Department of Anaesthesia

Overview

The Department of Anaesthesiology and Critical Care Saveetha Medical College Hospital was established in October 2007. From the date of inception to the current status the department has grown rapidly owing to the complexity of the cases seen and technologies available for patient care.

The department now has 18 state of art modular operation theatres spread over 3 floors with all equipments and monitors and audiovisual connectivity to the conference hall (Solai hall). There is a cath lab providing 24 hrs services with a hybrid operation theatre. We have 20 bedded post anaesthesia care unit (PACU) for providing quality services for patients in the immediate postoperative period. We also have full-fledged ICU, IMCU and CCU.

We have 24 consultants and 25 residents to provide anaesthesia care for all specialties apart from core specialties we take care of cardiothoracic surgery, neurosurgery, orthopaedic surgery, obstetric gynaecology , spine surgery, paediatric surgery, uro surgery, facio-maxillary surgery, plastic and remonstrative surgery, joint replacement, onco surgery, hepatobillary surgery, bariatric surgery , colorectal surgery and renal transplant surgery.

It is a post graduate Institute with 12 MD Anaesthesia pgs intake every year. The department if full fledged with skilled faculties and professors and excellent academic activities. Currently our department has started a PDCC course in acute pain management with 2 residents every year. We also provide chronic pain relief procedures with RF, TFESI and cooled RF for selected cases.

Our ultimate motto is to provide outstanding patient care and finest education for medical students, residents and AHS students with the team of accomplished faculty and world class infrastructure.

Facilities

Scope of Services Provided

Anaesthesia for all ages
Pre Anaesthesia consultation
Post operative pain relief
Ultrasound Guided Regional Anaesthesia
Advance pain management for knee and hip replacement surgeries
Interventional pain management
Painless labour
Anaesthesia for laser surgery
Robotic assisted surgery
Renal transplant
Awake craniotomy
Cardiac intensive care
Anaesthesia for around 15 super specialities
Post doctoral course on acute pain management (PDCC in RAAAPM)

ACADEMIC ACTIVITIES

WORKSHOPS CONDUCTED

THE SPECIALITY OF PAEDIATRIC ANAESTHESIA
ULTRASOUND GUIDED CENTRAL NEURAXIAL BLOCK”- HANDS ON WORKSHOP
SCOPE II-2021- REGIONAL ANESTHESIA BOUTIQUE
COMMITTED TO CARE -THROUGH GOOGLE MEET
REGIONAL ANAESTHESIA STUDY DISSECTED ANATOMY OF NERVES AND ULTRASOUND ANATOMY ON CADAVER

GUEST LECTURES

ANAESTHESIA FOR MEDICAL STUDENTS
RESOURCE PERSON : PROF .VASANTHI VIDHYASAKARAN,RT DIRECTOR IACC,MADRAS MEDICAL COLLEGE
HUMAN FACTORS IN MEDICAL ERRORS
RESOURCE PERSON : DR.SENTHIL KUMARAN CONSULTANT ANESTHETIST NORTHAMPTON GENERAL HOSPITAL UK
THE SPECIALITY OF PAEDIATRIC ANAESTHESIA
RESOURCE PERSON : DR.S.RAMESH,MD,DA,CHIEF ANAESTHESIOLOGIST,KK CHILD TRUST HOSPITAL CHENNAI
SLEEP – SPIRITUAL PERSPECTIVE
WHO AM I – “MIND & BODY INTERACTIONS”
RESOURCE PERSON : DR .BALAKRISHNA PONNURAJ PHD CFD SPECIALIST , GENERAL ELECTRIC , USA
CORE TOPICS IN INTENSIVE CARE
RESOURCE PERSON: DR.S.SARAVANA KUMAR ASSOCIATE PROFESSOR STANLEY MEDICAL COLLEGE, DR.A.S. ARUN KUMAR PROFESSOR CRITICAL CARE ,SMCH

