DEPARTM ENT OF ANESTHESIOLOGY AND CRITICAL CARE The Department of Anesthesiology and Critical Care at Chettinad Hospital and Research Institute (CHRI) is committed in providing quality patient care. We have specialised pre-anaesthetic check-up clinic where all the patients are assessed prior to surgery. A dedicated operation theatre complex housing eight state-of-the-art operating rooms equipped with latest equipments, instruments and facilities is available for smooth & safe conduct of anesthesia and surgeries where hands on training is imparted to the students. Besides the operation theatre complex, specialised OTs are available for Ophthalmology, Reproductive M edicine and Endoscopy procedures. General ICU, Post Anesthesia Care Unit & Speciality ICUs like Cardiothoracic and Vascular Surgery, Neuro-surgery, Cardiology and Paediatrics providing 24 X 7 emergency services are situated in the OT complex, so that immediate care and expertise is provided in emergency situations. Post operatively patients are monitored in Post-operative Anesthesia Care Unit (PACU) where acute pain management services are provided. The courses conducted by the department are M D(Anesthesiology) since 2012,with an intake of 4 students each academic year, B.Sc. Allied health Sciences (Anesthesia technology) since 2011, B.Sc. Allied health Sciences (Emergency & Trauma Care) since 2014. The students who have qualified their postgraduate and undergraduate courses are all placed in highly competent fields like liver transplantation unit, Neuro-anesthesia and Critical Care services, Interventional Pain M anagement units, Cardiothoracic Anesthesia services and as faculty in reputed medical colleges. Due to the changes in teaching and learning methods, the radical changes in the health care delivery and rapid growth of technology have challenged the traditional way of clinical skills development and led to the emergence of clinical skills laboratories(csls) in the medical
education of many medical and nursing schools. Our CSL which is used to impart skills to medical students, CRRI s, post graduate students, nursing students and B.Sc Allied Health Sciences students. Several manikins are available for acquiring these skills. The skill stations are managed department wise and the faculty of the respective department imparts training using specific manikins. The skill stations / manikins practiced by the Department of Anesthesiology are: 1. Resusci Anne for BLS 2. ALS Stimulator for ACLS 3. Laerdal Airway Trainer for airway management 4. AT Kelly Torso for endotracheal intubation & LM A insertion 5. Lumbar puncture stimulator for sub arachnoid block 6. M ulti venepuncture arm for IV cannulation & blood sampling 7. Arterial arm stick for arterial cannulation 8. Injection trainer for various routes of injection 9. Pneumothorax trainer 10. Torso for central venous cannulation 11. M odel of respiratory tract for anatomy 12. Whole body skeleton for applied anatomy Overall, we provide patient care services in a professionally competent manner keeping ourselves abreast with the changes in modern medicine.
EQUIPM ENTS AVAILABLE IN STATE OF THE OPERATION THEATRE
CLINICAL SKILLS CAR
