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Anesthesiology

Department of Anesthesiology

The Department of Anesthesiology and critical care of Shri Sathya Sai Medical College and Research Institute was established in the year 2008 with two operating rooms and Intensive care Unit. It has grown tremendously over the years and currently it has ten major operation theatres and three minor operation theatres.

The department takes care of the critically ill patients of five bedded SICU, five bedded RICU and ten bedded MICU. The operation theatres and the ICUs are fully equipped with sophisticated anesthesia gas machines, multi parameter monitors, ventilators, syringe pumps, infusion pumps etc. The department provides services to various surgical disciplines like General Surgery, Obstetrics & Gynecology, ENT, Orthopedics, Ophthalmology, Plastic Surgery and Urology.

Facilities Available

  • Our department is one of the important service-providing departments taking care of patients who undergo various surgical procedures. In addition, we take care of critically ill patients admitted in the various Intensive Care Units and also provide pain relief services in the post-operative period and to patients suffering from acute and chronic pain conditions..
  • We have well-equipped operation theaters with all facilities to cater to various surgical procedures. We also have intensive care units which have modern ventilators and other equipments to take care of the critically ill patients. We have experienced and skilled anesthesiologists who also have good knowledge to perform various tasks. The paramedical, technical staffs also extend their support to us for the smooth functioning of the department.
  • The upgraded pain clinic was inaugurated in August 2016. A good number of patients have benefited so far, who had malignancy, chronic backache, peri-arthritis of shoulder etc. All procedures are done under the guidance of ultrasound or C-arm to improve the accuracy as well as to reduce the complications.
  • Library: In addition to the central library, the department library has adequate books for ready reference. The new editions are added every year to update the knowledge.

Anesthesiology Activities.

  • Academic programs are regularly conducted for PG students, in addition to their regular clinical training in various operation theatres. The academic programs consist of seminars, journal club, case presentation, group discussion. During each session the performance of student is evaluated based on standard evaluation form. In addition to this each week theory classes are taken by faculties for the PG students.
  • Each PG student is expected to upload all the clinical and academic activities on electronic portal (e-portfolio) which is assessed and commented by the faculty.

Conferences/CMEs/Workshops:

  • Workshops, CMEs and guest lectures are organized by the department on regular basis.
  • Faculties as well as post-graduate students are regularly attending various state/national/international conferences/CMEs/workshops to update their knowledge.
  • Various faculty development programs are attended by the faculties regularly. All the faculties are trained in teaching methodologies.

Anesthesiology Services

  • Our department is one of the important service-providing departments taking care of patients who undergo various surgical procedures.. In addition, we take care of critically ill patients admitted in the various Intensive Care Units and also provide pain relief services in the post-operative period and to patients suffering from acute and chronic pain conditions. We have well-equipped operation theaters with all facilities to cater to various surgical procedures. We also have intensive care units which have modern ventilators and other equipments to take care of the critically ill patients.
  • We have experienced and skilled anesthesiologists who also have good knowledge to perform various tasks. The paramedical, technical staffs also extend their support to us for the smooth functioning of the department.
  • The upgraded pain clinic was inaugurated in August 2016. A good number of patients have benefited so far, who had malignancy, chronic backache, peri-arthritis of shoulder etc. All procedures are done under the guidance of ultrasound or C-arm to improve the accuracy as well as to reduce the complications.

Anesthesiology Courses

  • The post-graduate course [MD.Anesthesiology] was started from the academic year 2016-17 with an intake of four students per year following MCI approval. In the year 2017-18 the intake of another 5 students was approved by the MCI. The para-medical course [BSc Anesthesia & OT technician course] has also been started from the year 2015 with an intake of twenty students per year. The first batches have completed the course and are now doing their internship.
  • Theory classes are taken by the faculty as per the MCI norms for the UG students. In addition, they are trained for various skills during their clinical postings. The CRRIs are trained in basics of Anesthesiology and critical care during their postings.

Publications

The department has publications of varieties of articles in highly indexed and reputed journals.