WEBINARS CONDUCTED

RECENT ADVANCES IN REGIONAL ANAESTHESIA
TIVA AND OFA
LABOUR ANALGESIA (PAINLESS LABOUR)
RESOURCE PERSON : PROF. JAYASHREE, PROF. HEPSIBAH, PROF. GUNASEKARAN, DR. GIRIMURUGAN,DR. BEULAH,
DR. ARCHANA, SMCH
NEURO CRITICAL CARE- APPROACH TO TBI AND ACUTE STROKE
RESOURCE PERSON : DR.PRATHEEMA RAMACHANDRAN
MBBS, DNB (ANES), IDCCM, IFCCM, EDIC
HANDS ON TRAINING ON ECMO
RESOURCE PERSON : PROF VIJAYA SHANKAR HOD OF CRITICAL CARE ,KMC
AIRWAY MANAGEMENT IN NOMA DISEASES - THROUGH GOOGLE MEET
RESOURCE PERSON : DR.WESLEY RAJALEELAN , MBBS,MD,DA SUNNYBROOK HEALTH SCIENCES CENTRE,CANADA

INTRODUCTION TO PAIN MEDICINE - THROUGH GOOGLE MEET
RESOURCE PERSON : DR.KARTHIC BABU NATARAJAN, MBBS, MD, DNB, FIPM, FIPP , PAIN MANAGEMENT SPECIALIST,SYNAPSE PAIN AND SPINE CLINIC

AWARDS AND ACHIEVEMENTS

ACHIEVEMENT PARTICULARS

Dr. Prem kumar currently professor has written a book titled on "ICU manual" - by Jaypee publishers.
Dr. Prem kumar Presented a poster in new York school of Regional Anaesthesia (NYSORA) , Dubai & won the best poster with a cash prize of 500 dollars .
Dr.R.Dhivya second year post graduate got 3rd prize in poster presentation south zone ISA CON 2021 held at Pondicherry.
Dr.Jayashree second year postgraduate got 3rd place in ISA MIDKON 2022 Kerala .
Dr.Harish Kumar 2nd year Postgraduate Presented a E-poster in SAVENT 2020 on International Tinnitus Webmeet in Saveetha Medical college and hospital ,won the special prize held on 26th September 2020.
Dr.Deepak Rajan 2nd year postgraduate presented a Poster In Stanley medical College conducted on October 2019 for World Anaesthesia Day got a Second Prize in state conference .
Dr. Prateek 3rd Year Postgraduate presented a Poster in BALANCE 2019 awarded First prize in National conference at Sree Balaji Medical College and Hospital.
Dr. Praveen 3rd Year postgraduate did a Poster Presentation in SAVENT 2019 got Second prize in National conference at Saveetha Medical College and Hospital.
Dr. Chandrasekhar 3rd Year postgraduate did a Paper Presentation in Saveetha MEDICON 2019 got a Second prize National conference at Saveetha Medical College and Hospital.
Dr. Sanjana 3rd Year postgraduate did a Paper Presentation in Saveetha MEDICON 2019 got a first prize National conference at Saveetha Medical College and Hospital.
Dr. Reesha and Dr. Jayashree attended the 39 th ANNUAL ESRA CONGRESS held in Greece presented a poster in the conference .
Dr. Reesha assisstant professor attended the 39th ANNUAL ESRA CONGRESS held in Greece presented a poster in the conference .

DEPARTMENT ACHIEVEMENTS

The department of anaesthesia received Award of appreciation for their exemplary services during the active phase of COVID infection
We have been approved center for transplant procedures – Kidney ,Liver and Heart. Renal Transplant surgery is routinely being conducted here from 2018.
Department has started a E-News letter titled AWAKE from march 2022 – monthly periodical
Department started PDCC course in Regional Anaesthesia and Acute Pain Management from 2019 course period of 1 year.
The department offers observership in Acute Pain management of variable duration from 1 week to 1 month
The department is selected as a center for conducting National Board Practical Exam.
The department conducts a Annual CME and workshop every year in the name of “ SCOPE” around the month of October
We are the pioneer in procuring COOL RF machine in South India for managing chronic pain conditions
Recently department of anaethesia is also providing its services for Robotic for assisted surgeries
We are also a part of the Smile Train programme- where cleft lip and palate correction is done for small children

