Department of Anaesthesia and Intensive Care Started in 1994 Recruitment Rules for Faculty

1. Anaesthesiology is one of the youngest specialities of medicine now diversified in to newer branches like Intensive Care, Pain Relief and Emergency Medical Management.
   

2. An Anaesthesiologist(Anaesthetist) is a medical doctor who is a postgraduate in this field as in other specialities in the  hospital. Consultant Anaesthesiologists are assisted by Senior Residents, Postgraduates, Junior Residents, Anaesthesia Assistants (Technicians) and recovery room nurses. Well-trained staff and availability of 'State of the art' technology makes this one of the safest places to get an anaesthetic.

SAFETY AND TECHNOLOGY

Features

1. 'State of the Art' Anaesthetic machines and automatic record keeping in all machines in Block 'C'. One of these is available in every operation theatre. These monitors let us use extremely low fresh gas flows resulting in extreme economy and negligible theatre pollution. They allow us to know the exact amount of anaesthetic being administred and its clinical effects.

2. Anaesthetic gas monitors these monitors continuoulsy display the levels of oxygen, carbon dioxide, nitrous oxide, and other anaesthetic agents being administered.

3. Anaesthetic Depth Monitor  (BIS) one of these is available in every operation theatre in Block 'C'. These monitos let us know the depth of anaesthesia, thus minimizing the chances of awareness or overdosage during anaesthesia

4. Newer drugs for predictable anaesthetic responses are available like Fentanyl, Sevoflurane, Propofol, Newer muscle relaxants etc.

5. Multiparameter vital sign monitors with each anaesthesia machine for continuous monitoring of

• Electrocardiogram

• Blood Pressure (Invasive & non-invasive)

• Oxygen saturation & End tidal carbondioxide

• Temperature

• Airway pressures

• Neuromuscular function monitoring

6. Intensive Care Unit

1. Advance ICU Ventilators for respiratory support of critically ill patients in 10 bedded state of the art Intensive Care Unit in Block 'C' and 4 bedded ICU in Block 'A'.

2. Multiparameter vital sign monitor with facility for continuous monitoring of invasive/non invasive blood pressures, ECG, ST segment and arrhythmia analysis, arterial oxygen saturation, end tidal carbob dioxide (ETCO2), EEG, cardiac output & NMT etc.

3. Central station monitoring for all the vital sign parameters.

4. Availability of essentially required other equipment including i.e. Syringe pumps, infusion pumps, Blood gas and electrolyte machine, intubating laryngoscope, bronchoscope and spirometry alongwith other disposable items.

5. Seven Biphasic Defibrillator/pacemaker available in Operation Theatres and Intensive Care Unit.

8. Networking

All the anesthesia machines, recovery room beds and intensive care beds in Block 'C' are networked with a provision to view all patients at central web viewing station at level V Block-D and with a dial up  PC anywhere software  facility at Desktop/ a Laptop.

9. The Department of Anesthesia and Intensive Care

Is providing anaesthesia services for 15 Surgical Operation Theatres (08 in Block 'A' and 07 in Block 'C') fourteen bedded (04 in Block 'A' and 10 in Block 'C') Intensive Care Unit and 10 Bedded postoperative recovery room in Block 'C'.

SERVICES

• Anaesthesia services to a total of approximately 10,000 elective and emergency surgical patients per annum.

• Total of 1500 patients of trauma, poisoning, sepsis, post operative and cardio respiratory insufficiency have been efficiently managed in the ICU by the specially trained faculty and nursing staff.

• The preanaesthesia clinic (PAC) is being run by the department in the outdoor in order to evaluate, treat and render the patients fit for anesthesia before any surgical intervention. A total of 45,000 patients have been provided the benefit of this facility, so far.

RESEARCH & TRAINING

Undergraduate students, apart from theoretical knowledge, are also given practical exposure for anaesthesia skills and procedures in operation theatres for clinical training in anesthesia and intensive care. The department is also imparting teaching and training to postgraduate students for the award of degree of MD Anaesthesiology. At present there are nine postgraduate students in the department(3 per academic session).

The department has published a large number of scientific research papers in international and national journals of repute. The faculty actively participated at various International, National/ State level conferences/Workshops and delivered guest lectures/ read research papers.

