA (6 MONTH COURSE)

PHC doctors are posted under RCH program for a period of 6 months in-house training. They are trained appropriately to manage the operation theatres in the PHCs�??, and to manage obstetric emergencies that would require the intervention of an anesthesiologist with special focus on fundamental principles of GA & RA, CPR, BLS and ACLS; Emergency airway management; Operation Theatre sterilization procedure and maintenance; Management of Obstetric emergencies.

 


Designed & Developed by

This site can be best viewed in 1024x768 screen resolution.