Research Projects

RESEARCH WORK BY MBBS STUDENTS

A study titled “Pre emptive analgesia with T.Gabapentin 300mg given on the morning of surgery and amount of post operative analgesic requirement “ doing by Dr. Sagarika under the guidance of Dr.Nikila .
A study on “6 MWT as a tool for cardiac fitness in diabetic population” by Dr. Sadhurna under the supervision by Dr.Bharathi
A study on “STOP BANG scoring in PAC and its effect on post operative respiratory complications” by Dr. Saivaishnavi under the guidance by Dr.Surya
A study on “Postoperative pain assessment comparing different tools and their correlation to pain at rest and dynamic pain” by Dr. Sakthidaran under the guidance by Dr.Reesha.
A study in the co morbidities associated with gall bladder disease in tertiary care hospital by Dr. Samyuktha under the guidance by Dr Senthil
A study titled on “Frequency of post operative incidence of hypothermia in RA and GA by Dr. Santhira under the guidance by Dr Sanjana
A study on “Incidence of clinical hypothyroidism in surgical population” by Dr. Santosh under the supervision of Dr Sathesh
A study on “Preoperative deranged liver function tests and post operative outcome in major abdominal surgeries” by Dr. Sharadha under the supervision by Dr Monica
A study on “Correlation of ultra sound guided tracheal diameter assessment to actual ETT size used “ by Dr. Sathish under the vision by Dr Rajkumaran
A study on “ Hartens formula for spinal dose determination in cases done under RA( mainly obstetric cases)” by Dr.Shamna under the vision by Dr.Girimurugan
RESEARCH WORK BY POSTGRADUATES

A study on “Comparison of clonidine and dexmedetomidine in fascia iliaca block for post hip fracture patients” by DR.SORNAM under the guidance of DR.R.LAKSHMI
A study on “Pre-operative subcoastal TAP block in patients undergoing laparoscopic surgery – effect of peri operative analgesia” by DR.ARUN PRASANTH under the guidance of DR.R.LAKSHMI
A study on “Comparison of motor recovery following spinal anaesthesia with 0.5% bupivacaine and combined spinal epidural anaesthesia with reduced dose of spinal bupivacaine and epidural top ups with 2% lignocaine” by DR.KARTHIGA under the guidance of DR.PONNAMBALA NAMASIVAYAM
A study on “Effect of postassium chloride as a local anaesthetic adjuvant for supraclavicular brachial plexus block for upper limb surgeries” by DR.DIVYA.V underthe guidance of DR.PONNAMBALA NAMASIVAYAM
A study on “Comparison of two different volumes of local anaesthetic for USG guided infraclavicular nerve blocks in hand injuries” by DR.SUSHMITHA under the supervision by DR.A.RATHNA
A study on “Influence of timing IV fluid therapy on maternal hemodynamics in patients undergoing C section under SAB” by DR.TASNEEM FATHIMA AHMED under the guidance of DR.A.RATHNA
A study on “Effects of using ketamine nebulaisation preop helps in post operative sore throat after GA”by Dr. JAYASHREE under the supervision of Dr.GUNASEKARAN
A study on “Comparison of spinal block characteristics height and weight based vs fixed dosage of intrathecal bupivacaine for LSCS patients” by DR.ROHIT KAMALunder the guidance of DR.GUNASEKARAN
A study on “Post operative sore throat prevention in a patient undergoing surgery under GA with magnesium gargle and nebulization of ketamine” by DR.VAISHALI under the guidance of DR.SRIDHAR
A study to evaluate “the effect of dexmedetomidine and ketamine as adjuvant to epidural bupivacaine for post operative analgesia in lower abdominal surgery” by DR.VIVEKANAND under the guidance of DR.SRIDHAR
A study on “Comparative evaluation of two different types of video laryngoscopes for intubation with head in neutral position” by DR.PREM CHANDAR under the guidance of DR.NAVANEETHA KRISHNAN
A study on “Analgesic sparing effect of dexamethasone with levobupivacanine in quadrates lumborum block in patients undergoing unilateral inguinal hernia” by DR.DHIVYA.R under the supervision by DR.YACHENDRA.
RESEARCH WORK BY STUDENTS OF ALLIED HEALTH SCIENCES

