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ANAESTHESIOLOGY

OVERVIEW

The Department of Anaesthesiology was established in the year 1988 in Sri Devaraj Urs Medical College, Kolar as part of the R L Jalappa Hospital and Research Centre. Anesthesiology is a medical specialty concerned with the total perioperative care of patients before, during, and after the surgery. It encompasses anesthesia, emergency and intensive care, and pain medicine.

Surgery and critical illness are events that are taxing and disturbing to the patients and the entire family. Even as one may have minimal interaction with an anesthesiologist during surgery, his/her role is pivotal in providing a safe surgical environment. Anesthesiologists constantly strive behind the scenes to make sure that the patients get the best of care during these stressful situations and accelerate their recovery and return to normalcy.

     

VISION

“To be a department of excellence through imparting quality Anaesthesia training, offering optimal Anaesthesia care for surgical patients including critical care and pain relief and conducting research in the related areas”.

     

MISSION

“To promote quality research in the field of Anaesthesia, critical care and pain medicine”.

“To teach and train the science and art of cardiopulmonary cerebral resuscitation”.

     

Why RLJH?

The health care facilities available at RLJH is sophisticated and state of the art. The Operation Theatre complex  of RLJH is equipped with 17 major, 2 minor operation theatres and caters to a comprehensive list of specialities that include  General surgery , Obstretics, ENT, Orthopaedic and Ophthalmic surgeries and also for super speciality surgical branches such as Neurosurgery, Urology, Pediatric Surgery, Plastic Surgery, Facio Maxillary Surgery, Joint Replacement Surgeries, Head Neck and General Oncosurgery.

The department also extends its services to the Adult Critical Care unit which comprises of a 50 bedded (36 in Covid 19 ICU and 14 in non-Covid ICU) Intensive Care Unit. The RLJH critical care complex comprises a 36 bedded state of the art, intensive care unit which includes 3 isolation cubicles. The unit is well equipped to handle critically ill patients of all specialties.

Our team of anesthesiologists provides a comprehensive and versatile range of services which includes providing anesthesia, intensive care management, code blue team, labor analgesia, sedation for CT/MRI, transport of critically ill patients, and pain management. This is possible only because of a team of a highly motivated, skilled, dedicated, and experienced team of doctors, nurses, and paramedical staff. Hence, we have played a significant role in achieving the goal of RLJH, which is to provide quality tertiary healthcare to the rural population.

Together we work round the clock to provide make sure that we have left no stone unturned in providing the best of care for our patients.

TREATMENT & PROCEDURES

a. GENERAL AND REGIONAL ANESTHESIA

  • Our team is intimated well in advance for when a patient is posted for a surgery. We conduct a thorough pre- anaesthetic evaluation and formulate a suitable plan of anesthesia based on the condition of the patient. The entire process is greatly expedited in case of emergency surgery such as in trauma and caesarean section. In the intra- operative period we aim to provide a stable and safe surgical environment. This is possible with the help of vigilant and sophisticated monitoring of the vital signs. We administer a carefully planned combination of drugs and nerve blocks to ensure that you do not have awareness or pain during surgery. Our care continues into the post- operative period to ensure a speedy and pain free recovery period.

c. PAIN AND PALLIATIVE CARE

  • Apart from catering to services in the OT & ICU, we also offer Pain & Palliative Care for in - patients, labor analgesia for the parturient, epidural steroid injections for backache, regional nerve/ fascial plane blocks for acute pain.

b. CRITICAL CARE

  • The department also extends its services to the Adult Critical Care unit. Currently, RLJH is running 36 bedded state of the art, critical care unit which includes 3 isolation cubicles. The unit is well equipped to handle critically ill patients of all specialties. Facilities for invasive and non-invasive mechanical ventilation, invasive and non-invasive monitoring, in-house haemodialysis facility for 4 ICU beds are available. There is a facility for nurse call system and central monitoring system in the ICU. Initial assessment and re-assessment of critically ill patients with point of care Ultra Sonography. Ultrasound guided central venous, arterial catheterization and regional nerve blocks are done in the unit. Other facilities in unit include ABG, portable x-ray, ECG, ECHO. Medical imaging and laboratory information can be digitally accessed using PACS (Picture Archiving Communication System) and LIS (Lab Information System). We are honoured to be a part of fighting the COVID 19 pandemic as this unit was dedicated to the care of critically ill COVID-19 patients and another 14 bedded non- COVID ICU was established for the other patients.

d. Cardio-pulmonary resuscitation

  • We are trained and active members of the code Blue team and are available 24x7 to resuscitate patients in the hospital.