RESEARCH PUBLICATIONS IN LAST ONE YEAR - INTERNATIONAL 

1. Goyal G, Gombar S, Horrow J,  Gombar KK Evaluation of morphine sparing effects of gabapentin for relief of postoperative pain in patients undergoing lumbar laminectomy: A double blind study. The Journal of Pain (Official journal of American pain society) April 2008, Vol 9, No. 4 Supplement 2 pg 43.

2. Fibreoptic airway management in a large thyroid swelling with respiratory compromise. Presented  as poster presentation in the “Medically challenging case programme” at the Annual meeting of the American Society of Anesthesiologists held in October 2008 at Orlando, Florida(As Coauthor).

3. *Mitra S. Opioid-induced hyperalgesia: pathophysiology and clinical implications. Review article in J Opioid Manage 2008; 4: 123-130.

4. *Vadivelu N, Mitra S, Narayan D. Recent advances in postoperative pain management. Review article in Yale J Biol Med (in press).

5. *Mitra S, Bhatia N, Dey N, Dalal U. Bronchobiliary fistula: an anesthetic challenge! J Clin Anesth (in press).
   

RESEARCH PUBLICATIONS IN LAST ONE YEAR - NATIONAL 

1. Khanna A, Gombar S   Statins- More than just plaque stabilization. A review article. Indian Journal of Anaesthesia  December 2008.

2. *Mitra S, Singh A. Anaesthetic management of a patient with systemic sclerosis. J Anaesthesiol Clin Pharmacol 2008; 24: 355-356.

3. *Mitra S. Role of neurologist in the anaesthetic management of systemic sclerosis – author’s  reply. J Anaesthesiol Clin Pharmacol 2009; 25: (in press).

4. Successful management of a patient with Tracheo Bronchial Tree Injury J. Anaesthesiology and Clinical pharmacology 2009;25(1); 83-84.
   

5. “The Anesthetic Management of Pregnant Achondroplastic Dwarf” in “Indian Journal of Anaesthesia”, in December 2008. 
   

6. “Airway Management in Intensive Respiratory Care Unit” This article was published in the book titled “Practical Approach to Critical Respiratory Medicine, Sleep Disorders and Fiberoptic Bronchoscopy” in 2008.
   

7. Successful management of a patient with Tracheo Bronchial Tree Injury J. Anaesthesia Clinical pharmacology 2009;25(1); 83-84
   

8. Inhalation induction in Children : Letter make it comfortable Nov.,2008 Paediatrics anaesthesia Vol. 29(11) Page 1189-90.

CME PROGRAMMES, CONFERENCES & ACADEMIC ACTIVITIES

• The Department of Anaesthesia & Intensive Care organized an international Conference “Critical Care, 2007” at Govt. Medical College & Hospital, Sector-32, Chandigarh where eminent National & International Faculty deliberated on important issues in Critical Care.

• The Department of Anaesthesia & Intensive Care conducts quarterly academic meeting to discuss interesting cases. Last meeting was conducted at Command Hospital, Chandimandir in November 2008.

• Quarterly academic meet of the Chandigarh Branch of ISA was held at GMCH on 7th Feb.2009 which saw active participation by senior anaesthesiologist from PGIMER, Command Hospital and Fortis, Mohali. Peri-operative management of two interesting cases were discussed.

AWARDS & ACHIEVEMENTS IN LAST ONE YEAR

1. Dr. S. Gombar, Professor and Head,   contributed a chapter on ”Management of critically ill obstetric patient”  in  Obstetric Anaesthesia, by Sunanda Gupta, Arya Publications

2. Dr.  Sukanya Mitra, Professor  contributed a chapter on “ Acute Pain management in patients with opioid dependence and substance abuse” in Acute Pain : Mechanisums and Management, 2^nd Ed.New York : Cambridge University Press.

3. Dr.  Sukanya Mitra, Professor awarded Indian society of Anaesthesiology WFSA Educational Scholarship for 2008.

4. Dr.  Deepak Thapa, Associate Professor selected for  one year (July 2008-June 2009)PDCC Course in Chronic Pain from Banaras   Hindu University,  Varanasi as a Govt. sponsored Candidate.