A study titled “Incidence of backache after SA comparing gender age & number of attempts” by Sindhu Under the guidance of Dr.Sreevidya
A study titled “Pre op oral melatonin 6mg and level of anxiety & post op analgesia observeational study” by Preethi under the guidance of Dr.Bharathi
A study titled “ Modified HELP position &intubation attempts in obese patients” by Uma under the supervision by Dr.Krishnapriyanka
A study titled “Correlation of MMPC ,TMD,neck circumference in assessing difficulty in intubation” by Monika under the guidance of Dr.Reehana
A study titled “ ASSQ () to assess axiety in fed & non fed patients” by Sri Kaaviya Priya under the vision by Dr.Sathya Priya
A study titled “ Comparison between plasmalyte vs RL and acid base changes” by Shabana Sultana under the guidance Dr.Monica
A study titled “Comparison of low dose ketamine in preventing post op shivering after SA” by Rahila Banu under the guidance of Dr.Surya
A study titled “ Cuff pressure monitor vs conventional air insuflation in the incidence of POST “ by Sowmya under the supervision of Dr.Sanjana
A study titled “ Gastric volume and content assessment in adult in undergoing elective surgery” by Vinodhini under the guidance by Dr.Senthil
A study titled “ Pre op fentanyl patch and post op pain assessment of duration of analgesia after cardiac surgery” by Mushrathanaaz under the guidance by Dr.Sathesh
A study titled “ Premedication in children using MOKA cubes compared to no premed – regard to cannulation” by Nirmal Kumar under the supervision by Dr.Reesha
A study titled “Success rate of IV cannulation by using vein finder” by Arpitaa under the guidance by Dr.Nikila
A study titled “Postop cognitive dysfunction using brice questionarise in elderly under going ortho surgery” by Chakkaravarthi under the guidance by Dr.Rajkumaran
A study titled “Perfusion index as predictor for hypotention is SA in ortho surgery” by Bharathi under the guidance by Dr.Ramjeevan
A study titled “ SGA as adjunent to preoxygen in routine GA + hemodynamic changes” by Steevan Prakash under the guidance by Dr.Girimurugan
A study titled “Ease of SA with lateral decubitus position + sitting position comparative study “ –number of attempts ,level of analgesia onset by Mohin Khan under the guidance by Dr.Yachendra
A study titled “ Sevoflurane vs TIVA and the incidence of nausa & vomiting in children undergoing short procedures” by Sivakumar under the guidance by Dr.Prem
A study titled “Assessment of incidence of infection in OT s with or without positive pressure” by Deepak Raj under the guidance by Dr.Ashok
A study titled “Passive insufficient of O2 during pre oxygen delay in hypoxia during regular GA” by Gokulnath under the guidance by Dr.Ajay

