Message from the Chief of Anesthesia
The department is run by a team of qualified and experienced Anesthesiologists who work together with the same motto and a uniform approach. The eminent team is skilful and well trained, not only in Anesthesiology but also in Intensive Care services and Pain Management. The five full time anesthesiologists provide 24 hour in house anesthesia services including epidural for labor pain.
Anesthesiology is all about eternal vigilance and our department motto is “in somno securitas” – Safety In Sleep
Our vision is to create an anesthesia service which combines
- Compassionate and quality care comparable to international standards
- Scientific pursuit to gain new knowledge and insights
- Sensitivity which respects the culture and aspirations of the community
- Teamwork…with the intention of adhering to the mission statement of the AMH, keeping in mind the sacrifice and the determination of the early pioneers who set a direction so many years ago
The team is committed to continuous improvement, quality and safety in anesthesia care adhering to internationally accepted best practices. The department holds seminars and CME programs and each member is encouraged to attend at least one international conference to stay updated with the most recent advances in the field of Anesthesiology.
AMH has five full time anesthesiologists providing 24 hour in house anesthesia services including epidural for labor pain. They have extensive experience in the anesthetic management of complex surgical procedures, as well as in the field of critical care and pain management.
In addition, they provide adult and pediatric procedural sedation for dental procedures and CT scans and are part of the CODE BLUE team for acute cardiopulmonary resuscitation.
A two bedded, High Dependency Unit, equipped with one to one nursing, monitors and ventilators further contributes to patient management
Pre – anesthesia Clinics
All patients scheduled for elective surgery go through a pre-anesthetic checkup by one of the anesthesiologists. They will be asked about their current illness, past surgeries and illnesses, along with the presence of allergies and history of any medication usage. A physical exam will be conducted and appropriate investigations ordered as deemed necessary.
The appropriate techniques and options available will be discussed with the patient along with their possible limitations and complications, with the opportunity to clarify any doubts that may come up.
Guidelines and advice on preoperative fasting will also be discussed.
This assessment helps in the careful planning of the anesthetic procedure. Patients can use this opportunity to clear their doubts about anesthesia and could voice their preference of techniques used.
Facilities and Equipment
The operating rooms are located on the first floor of the hospital building, close to the Urgent Care Unit, the Labor room, the Intensive care unit and the main wards for ease of access. The OR complex has been recently renovated to include three major operating rooms, a reception , recovery room and the CSSD (the central sterilization and supply department)
Each operating room is equipped with modern anesthesia work stations, which have in-built safety systems, modern ventilators and monitors capable of invasive and non invasive monitoring, in order to deliver safe anesthesia compliant with internationally set and accepted standards of care. The OR tables and lighting systems are modern and laminar flow air conditioning and scavenging systems ensure a sterile and safe, infection free work atmosphere.
Procedures in the specialties of General Surgery, including trauma care and minimally invasive laparoscopy, Obstetrics and Gynecology, ENT, Ophthalmology, Dental and Maxillofacial Surgery, Orthopedic and Joint replacement, Pediatrics, Plastic, cosmetic, corrective and Reconstruction and Urology can be currently undertaken.
State of the art monitors equip the recovery room so that the patient is closely monitored as he/she recovers from anesthesia, till it is safe to be shifted to the wards or High Dependency Unit.
The department, in keeping with commitment to continuous improvement and advancements in anesthetic care, at par with international standards, has procured the following equipment to ensure safe and effective anesthesia care.
- Advance airway management aids like fibreoptic bronchoscope for difficult airways
- Nerve locators for helping in safer nerve blocks
- Fluid Warmers and patient warming systems
- Pneumatic compression systems to help avoid deep vein thrombosis
- Infusion pumps for target controlled anesthesia and intravenous fluid administration.
Depending on the nature of the surgical operation and the patient’s physical condition, the choice of the anesthesia is made from a variety of available anesthetic techniques. These include:
- Balanced general anesthetic techniques with controlled ventilation
- Total intravenous anesthesia using target controlled infusions
- Intravenous regional anesthesia – Bier’s block
- A number of regional anesthesia techniques including spinal, epidural
- Nerve blocks both for intra – operative and postoperative pain control
OUR PLEDGE : We, the department of Anesthesia, AMH, will work towards the administration of appropriate and effective anesthesia care to every patient who comes under our care, with adherence to quality and safety