DEPARTMENT OF CARDIAC ANESTHESIA, CARDIOTHORACIC CENTRE, AIIMS. 1. Name of the Department Department of Cardiac Anaesthesia 2. Date of inception of the Department : 1987 3. (a) Present sanctioned strength of faculty Faculty Total – Eight Professors – 2 Associate Professors – 3 Assistant Professors – 3 Prof. Usha Kiran Prof. Sandeep Chauhan Dr. Neeti Makhija Dr. Poonam Malhotra Kapoor Dr. Minati Choudhury Dr. Shambhu Nath Das Dr. Vishwas Malik Dr. Parag Gharde (b) Earlier faculty of the department along with their area of specialization/interest. Earlier Faculty Professor – One Associate Professor – One Assistant Professor – Three Earliest interests were anesthesia for Coronary artery bypass surgery, Valve Surgery and cardiac surgery in children, infants & neonates. (c) Other existing sanctioned staff of the Department Sanctioned Staff Senior Residents (Academic) (DM) Senior Residents (Non Acad.) More Faculty 4. 9 6 2 Office Staff Office Staff 1 PPS : Mr. L.R. Verma 1 HA : Mr. Kailash. 1 PRESENT FACULTY OF CARDIAC ANAESTHESIA-2007 Area of Specialization Usha Kiran - Prof. & H.O.D. Clinical Responsibility: Pre operative Anaesthesia and Perioperative management of the following Clinical areas of Cardiac Vascular Surgery. Pre Operative assessment and stress management. - Special programme on Raj Yoga Meditation for patients and their relatives to relieve fear and anxiety about heart surgery patients. Spiritual relaxation exercises for heart and Vascular surgery. Anaesthesia and Intensive care during : - Heart Valve Surgery – Multi valve replacement. Congenital heart surgery in neonates, children and adults. Coronary artery bypass surgery. Aortic and Cath. lab. Surgery. Post operative intensive care and pain management. Academic: Guiding DM Cardiac Anaesthesia to Resident doctors. For research and thesis work. Training the resident doctors in the superspeciality of cardiac Anaesthesia. Helping the trainee doctors in presenting clinical cases in conferences and compiling & publishing research. Doctors from other medical colleges and Army/Navy/Airforce for cardiac Anaesthesia. Sandeep chauhan – Prof. - Extracorporeal Membrane Oxygenation and Ventricular Assists Devices. Heart Transplant. Robotic cardiac Surgery. Paediatric cardiac anaesthesia. 2 Neeti Makhija – Associate Professor. - Regional cardiac Anaesthesia. Aortic and vascular anaesthesia. Critical & Intensive care. Paediatric cardiac anaesthesia. Poonam Malhotra – Associate Professor - Advance Haemodynamic monitoring in Cardiac surgical patients. Echocardiography. Paediatric cardiac anaesthesia. Preconditioning & cath lab procedures. Auditing of medical records. Minati Choudhury – Associate Professor. - Complex Congenital Heart Surgery. Redo Cardiac Surgery. Paediatric cardiac Transplant (Future). Intensive care and postoperative pain relief. Teaching, Research & Administration. Shambhu N. Das – Assistant Professor. - Coronary Artery Bypass Surgery Aneurysm Surgery. Perioperative Echocardiography. Aortic and Congenital Heart Surgery. Parag Gharde – Assistant Professor. - Vascular Anaesthesia. Emergency management. Heart valve Repair and Replacement Surgery Paediatric cardiac Anaesthesia. Vishwas Malik – Assistant Professor. 5. Pain Relief. Detailed background about thePostop Department along with its achievements. Valve Procedures. Neonatal & paediatric cardiac surgery. Perioperative Echocardiography. 3 Detailed Background & Achievements 6. Started with one Professor, one Associate Professor & three Assistant Professors. Present strength of faculty – Eight Started with Four operation Theatres, presently seven operation theatres. Working Five Cath. Laboratories. Working Total No. of Operation theatres – Seven First time in India, DM in Cardiac Anaesthesia started in 2002. At present 9 candidates are doing DM Cardiac Anaesthesia out of which 03 are sponsored candidates. Total No. of Senior Residents are 15 Focus areas of clinical care and research of the Department. Focus Areas 7. Perioperative intensive care and anaesthesia for patients undergoing all kinds of Heart Surgery. Advanced monitoring in cardiac care. Blood conservation during cardiac surgery by autologous blood transfusion. Reducing blood requirement in children during cardiac surgery by utilizing modified ultra filtration technique. Extra corporeal membrane oxygenator for infants with heart failure (ECMO) Relaxation and meditation before and