Publications

PUBLICATIONS

1.    Comparision between opioid free anesthesia and conventional opioid based anesthesia for patients undergoing laproscopic surgeries under general anesthesia.Journal of Pharmaceutical Research International , 34(15B):27-37,2022.
2.    Comparison of the sedative effect of inhaled nitrous oxide and intranasal midazolam in behavior management and pain perception of pediatric patients: A Split –mouth randomized controlled clinical trial. International Journal of Clinical Dentisty,2022
3.    Comparison of pericapsular nerve group block versus fascia lliaca compartment block as postoperative pain management in hip fracture surgeries. Anesthesia: Essays and Researches,2022
4.    Evaluation of single dose ephedrine on the onset time of rocuronium bromide – A prospective randomixed double blind study. Indian Journal of Clinical Anaesthesia ,9(1),2022.
5.    Effectiveness of pre-emptive nerve block on opioid consumption in patients undergoing nasal surgery under general anaesthesia: A double –blinded randomized controlled study. Indian Journal of Anaesthesia 2022;66:133-9.
6.    Awake proning in COVID -19 patients with acute hypoxic respiratory failure.International Journal of Advanced Research in Medicine,vol 4,issue 1,2022
7.    Anaesthetic management of tongue cancer. International Journal of Medical Anesthesiology,vol 5,issue 1,2022
8.    A comparative study of intranasal dexmedetomidine and intranasal midazolam for premedication- A prospective randomized double – blind study in children posted for tonsillectomy, Indian Journal of Clinical Anaesthesia;Vol 9;issue 1;2022.
9.    Actual depth of subarachnoid space- A correlation between subarachnoid space depth estimated by stocker’s formula,craig’s formula and ultrasound guided spinal anaesthesia in the lumbar region.Indian Journal of Clinical Anaesthesia,vol 9,issue 1,2022
10.   Twin mixed local anaesthesia in third molar surgery – Randomized controlled trial , Journal of oral and maxillofacial surgery, 2021, 10.1016/j.joms.2021.07.013.
11.   Total intravenous anaesthesia for intra – operative neurophysiological monitoring.Annals of R.S.C.B,vol 25,issue 2,2021.
12.  The endotracheal intubation in cleft surgeries : A comparison between Macintosh laryngoscope and McGrath Mac videolaryngoscope,EJMCM vol 8,issue 2 , 2021.
13. Comparison of two different volumes of 0.5% levobupivacaine for clavicular surgeries using combined interscalene and superficial cervical plexus block.Journal of Cardiovascular Disease Research,Vol 12,Issue 03,2021.
14 .   6 Minute walk test (6-MWT) as a tool for predicting post operative pulmonary complications in abdominal surgeries.Journal of Pharmaceutical Research International,Vol 33,Issue (50 B),2021.
15. Clinical comparative study of effect of two different doses of phenylephrine on spinal induced hypotension during cesarean section. Journal of Pharmaceutical Research International,Vol 33,Issue (47 B),2021.
16. To compare the efficacy of betamethasone Gel and lignocaine gel applied over endotracheal tube to reduce post operative sore throat and cough. Journal of Pharmaceutical Research International,Vol 33,Issue (47 B),2021.
17. Incidence of autonomic neuropathy during Assessment in Diabetes Mellitus patients in PAC. Journal of Pharmaceutical Research International,Vol 33,Issue (48 A),2021.
18. Evaluation of single dose ephedrine on the onset time of rocuronium bromide.Indian Journal fo Clinical Anaesthesia,2021.
19. Transforaminal Epidural steroid infection in lumbar radicular pain.iMedPub Journals,vol 6,No.1:1,2020.
20. Incidence of intra operative awareness in surgical patients done under GA by evaluating modified bruce questionnaire in the post op period - Paripex Indian journal of research -2020.
21. Comparative effects of dexmedetomidine and buprenorphine as adjuvants to bupivacaine in spinal anaesthesia. European Journal of Molecular & clinical Medicine,Vol 07,issue 08,2020.
22. Incidence Of Post Dural Puncture Headache among Obstetric And Non Obstetric Surgical Patients: A Prospective Study. European Journal Of Molecular and Clinical Medicine, Volume 07,Isuue 08, 2020 .
23. Comparative Study Of Three Techniques OF proseal Laryngeal Mask Airway(PLMA) Insertion In Patients Undergoing Elective Surgeries. Indian Journal Of Anesthesia and Analgesia, January- February 2020: 7(1)
24 . A comparison of efficacy and tolerability of epidural levobupivacaine 0.5% with 0.5% racemic mixture bupivacaine for lower abdominal surgery.International Journal of Research in Pharmaceutical Sciences,vol11,issue 4,2020.
25. A clinical comparative study of fascia lilac compartment block with bupivacaine and bupivacaine with dexmedetomidine for positioning and duration of postoperative analgesia in fracture femur under spinal anesthesia.Anesthesia:Essays and Researches,2019.
26 . Comparison of anesthetic effect of ropivacaine with dexmedetomidine and clonidine in patients undergoing lower limb surgery : A perspective study.MedPulse International Journal of Anesthesiology,2019.
27. Ultrasonography of anterior neck soft tissue thickness at hyoid bone level vs Thyrohyoid membrane level in predicting difficult laryngoscopy.International Journal of Current Advanced Research,Vol 8, Issue 10,2019.
28. Epidural Tramadol Via Intraoperatively Placed Catheter as a Standalone Analgesic After Spinal Fusion Procedure: An Analysis OF efficacy And Cost.Journal of Neurosciences in Rural Practice,2019.
29. Nerve Blocks OF The Head And Face- An Interactive Review Of Techniques And Clinical Cases. Asian Journal Of Pharmaceutical research and Health Care, Vol 11(2-4), 55-62, 2019.
30. Submental orotracheal Intubation In Extensive Maxillofacial Trauma: A Better Alternative To Tracheostomy. International Journal Of Scientific Research, Vol-8, Issue-6,June-2019.
31. Adductor Canal Block Is Superior To Femoral Canal Block In Post-Operative Outcome Following Total Knee Arthroplasty. International Journal Of Scientific Research, Vol-8, Issue-1, January -2019.

