Historical Background

The Department of Anesthesiology and Critical care was established in the year 1984.Now it is part of the Pravara Institute of Medical Sciences (Deemed University). Many developments have changed the life of the department of Anesthesiology. This service specialty not only has changed its appearance from a technology to a full- fledged science of Anesthesiology, but also is almost on the threshold of branching into subspecialties. It has progressed from a very small department to one of the biggest departments.

Introduction

The Department of Anesthesiology forms a key link between surgical team and the patients undergoing surgical procedures. The role of anesthesiologists is becoming more and more challenging with rising of life expectancy and technological advances in surgical field.

A dedicated team of 12 consultants are ably assisted by tutors and residents. Anesthesiologists have crossed the confines of O.T to grow as Intensivists, Pain Specialists, and Resuscitation specialists/ Triage experts in casualty/ ICU and to provide service in Radio-diagnosis, Cardiac catheterization laboratories, Electro-Convulsive therapy, Narco-Analysis, Radio-therapy, Respiratory therapy units.

Anaesthesiologist as “Super Specialist” expertise in peri-operative management of patients. Department strives to achieve a perfect balanced equilibrium in providing services, Postgraduate and Undergraduate training, and exploring the frontiers of research.

Mission

• To bring back the patient alive and safely through the difficult, risky and frightening voyage of peri-operative period and to provide him all the possible pain relief and comfort during this period.
• Removing mysterious aura and ignorance and enlighten every body about our chosen specialty i.e. Anesthesiology and Critical Care.
• To be strong, efficient, dedicated and well organized back bone of the institution.

Vision

• To achieve excellence in the specialized field of anaesthesiology, critical care medicine and comprehensive pain management
• To impart value based education to the students to create environment for their social and spiritual development
• To conduct continued educational programmes and activities to creep up with the changing trends in the field

Services Provided

• General Anaesthesia
• Spinal Anaesthesia
• Epidural Anaesthesia
• Combined spinal and epidural anaesthesia
• Regional blocks
• Local / Field blocks
• Monitored anesthesia care
• Narco analysis
• Intra operative and post operative management
• Anaesthesia OPD
• Acute pain relief services
• Cancer pain management
• Disaster relief services whenever requested

Equipments Available

All OT complexes are equipped as per minimum monitoring standards and advanced monitoring available in major O.T like defibrillator, anaesthesia machine, cardioscope, Pulse oximeter, advanced monitors like multi-parameter monitor, Respiratory Gas Monitor (RGM), Non-invasive Cardiac Output monitor (NICO), Peripheral Nerve Stimulator (PNS), Nerve locator, difficult airway kits, Peri-operative anaesthesia record sheets.

Future Plans

• Labour analgesia Centre
• Advance Pain Clinic
• Difficult Airway Training Centre

Research

Ongoing Research Project

• Comparison Of Use Of Winged Laryngoscope In Relation To Conventional Macintosh Blade For Endotracheal Intubation In Cleft Lip Children’s.
• A Comparative Study of Bedside Screening Tests as Predictors of Difficult Intubation.
• Insertion of Epidural catheter in prone position
• A randomized control trial on comparison of 0.5% Bupivacaine and 0.75% Ropivacaine for epidural anaesthesia in patients undergoing abdominal hysterectomy
• Hemodynamic Effects during Combined Spinal and Epidural Anesthesia: Role of Fluid Preloading and Prophylactic Vasoconstrictors.
• A Comparison of total intravenous anaesthesia (TIVA) to conventional general anaesthesia for day care surgery.
• Conscious sedation in radiological procedures: A comparison of Propofol versus Midazolam.
• Role of Superficial Cervical Plexus Block for patients of Ludwig’s Angina.
• Comparative Study of Caudal Block for Postoperative analgesia in paedtric patients using 0.25% bupivacaine and 0.125% bupivacaine.