Historical Background

The exalted Department of Anesthesiology and Critical care, which started functioning in the year 1984, is now a part of the Pravara Institute of Medical Sciences (Deemed University). Ever since its inception, it has evolved tremendously into a well equipped grandeur department. The service of “rendering a patient insensible to pain” has changed its facade from a technology to the majestic science of Anesthesiology. In true terms, it is almost on the threshold of branching into subspecialties.

Introduction

The Department of Anesthesiology and Critical Care forms a key link between the surgical fraternities and the patients undergoing a variety of surgical procedures. Our role as Anesthesiologists is becoming more exigent day by day with more number of neonatal and geriatric patients having associated major & minor problems presenting for surgery, apart from the disease for which the surgical procedure is to be performed.

Our enthusiastic team comprising of Professors, Associate/Assistant Professors and our budding Residents have crossed the precincts of Operation Theatres to nurture as Intensivists, Specialists for management of Acute and Chronic Pain, providers of the much needed Labor Analgesia, Life support providers, Triage experts in Emergency Department and the Intensive Care Unit, and provide assistance in Radiodiagnosis, Electro-Convulsive therapy, Narco-Analysis, Radiotherapy, Respiratory care and Physiotherapy units.

The responsibility of Anaesthesiologists is hence not confined to the operating Rooms. They gain expertise in the peri operative management of patients and their safety. The Department strives to achieve a perfect balanced equilibrium in providing Services, Postgraduate & Undergraduate training, and exploring the frontiers of research.

Mission

1. Patients’ safety has always been our prime concern. We endeavor to bring them back alive through the complicated, perilous and fearsome peri-operative voyage and provide them the best possible pain relief in addition to the comfort during this period.
2. A venture to remove the mysterious aura and ignorance and to enlighten everybody about the science of Anesthesiology and Critical Care.
3. To be a sturdy, proficient, committed and well organized back bone of our Institution.

Vision

1. To achieve excellence in the specialized field of Anaesthesiology, Critical Care Medicine and Comprehensive Pain Management.
2. Provision of services at par with the International standards, for the patients’ presenting at the Pravara Rural hospital.
3. To impart value based education to the students to create environment for their social and spiritual development.
4. To conduct educational programmes and activities for the non medical budding graduates, keeping in time with the changing trends in the field.

Services Provided by Dept of Anaesthesiology
Our department delivers comprehensive anaesthesia and perioperative care services across a wide spectrum of clinical and academic domains.

Core Anaesthesia Services

1. General and Regional Anaesthesia
2. Monitored anesthesia care
3. Anaesthesia for Electroconvulsive Therapy (ECT)
4. NORA locations including Psychiatry and Radiodiagnosis like Anaesthesia for Radiological Investigations (CT, MRI)
5. Anaesthesia OPD Pre-Anaesthesia Checkup.
6. Acute & Chronic Pain Management (including Cancer Pain)
7. Patient Transport Services
8. Disaster Response Services
9. Intensive care services

Specialty Surgical Support
Apart from routine General Surgeries we provide dedicated anaesthesia services for:

1. Neurosurgery
2. Urosurgery
3. Plastic & Reconstructive Surgery
4. Paediatric Surgery
5. Cardiovascular & Thoracic Surgery (CVTS)
6. Oncosurgery
7. Laparoscopic & Minimally Invasive Surgeries
8. Oral maxillofacial surgeries
9. Transplant Surgeries (Live & Deceased Donors)
10. Cathlab

Extended & Academic Services

1. Pain Clinic
2. Sedation Services (Psychiatry, CT/MRI, Pedodontics)
3. Skills & Simulation Laboratory
4. Research Laboratory & Academic Activities
5. BLS & ACLS Training Centre

Highlights

1. The department houses an impressive Anaesthesia Museum, offering a unique glimpse into the evolution of anaesthesia. It showcases the contributions of pioneering stalwarts and the progression of equipment and techniques, while serving as a valuable teaching and learning resource.
2. A well-developed departmental library with the latest editions of textbooks and journals, supported by in-house internet access, ensures continuous academic growth and access to current global trends.
3. A state-of-the-art Seminar Hall, equipped with LED television, computer systems, and LCD projector, facilitates effective teaching, academic discussions, and CME activities.
4. The department maintains an extensive collection of educational resources, including cassettes, CDs, DVDs, and digital material covering both basic and advanced topics in Anaesthesiology.
5. Regular Public Awareness Programmes are conducted to promote infection prevention, patient safety, and awareness regarding the role of anaesthesiologists in healthcare delivery.
6. Active community outreach initiatives include visits to schools and colleges in and around Loni, where science exhibitions are conducted to demonstrate physiological principles and train students in Basic Life Support (BLS).
7. The department conducts regular BLS and ACLS training programmes for postgraduate students and faculty, strengthening emergency response preparedness within the institution.
8. We have achieved a major milestone by initiating the Deceased Donor Organ Procurement and Retrieval programme first in the region, and have successfully started live donor kidney transplant programmes, contributing significantly to advanced patient care services.
9. The department regularly organizes and participates in Continuing Medical Education (CME) programmes, including recent sessions focused on:
   o Mechanical Ventilation
   o Ultrasound guided Regional Anaesthesia and POCUS
   o Organ Donation and Transplantation
   o Patient Safety and Quality Care
10. The department celebrates World Anaesthesia Day annually, along with academic events that encourage continuous professional development.

Equipments Available

All Operating Rooms are equipped as per the monitoring standards laid down by the Indian Society of Anaesthesiologists, ensuring the highest level of patient safety and perioperative care.

Standard Monitoring & Core Equipment

1. Advanced Anaesthesia Workstations
2. Automated External Defibrillators (AED)
3. Cardiac Pacing Equipment
4. Pulse Oximeters
5. Advanced Multi-parameter Monitors
6. Respiratory Gas Monitors / Anaesthesia Gas Monitors (AGM)
7. Non-invasive and Invasive Cardiac Output Monitoring Systems
8. Arterial and Central Venous Pressure Monitoring Equipment
9. Peripheral Nerve Stimulator and Nerve Locator
10. Difficult Airway Management Kits

Advanced Monitoring & Imaging Technologies

1. Ultrasound (USG) for regional anaesthesia and vascular access
2. Bispectral Index (BIS) Monitoring
3. Neuromuscular Junction Monitoring Systems
4. Transesophageal Echocardiography (TEE)
5. Advanced Invasive Cardiac Output Monitoring Systems

Airway & Critical Care Equipment

1. Fiberoptic Bronchoscopes for advanced airway management
2. Comprehensive Difficult Airway Equipment and adjuncts

Simulation & Training Infrastructure

1. Regional Anaesthesia Simulators
2. Central Venous and Invasive Line Insertion Simulators
3. Airway Management Mannequins
4. Basic Life Support (BLS) and Advanced Cardiac Life Support (ACLS) Training Mannequins
5. Advance mannequin for labour/LSCS/ACLS/PALS/regional anaesthesia

These facilities support hands-on training, skill development, and competency-based education for undergraduate students, postgraduate trainees, and faculty.

Courses offered
Post graduate Degrees (MD Anaesthesiology)

Fellowship courses
IDCCM, Regional Anaesthesia, Pain management, Pediatric Anaesthesia, IDCCN