FACILITIES AND SERVICES

A. Operation Theatre

  1. State-of-the-Art Anaesthesia work stations
  2. Paediatric and adult flexible fiber-optic bronchoscopes
  3. Video laryngoscopes
  4. Ultrasonography machine for peripheral nerve blocks
  5. Automated Gas Scavenging System
  6. Automated External defibrillators in all Operation Theatres and ICU

B. In the ICU

  1. Ventilators with newer modes of ventilation
  2. Blood Gas Analyser
  3. Haemodialysis in ICU
  4. High Flow Nasal Oxygen therapy (HFNO)
  5. Negative Pressure Isolation Cubicles
  6. Point of care ultrasonography in ICU
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  • Faculty
Sl No. Name Qualification Designation
1 Dr. Ravi. M MBBS, DA, DNB,MNAMS Professor & HOD
2 Dr. Suresh Kumar. N MBBS, MD Professor
3 Dr. Kiran. N MBBS, DA, MD Professor
4 Dr. Sujatha. M.P MBBS, DA, MD, DNB Assoc. Professor
5 Dr. Lavanya Kaparti MBBS, DA, MD Assoc. Professor
6 Dr. Threja C.K. MBBS, MD Assoc. Professor
7 Dr. Vishnuvardhan.V MBBS, MD Asst. Professor
8 Dr. T. Sumanth MBBS, MD Asst. Professor
9 Dr. Naga Seshu Kumari Vasantha MBBS, MD Asst. Professor
11 Dr. K.M. Shivakumar MBBS, MD Asst. Professor
12 Dr. Huchappa.K.V MBBS, DA DNB Sr. Resident
13 Dr. Sindhu J. MBBS, MD Sr. Resident
14 Dr. Nagaraj. S. Kalla MBBS,MD Sr. Resident
15 Dr. S. Arpitha Mary MBBS,MD Sr. Resident

EXPLORE STORIES

1. Ultrasonography has remarkably changed the way we care for our patients. In the operating rooms, we use administer ultrasound guided nerve blocks for anaesthesia. This significant reduces the pain experienced by the patient from 7-9/10 to less than 3/10 on the numerical pain scale. This also reduces the amount of anaesthetic drugs and painkillers given to the patient and thus the adverse effects caused by them. In the ICU, we use ultrasonography to guide intravenous fluid therapy and for taking patients off the ventilator and this helps them recover faster.

2. Fibre-optic bronchoscopy and video laryngoscopy: General anaesthesia involves inserting a tube into the windpipe so as to connect the patient to ventilator. This process may be difficult in patients who have tumours in the oral cavity or the neck and in patients with fracture of the neck due to restricted mobility. We use specialized instruments like the fibre-optic bronchoscopy and the video-laryngoscopy to help these patients, so that they can undergo surgery without any delay. These procedures are challenging to the anaesthesiologist but we do it nevertheless for the benefit of the patient.

3. Obstetric Anaesthesia and Labour Analgesia: Pain management during labour is still lee known and has a lot of taboo in the rural population. We are trying to break these barriers and provide a comfortable birthing experience. We have started providing labour epidural analgesia which significantly reduces the pain experienced by them. Thus they will not be stressed and exhausted when they welcome their little ones into this world.

4. Cancer pain management: Currently, we are actively involved in acute perioperative cancer pain management. We provide epidural analgesia and fascial plane blocks for these patients, thus notably reducing perioperative stress and pain. For patients who cannot be given these nerve blocks, we have transdermal opioid patches to keep them pain-free after surgery. We are rapidly making advances in the direction and soon will be able to provide palliative pain management for these cancer patients.

FAQ’S

What is Anaesthesia?

Anaesthesia stops you from feeling pain and unpleasant sensations. It can be given in various ways and does not always need to make you unconscious.

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What are the common types of Anesthesia?

There are different types of Anaesthesia, depending on the way they are given.

What is the role of an Anaesthesiologist?

Anaesthesiologists are medical specialists who are concerned with the total perioperative care of the patients i.e. before, during and after surgery.

What is the intensive care unit?

The intensive care unit (ICU) is a special part of the hospital that provides care to patients with severe, life-threatening injuries or illnesses. ICUs have higher nurse-to-patient ratios than other parts of the hospital. They also can provide specialized treatments, such as life support.

What is the difference between critical care and emergency medicine?

Critical care is the long-term treatment of patients who have an illness that threatens their life. Emergency medicine is the short-term treatment of those patients; it is also the treatment of patients who have a minor injury (for example, sprained ankle, broken arm).
In the emergency department, doctors and nurses stabilize patients and then transport them to the intensive care unit (ICU) or another area of the hospital for further treatment.

What is life support?

Life support refers to various therapies that help keep patients alive when vital organs are failing.
Most often, when people say “life support,” they are referring to a mechanical ventilator, which is also known as a “breathing machine.” Mechanical ventilation helps patients breathe by pushing air into their lungs. The mechanical ventilator is connected to the patient by a tube that goes through the mouth and into the windpipe. Patients who need less lung support than mechanical ventilation may simply have a mask over their mouths and nose to deliver oxygen.
Dialysis is another form of life support; it filters toxins from the blood when kidneys are failing.

What types of medical conditions are treated in the ICU?

There are many reasons that patients may be treated in the ICU. The most common ones are shock, respiratory failure and sepsis.