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Courses Offered

PDCC – RAAAPM IN ANESTHESIOLOGY - POST DOCTORAL CERTIFICATE COURSE IN REGIONAL ANAESTHESIA AND ACUTE PAIN MANAGEMENT
INTRODUCTION:
Regional Anaesthesia and Acute Pain Medicine Fellowship was started in the year 2019 and progressing for the past 4 years with the selected candidates getting exposed to a Multidisciplinary Pain Program by providing comprehensive pain medicine training.
The learning objectives encompass training in a variety of areas of pain medicine including acute pain, Post- operative pain, Labor analgesia and cancer pain.
The candidates will be able to Competently perform all medical and invasive procedures considered essential for managing pain using advanced facilities like Ultra sound, C-Arm, Nerve stimulator etc.
HIGHLIGHTING FEATURES
Research in novel therapies and techniques of regional anaesthesia by ultrasound guidance and peripheral neuromodulation.
Improved enhanced recovery pathways for surgical patients in the acute pain services.
Our fellows have opportunity to learn the skills in preoperative block room where they learn strategies to optimise patient flow and increase procedural efficiency.
Postoperative continuous perineural infusions with elastomeric pumps.
Academic sessions by fellows with one day per week and OR teaching by the patient side.
Hybrid simulations for practising advanced regional anaesthesia which helps systematic learning for the fellows.
Multi department clinical rotation to make the program comprehensive.
DOPS evaluation for formative assessment of the fellow.
Rotation in pediatric and trauma patients is offers the fellows an additional expertise in the subspecialty.
On arrival nerve blocks in ER and trauma wards.
COURSE DETAILS
It is PDCC One-year fellowship - Number of candidates enrolled - 2(two)
Course duration - One year - August to July
Essential qualiﬁcation – Candidates must possess, MD/DNB degree in Anesthesiology from an Institution recognized by Medical Council of India. The candidates will be given a stipend during the course
Details of the PDCC fellows
Dr.K.S.Senthil 2019 Batch – Completed
Dr.B.Sathesh Kumar 2020 Batch – Completed
Dr.Vishnu eswar 2021 Batch – Discontinued
We provide observership also
- Dr.Revathy (01.03.2021-31.03.2021)
- Dr.Auspas ( 04.04.2022-09.04.2022)