after cardiac bypass surgery. Cost effectiveness by regular auditing in cardiac anaesthesia. Anaesthesia for Robotic Cardiac Surgery. Anaesthesia for stem cell therapy in cerebral palsy patients. Major aortic and vascular Surgery. Cath lab therapeutic and investigative procedure. Heart transplant and assist device. Post operative care after Heart Surgery. (a) Record KeepingThe department of Cardiac Anaesthesia maintains its records, duly catalogued indexed and computerized (Since Oct 2006) using SPSS software. The headings under which the records are categorized are as under: o Routine Cases (daily/monthly/annually) o Emergency Cases o Catheterization Laboratory Cases. o Cases in which anaesthesia given as monitored- Anaesthesia cases/tube readjustments/ventilatory calls from wards. These records are registered daily in operation theatre on a medical record sheet and register and also computerized. Annual report of department records is submitted annually. 4 (b) Department FunctioningThe normal functioning of the department is according to the rules and regulations laid down by CN Centre, AIIMS. Seven Theatres function everyday with 2 or 3 cases in each theatre daily. One Emergency heart surgery may be taken up anytime in the day/night. One consultant and one or two seniors residents round the clock emergency duty for postoperative care of cardiac patients as well as intensive and ventilatory/resuscitative management in coronary care unit. One consultant on round the clock call for emergency operations. Anaesthesia is given for a total of 14-20 heart operations everyday with postop and coronary ventrilatory care. General anesthesia or monitored anaesthesia care is given in cath. Lab and computerized angiography and MRI in Cardiac patients.Two senior residents are on emergency call-attending calls from CCU, ICU, CTVS wards, Cath. Lab. and Operation Theatres. Bedside pre anaesthetic check up is done daily. (c) Academic Activity2 academic sessions held per week as part of department’s academic activity – where seminars/Tutorials/Journal Clubs/Examinations are held by faculty & residents. The department has access to the AIIMS Dr. B.B.Dixit Library and National Medical Library at all times. Internet access is available via computer facility in all consultant’s rooms. 8. International collaboration of the Department International Collaboration Dr. Usha Kiran invited by Russia’s Traditional Institute of Medical Moscow for ‘Yoga and Medicine’ 1989. 60 Scientific papers presentation and invited lecture by the Department’s faculty in various International Conferences at USA, UK, Australia, Germany, Holland, Canada, Russia, Tashkand, Bangladesh. Dr. Usha Kiran was invited as a guest speaker in Dhaka in 2003. Training regarding Robotic Cardiac Surgery by the Surgeon and Anaesthetist from Austria. Cardiac valve repair training programme conducted with the help of the senior surgeon (Dr. Carpentior) and Echocardiography team from France in March 2005. Positions Held 9. Dr. Usha Kiran was Executive Council member of Association of Cardiac Anaesthesia from 1996-97. Dr. Usha Kiran is Vice president of PRAN. Dr. S.C. Kale was Executive member of IACTA 2001 & 2003. Dr. Neeta Saxena was president of IACTA in 2002. Dr. Sandeep Chauhan is Associate Editor of the journal Annals of Cardiac Anaesthesia and Associate Vice President of IACTA. Dr. Poonam Malhotra Kapoor Executive Council Member of IACTA 2003-09. 5 10. Number of scientific publications (national/international in indexed journal) since inception of the Department. Scientific Publications 410 - Scientific publications in National & International Indexed Journal. 2 Educational Books written by Dr. Usha Kiran Research in various advances in cardiac Anaesthesia is in process. Every year 20 Research papers are presented in various national & international conferences. The faculty is being enlisted for guest lectures 11. Significant Events : First time in India Significant Events Anaesthesia for LVAD, RVAD & Transmyocardial Laser revascularization 1993. Anaesthesia for Heart transplant in 1994. DM Cardiac Anaesthesia started in 2002. Anaesthesia for Robotic cardiac Surgery started in 2003. Anaesthesia for Stem cell implantation in 2004. IACTA conference: Nov. 1999. TEE workshop: July 2001. Organized by Deptt. Of Cardiac Anaesth. 