List of Publications: Dept.of Anesthesiology, SSSMCRI .[ 2015 onwards] Publications: Dept.of Anesthesiology, SSSMCRI,Ammapettai. S.B.V.University.[2015 onwards]
  1. K. Vinod, Sashi Walling T. Study on Comparison between Landmark Guided (Brinkman's Technique) and Ultrasound Guided Internal Jugular Vein Cannulation. Journal of Evolution of Medical and Dental Sciences 2015; 51: 8894-8899.
  2. Sashi Walling T, K. Vinod. “To Study the Role of Compressive Therapy and Surgical Intervention in Treatment of Venous Ulcers”. Journal of Evolution of Medical and Dental Sciences 2015; 61: 10697-10703.
  3. Dilip Kumar G, Vishwanath R. Hiremath. “Efficacy of Clonidine as an Adjuvant to Bupivacaine for Caudal Block in Children Undergoing Infra-Umbilical Surgery”. Journal of Evolution of Medical and Dental Sciences 2015; Vol. 4,Issue 82, October 12; Page: 14299-14305, DOI: 10.14260/jemds/2015/2034
  4. B. Jalakandan, K. Bhaskaran, Viswanath R. Hiremath. “Effect of N-Acetylcysteine on Oxidative Stress in Patients Undergoing off pump Coronary Artery Bypass Grafting”. Journal of Evolution of Medical and Dental Sciences 2015; Vol. 4, Issue 79, October 01; Page: 13754-13763, DOI: 10.14260/jemds/2015/1963
  5. Vishwanath R. Hiremath, N. Gnanasekar. “Dexmedetomidine and Fentanyl for Endotracheal Intubation: A Comparative Study”. Journal of Evolution of Medical and Dental Sciences 2015; Vol. 4, Issue 83, October 15; Page: 14458-14468, DOI: 10.14260/jemds/2015/2057
  6. A Comparative Study of Continuous Infusion of Frusemide Vs Intermittent Bolus Administration in Congestive Heart Failure. M.S.Raghuraman, A.Saravanavel, K. Jayasingh IJHSR. 2015; 5(8): 162-167
  7. A. Radhakrishnan, R. Krishna Prabu, M. S. Raghuraman. “A Comparison of Ease of Nerve Localization and Complications between Posterior and Lateral Approaches of Popliteal Block”. Journal of Evolution of Medical and Dental Sciences 2015; Vol. 4, Issue 84, October 19; Page: 14648-14653, DOI: 10.14260/jemds/2015/2082
  8. Raghuraman M. S., Sivaraman B. Comparative study of anaphylaxis incidence in patients receiving anti-snake venom with or without prophylactic adrenaline: a prospective, randomized, blinded study. Int J Basic Clin Pharmacol. (2016); 5(4): 1436-1440. doi:10.18203/2319-2003.ijbcp20162449
  9. Raghuraman MS. Errors in an article published in EgJA in 2016. Egypt J Anaesth (2016), http://dx.doi.org/10.1016/j.egja.2016.10.013. Published online on Nov.23,2016.
  10. Antony John Charles S, Raghuraman MS, Raji Sharma, David George Veliath. Comparison of oral clonidine with oral midazolam in managing agitation following sevoflurane anesthesia. A prospective, randomized, double-blinded study. Asian J Pharm Clin Res, Vol 9, Issue 6, 2016, 297-299. DOI:http://dx.doi.org/10.22159/ajpcr.2016.v9i6.14423.
  11. Raghuraman M.S. Comments on an article published in SLJA in July 2016. Sri Lankan Journal of Anaesthesiology: 25(1):59 (2017) DOI: 10.4038/slja.v25i1.8197.
  12. Raghuraman M.S. Comments on an article published in EgJA in Oct. 2016. Egypt J Anaesth (2017), http://dx.doi.org/10.1016/j.egja.2017.02.001
  13. Kurhekar P, Kumar SM, Sampath D. Comparative evaluation of intrathecal morphine and intrathecal dexmedetomidine in patients undergoing gynaecological surgeries under spinal anaesthesia: A prospective randomised double blind study. Indian J Anaesth 2016;60:382-7.
  14. Kurhekar PM, Prasad TK, Rajarathinam B,Raghuraman MS. Capnographic analysis of minimum mandatory flow rate for Hudson face mask: A randomized double-blind study. Anesth Essays Res 2017; 11: 463-67.
  15. Raghuraman M.S. Intrathecal nalbuphine – Will it gain wider acceptance? – A narrative review. Egyptian Journal of Anaesthesia 33 (2017) 289–293, http://dx.doi.org/10.1016/j.egja.2017.04.003
  16. Raghuraman M.S. Comments on an article of EgJA in press. Egyptian Journal of Anaesthesia 33 (2017) 311. http://dx.doi.org/10.1016/j.egja.2017.04.002
  17. Raghuraman M.S. Comment on: Assessment of Aspiration-Induced lung Injuries among Acute Drug Poisoning Patients; Loghman Hakim Hospital, Poisoning center International Journal of Medical Toxicology and Forensic Medicine. 2017;7(1): 81-2.