S.N0 AUTHORS/TITLE OF THE PAPER/JOURNAL 2011-12 Lailu M and Thilaka M. (2012). From the pages of history Laugh your way to painlessness. 1 Chettinad Health City Medical Journal. 1(2). 76-77. 2012-13 Dalim M and Thilaka M. (2013). Pain relief in neonates. No doubt it s a duty. Chettinad Health City 2 Medical Journal. 2(2): 28-30. 2013-14 Sivanesan S, Lailu Mathews, Kavitha Ranjitpaul D, Thilaka Muthiah.(2014). Pseudocholinesterase Deficiency Causing Delayed Recovery Following Caesarean Section in a 3 Patient with Antithrombin III Deficiency. Chettinad Health city Medical Journal. 3(4) : 184-186. Sudharshan Balaji S G, Vijaya Raghavan, Lailu Mathews, Thilaka Muthiah.(2014). 4 Ropivacaine Induced Seizures. Chettinad Health City Medical Journal 3(4): 187 188. Ashok S, Anand S, Balamurugan B, Lailu Mathews. (2014). Advantage of Ultrasonogram in 5 Perioperative Detection of Pneumothorax. Chettinad Health City Medical Journal 3(4): 192 194. 6 7 8 9 10 11 12 13 14 15 Mohanarangam T, Gopalakrishnan R and Sudharshan BSG. (2014). Unexplained hypotension under general anaesthesia. Chettinad Health City Medical Journal. 3(2): 86-87 Gopalakrishnan R and Mohanarangam T. (2014). Perioperative management of intracranial aneurysms. Chettinad Health City Medical Journal. 3(2): 56-64. Mohanarangam T, Gopalakrishnan R, Ramesh VG and Karthikeyan KV. (2014). A case of venous air embolism during paediatric craniotomy in sitting position. Chettinad Health City Medical Journal. 3(1): 11-14. Amarnath Moni 2013 Care of the mechanically ventilated patients. Chettinad Health City Medical Journal, 1(2): 52-59. Gopalakrishnan Raman, V.G.Ramesh, T.Mohanarangam, K.Arunthevaraja, K.V.Karthikeyan.2013 Management of Severe Traumatic Brain Injury in Adults.Chettinad Health City MedicaL Journal. 2013 ; 2(4) : 123-132 2014-15 Ashok Kulasekhar, AnandSubramaniam (2015) Comparison of Pelvic and Lumbar Wedges in Prevention of Hypotension in Patients Undergoing Caesarean Section Under Subarachnoid Block Journal of Medical Science And clinical Research Volume 3 ( 4). Balaji M, AnandSubramaniam, Shalini G. Anand (2015) Comparing the Effectiveness of two Different Doses of Intravenous Lignocaine in Reducing the Incidence of Pain on Propofol Injection. Journal of Evolution of Medical and Dental Sciences Vol. 4(19): 3229-3237 Ashok Kulasekhar, Chitra Ashok, Sivanesan S (2015) Induction characteristics of Propofol and Thiopentone- A Comparative Clinical Study in short day Care Cases. Journal of Medical Science And clinical Research Volume 3( 3). S. M. Amirthagadeswa, B. Balamurugan, G. N. PitchchaiyA (2015) Inguinal Nerve Block for Patients Undergoing Inguinal Hernioplasty. Journal of Evolution of Medical and Dental Sciences 4, (16): 5021-5029. T. Jeyanthan, B. Balamurugan, G. N. Pitchchaiya, K. Srinivasan (2015) Fentanyl-Oxygen- Nitrous oxide Halothane for Puerperal Sterilisation. Journal of Evolution of Medical and Dental Sciences V 4(05):755-761.
S.N0 AUTHORS/TITLE OF THE PAPER/JOURNAL AnandSubramaniam, Ashok Kulasekhar, Shalini G Anand (2015) Comparison of intubating conditions 16 with two doses of rocuronium at 60 and 80 seconds.international Journal of Recent Trends in Science And Technology, 14 (2): 243-25. 17 AnandSubramaniam, Shalini G. Anand. (2015). Study of intravenous clonidine Vs intravenous dexmedetomidine to attenuate the response to laryngoscopy and intubation.international Journal of Recent Trends in Science And Technology, 14(2) :271-278 18 19 20 21 22 23 24 25 26 27 28 29 30 Karthik P AnandSubramaniam Lailu Mathews.Gopalakrishnan Raman (2015). Anaesthetic Management of a Pregnant Patient with Sub Dural Haematoma (SDH), Caesarean Section and Evacuation of SDH. Chettinad Health City Medical Journal 4(3): 141 142. Pavish N B Anand S Mohanarangam.Lailu Mathews (2015).Pulmonary Embolism Following Induction of Anesthesia. Chettinad Health City Medical Journal 4(3): 139 140 Mohamed Arif S A,Lailu Mathews, Anand S.