6 12. Awards along with the name of the Awardee since inception of the Department. Awards Dr. Usha Kiran: Woman Of the year 2000” by American Biographical Institute, USA. T.N.Jha Award by Indian Society of Anaesthesia. 21st Century Award for the contribution in Medicine and Spirituality by International Biographical Institute. Dr. Poonam Malhotra: Best paper Award in 2003 in International Paediatric Anaesthesia Conference. Best Free paper award 2004, Cochin IACTA. Best poster award 2006 ISA, Delhi. Poster awarded for Best Free Paper 2007 IACTA. Dr. Minati Choudhary: Dr. Kop’s Award 1998. Dr. Kop’s Award 2002. Dr. Kop’s Award 2003. Dr. Kop’s Award 2005. ISACON Award 2003 & 2005. Free paper Award IACTA 2007. Best paper awards to three senior residents of the department. 7 13. Training is important to Junior & Senior Residents from AIIMS, Other Hospitals & Army Trainees from Army Brig. YV Suri. Brig. Ramachandran. Col. RC Aggerwal. Col. Suvir Sharma. Col. Ramesh. Col. VP Singh. Col. Mukul Kapoor. Col. Vipul Sharma. Col. Hasnain. Lt. Col. Tapan Sahoo Lt. Col. VS Joshi. Lt. Col. Naresh Dhawan. DM Cardiac Anaesthesia. 14. Faculty and Students from other Hospitals for Specialized training in Cardiac Anaesthesia. From Other Hospitals IGMC Shimla – Dr. Santhoshi, DR. Anil Ohri, Dr. Gupta Leh Ladakh – Dr. Tserin Morup, Dr. Motup. Orrisa – Dr. Lakshmidhar Das. PGI Chandigarh – Dr. G.D.Puri. Bangalore – Dr. Murli Chakravarthy. Gauhati – 2 Faculty. Safdurjung Hospital – 7 Faculty. RML Hospital – 2 Faculty. LHMC – 2 Post Graduate Every Year. AIIMS - 6 Post Graduates Every Year. 8 15. People well settled from AIIMS. Well Settled from AIIMS International 16. USA – Dr. Sanjeet Narang (Harward Medical School), Dr. Anshuman. United Kingdom – Dr. Anand Gore, Dr. Rakesh Tondon, Dr. Santosh Mehrothra, Dr. Wali, Dr. Praveen kalia. Canada – Dr. Achal Dhir Middle East – Dr. Dilip Saxena, Dr. SC Kale, Dr. Manoj Sahoo, DR. BH Rao, Dr. Aparna Juneja. Australia – Dr. Virgina, Dr. Shashikant. National Escorts – Dr. Yatin Mehta, Dr. Karlekar, Dr. Rajeev Juneja, Dr. Sameer Girotra, Dr. Ajmer Singh, Dr. Ashutosh Sharma, Dr. Rawat, Dr. Rajesh Chand, Dr. Ritesh Arora, Dr. Pankaj Ingole, Dr. Neeraj Kumar. Fortis – Dr. M. Sahoo, Dr. Swatantra, Dr. Vishal Max – Dr. Praveen Saxena Metro – Dr.Amit Kumar, Dr. Ashu Jain Raipur Escorts – Dr. Anil Kumar. Nizam Institute of Medical Science – Dr. R. Gopinath Udaipur Medical College – Dr. Ashish Sood LHMC- Dr. Usha Saha, Dr. Aruna Jain Raipur Medical College – Dr. Prathibha Jain SMS Jaipur – Dr. Rajni Mathur, Dr.Harish Khanna CNC AIIMS – Dr. Minati C, Dr. S.N.Das, Dr. Parag G & Dr. Vishwas Malik. SGPGI Lucknow – Dr. Puneet Goyal. Contributions of the Department to public health policy. Contributions The faculty of the Department has been participating in Community health camps frequently. Dr. Usha Kiran participated in 4 Health Awareness campaigns from Kanya Kumari to Delhi, Delhi to Punjab, Kashmir to Chandigarh and 2 Stop Smoking campaigns and organized 2 Headache relief camps. Dr. Usha Kiran participated in 67 National Health Melas organized by Heart Care Foundation and Medical Wing of Rajasthan Yoga Education and Research Foundation. Dr. Usha Kiran was invited in Dhaka for introducing spirituality and Yoga in the field of Cardiology and Cardiac Surgery. Dr. Usha Kiran has delivered Public talks on the topic “Stress Management, raising self esteem, Positive Thinking for patients undergoing heart surgery”. Dr. Poonam participated in Charitable Health Camps. (Rotary & Lions Club). Star News Coverage of the Relaxation and Meditation programme for Headache relief and Pain Management which is a part of the research conducted by Dr. Usha Kiran with Neurology Department. Stress management and Meditation Clinic for Patients and their attendants in the 9 CT5 Ward for last 10 years. 17. DM - Cardiac Anaesthesia 3 years course with senior resident training programme for 6 open and 3 sponsored candidates is being conducted in department. During their training programme they do research on two topics. The resident doctors are trained in department of cardiology, Cath Lab, ECHO and postoperative cardiac intensive care. 18. The Future Future Advanced cardiac Monitoring. DM in cardiac Intensive care. Courses in Echocardiography certification. Anaesthesia for surgery for advanced heart failure. Telemedicine. Paediatric cardiac Transplant. Cost Reduction Measures. 10 19. Seminars & Teaching Programmes for the period Jan-April 2008 is as: TEACHING ROSTER. 11