The branch of medicine specializing in the use of drugs or other agents that causes insensibility to pain with or without altered level of consciousness. Anaesthesiology may also be defined as continuity of patient care involving preoperative evaluation, intraoperative and postoperative care and the management of systems and personnel that support these activities. The Department of Anaesthesiology at A J Institute of Medical Sciences and Research Centre is comprised of not less than twenty staff anaesthesiologists who are involved in clinical patient care, teaching and education and research in various areas throughout the hospital. The department is committed to provide safe and quality services in Anaesthesia, intensive care and pain management, care all patients with compassion, achieve excellence in service provided to patients and train all residents to the highest standards of profession. The Department of Anaesthesiology provides perioperative care to all the patients who come through the operating rooms, round the clock. A J Institute of Medical Sciences performs several thousand surgical procedures per year, which include general surgical, cardio-thoracic, neurosurgical, oncosurgery, vascular, major orthopaedic and spine, plastic, ophthalmic, gynecologic, urologic, and minimally invasive surgery. Robotic surgery and major onco-surgery such as HIPEC and transplant surgery are supplementary to the existing volume. We also provide care to patients undergoing procedures in locations outside the main operating room such as labour analgesia, interventional radiology, paediatric cathlab interventions concomitant to CT and MRI suites. In addition, many patients are seen in the Pre-anaesthesia Consult cum Pain Clinic, which runs on all working days. Many staff also has other clinical appointments including attending the
Critical Care Units, Medical/Surgical Unit, Neurosurgical/Trauma Unit and Cardiovascular Surgical Unit, thoracic surgery unit providing acute and chronic pain management. Emergency services such as CODE BLUE service, help and critical support for emergency teams are also provided by the department. Our department is committed to propagate the knowledge of resuscitation and emergency services among medical professionals and all health care workers and to the general public.
The changing practices in anaesthesia based on revolutionary technological advances have brought us much closer to achieving our goal of better patient safety and care. The practice of anesthesiology is inextricably dependent upon technology. Our department attempted best to adapt, engage and innovate ultimately aimed to prosper and benefit surgical fields and society. In this direction, the department has advanced with technological superiority compared to any other in our institution. Department has more than 30 anaesthesia providing areas with ultra-modern anaesthesia work stations. The department is equipped with 100 multipara monitoring systems with invasive methods such as arterial/central venous pressure monitoring to apply. Apart from technology dependent cardiac anaesthesia, we train our residents in cardiac output monitoring (CO) systems, neuromuscular monitoring devices (N-M monitor), total intravenous anaesthesia devices (TIVA), trans-esophageal (TEE) and trans-thoracic echocardiography (TTE) devices, lung isolation tools (DLT, EZ-b) which are routinely used in our non-cardiac surgeries. Modern ultrasound devices with high frequency probes (USG) which are regularly used in practice of regional anaesthesia, patient controlled analgesia (PCA), depth of anaesthesia monitors such as BIS, AGM, intraoperative coagulation monitoring (Sonoclot) high-class-airway instrumentation gadgets such as flexible fiber-optic bronchoscope and ultra modern video-laryngoscpes which includes paediatric and neonatal versions. Innumerable types and devices ofLMAs, Jet Ventilation devices, bougies, are additionally available to the previous list of equipments. More than 100 mechanical ventilators, HFNC devices, ECMO therapy, nitric oxide therapy, radiofrequency ablation devices (chronic pain) formulate the department to administer anaesthesia in special scenarios. Members of the Department are also actively involved in undergraduate and postgraduate education and training programmes. Several members of the department are particularly interested in education - related research and published national and international journals. In addition, members of the department are actively involved in research at the basic science and clinical levels and supervise postgraduate and undergraduate students. Academic activity includes all days of the week; and on regular basis. The case discussions, tutorials, seminars, group discussions, journal club and skill lab training are strictly adhered. One such area includes focused skill lab training. Every week, a scheduled training in the ultra-modern skill lab makes the postgraduate resident to learn better. This includes training of routine practices pertaining to anesthesia such as arterial, central venous canulations, intubation, lumbar puncture, epidural needle placements and ultrasound regional anaesthesia in mannequins. Handling of scenarios in special situations will be trained, few such examples such as managing cardiac dysrythmias and cardiac arrest, equipment malfunction, failed intubation and many more. Every medical professional sincerely attempts to learn and contribute to the field of medicine with interest. While our department aims to provide knowledge and skill to our residents and staffs, we believe that each individual will be benefited along with our patients.