(2015). Anaesthetic Management of Excision of Carotid Body Tumor.Chettinad Health City Medical Journal 4(3): 145 146. HariBalakrishnan B, Ramkumar R P, Lailu Mathews, Balaji N (2015). Anaesthetic Management of Snake bite envenomation compilicated with cellulitis for fasciotomy. Chettinad Health City Medical Journal 4(3): 147 149 Deepak kumaarn, Arunkumar A, LailuMathews (2015). Management of intra operative myocardial ischemia. ChettinadHealth City Medical Journal 4(3): 143 144. Stephen Sudhakar K, Ashok Kulasekar, Shankar C, Charanya. C, R.Pandurangan. (2014).Hypersensitivity to Injection Drugs in Peribulbar Block - A Clinical Study. International Journal of Health Sciences & Research 4( 11) B. Balamurugan, Abbey Mathew, R. Gowthaman, Rajarajeswari, S. Sivanesan, S. G. SudharshanBalaji, K. Vijayaraghavan, S. Ashok.(2014).Comparison of Pentastarch versus Tetrastarch in the Initial Management of Hypovolemic Patients.Journal of Evolution of Medical and Dental Sciences 3( 08): 1876-1884 Abbey Mathew, Balamurugan B, Gowthaman R. (2014).Buprenorphine as an Adjuvant to Bupivacaine in Supraclavicular Brachial Plexus Block. Chettinad Health City Medical Journal 3(2): 39 43 2015-16 Srinivas Kalyanaraman Iyer, Gokulakrishnan Mohan, Sivakumar Ramakrishnan, Sanjay Theodore.2016 Comparison of tapentadol with tramadol for analgesia after cardiac surgery. Annals of Cardiac Anaesthesia. September 2016, 18(3) ; 352-360. ThilakaMuthiah, Mahesh K Arora, AnjanTrikha, Rani A Sunder, Ganga Prasad, Preet M Singh 2016.Efficacy of magnesium as an adjuvant to bupivacaine in 3-in-1 nerve block for arthroscopic anterior cruciate ligament repair. Indian Journal of Anaesthesia. 2016;(60);491-5. Alarasan AK,Agarwal J,Choudary B, Melhotra A, Vike S,Mukherji A 2016 Effect of dexamethasone in low blinded randomised clinical study. Journal of anaesthesiology and clinical pharmacology 2016;32:234-9 ThilakaMuthiah, AmarnathMoni, Lailu Mathews,sudharshanBalaji.2016 Intravenous Labetolol in Treating Hypertensive Crisis Following Dexmedetomidine Infusion for Procedural Sedation Journal of Clinical Anaesthesia (2016) 29, 30 32 Muthiah T, Mathews L, Sivashankar KR.2016.Potential threat of meningitis from ampoule impurities: Prevention is always better than cure!indian Journal of Anaesthesia 2016;60:145-6.
S.N0 31 AUTHORS/TITLE OF THE PAPER/JOURNAL Muthukumar M, Lailu Mathews, N S Vasantha, S Anoop Intramyometrial vasopressin as a haemostatic agent: Is it really safe?.. Indian journal of Anaesthesia 2015;59(1):51-53. 32 33 34 35 36 Anand S, Shalini GA (2015), Study of intravenous clonidine Vs intravenous dexmedetomidine to attenuate the response to laryngoscopy and intubation,international Journal of Recent Trends in Science and Technology,14(2):271-278 Lailu Mathews, (2016), Mitral Stenosis and Pregnancy-Perioperative Considerations, 5(3):132-136 2016-17 Avinash E, Divya Joseph, LailuMathews (2017).Anaesthetic Management of a pregnant patient with intrahepatic cholestasis hosted for elective caesarean section. Chettinad Health City Medical Journal 5(3):199-201 Boban V, Balamurugan B, LailuMathews ; (2017).Anaesthetic Management of posterior reversible encephalopathy syndrome in a patient with eclampsia. Chettinad Health City Medical Journal 5(3): 192-195 Sundar Anand ; Swati; Amarnath Moni, Lailu Mathews ( 2017). Epidural catheter misplacement. Chettinad Health City medical Journal. 5(3) ; 206-207