  18. Raghuraman M.S. Comment on: “Intranasal Dexmedetomidine for Procedural Sedation in Children, a Suitable Alternative to Chloral Hydrate”. Pediatr Drugs (2017). doi:10.1007/s40272-017-0245-1.
  19. Vinod K, Kurhekar P, Sharanya K ,Raghuraman MS. Study on evaluating the Adequacy of Psoas Compartment Block and Sacral Plexus Block for Lower Limb Surgeries. J Recent Adv Pain 2017; 3 (2): 66-70.
  20. Raghuraman M.S. Comment on: ‘‘Automated control of end-tidal sevoflurane in living donor hepatectomy – a prospective, randomized, controlled study.” Egypt J Anaesth (2017), http://dx.doi.org/10.1016/j.egja.2017.08.001
  21. Raghuraman M.S. Comment on: Comparison of Intraabdominal and Trocar Site Local Anaesthetic Infiltration on Postoperative Analgesia After Laparoscopic Cholecystectomy. Turk J Anaesthesiol Reanim 2017; 45: 239-41.
  22. Raghuraman M.S., Ranjit S. Regarding “Ultrasound Guided Femoral Nerve Block to Provide Analgesia for Positioning Patients with Femur Fracture Before Subarachnoid Block: Comparison with Intravenous Fentanyl” in Kathmandu University Medical Journal 2016;54(2):125-9. VOL. 15 | NO. 1 | ISSUE 57 | JAN.-MARCH 2017: Page 88-89.
  23. Kurhekar P, Vinod K, Krishna JS, Raghuraman MS. Randomized comparison of isoflurane versus sevoflurane and desflurane for maintenance of ambulatory anesthesia. Anesth Essays Res 2017;11:875-80.
  24. Kurhekar P, Vinod K, Rajarathinam B, Dhiviya Krishna JS, Raghuraman MS. Randomized comparison between dexmedetomidine and midazolam for prevention of emergence agitation after nasal surgeries. Saudi J Anaesth 2018;12:61-6.
  25. Raghuraman M.S. Comment on Debate: Blood is Friend or/and Foe? Turk J Anaesthesiol Reanim 2018; 46: 69.
  26. Raghuraman M.S. Comment on: A Comparison of the Effects of 20% Mannitol and 3% NaCl on Coagulation Parameters In Vitro using ROTEM: A Prospective Randomized Crossover Study. Turk J Anaesthesiol Reanim 2018; 46: 70-1.
  27. Raghuraman M.S. Comment on: Fentanyl-midazolam vs. midazolam-ketamine regarding patient sedation analgesia for emergency orthopedic procedures. Bangladesh J Pharmacol.Vol.13 No 1.2018.
  28. Raghuraman M.S. Comment on: Role of ?-type natriuretic peptide as predictor of early post-operative outcomes in Chinese patients undergoing anesthesia. Bangladesh J Pharmacol.Vol.13.No 2.2018.
  29. Raghuraman MS. Comment on: “Volume capnography – A narrative review”. Indian Anaesth Forum 2018;19:28.
  30. Vinod K, Kurhekar P, Sharanya K , Raghuraman MS. Efficacy of the Stellate Ganglion Block through the Lateral Approach using Ultra sonogram and Fluroscopy . Turkish J Anaesthesiol Reanim 2018; 46:393-398
  31. Kumar GD, Gnanasekar.N, Kurhekar P, Raghuraman MS, Prasad TK. A Comparative study of tranversus abdominis plane block versus quadratus lumborum block for postoperative analgesia following lower abdominal surgeries : A prospective double –blinded study . Anesth Essays Re 2018;12:919-23
  32. Gnanasekar N , Kumar GD , Kurhekar P, Raghuraman MS, Prasad TK. Comparative evaluation of ropivacaine and ropivacaine with dexamethasone in transverse abdominis plane block for lower abdominal surgeries : A Prospective , randomized , double –blinded study . Anesth Essays Res 2018; 12:937-42
  33. Anupriya J, Kurhekar P. Randomized comparison between efficacy of two doses of nebulized dexmedetomidine as a premedicant in pediatric patients. CTRI/2017/10/010276. Study accepted in Turkish Journal of Anaesthesiology & Reanimation.
  34. Anupriya J, Kurhekar P. Randomized comparison between efficacy of anxiolytic and preoperative counselling on reduction in preoperative anxiety. CTRI/2018/03/012574. Study 60% completed.
  35. Prasad TK, Kurhekar P. Randomised double blind trial comparing effects of Low flow vs High flow on post operative lung functions using Respirometer. Study 90% completed.

Anesthesiology Research

The research activities have progressively improved over the years and currently many clinical research projects are undertaken by various faculty members. The faculties of our department are very enthusiastic in research activities. At present six research projects on various technical aspects and on drugs of Anesthesiology are going-on.