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Division of Cardiac Anaesthesia and Intensive Care PGIMER, CHANDIGARH
DEPARTMENT DIRECTORY
Department Introduction Welcome to the Division of Cardiac Anaesthesia and Intensive Care PGIMER, CHANDIGARH. Anaesthesia is essential for many surgical and medical procedures. However, there is an understandable fear of anaesthesia among many people since it is not therapeutic and involves a gross modification of the functions of the body, such as inducing unconsciousness, paralyzing the breathing and manipulating the functions of the heart and other vital organs. It should, however, be realized that anaesthesia is administered by highly trained medical specialists whose primary concern is the safety of the patient during the stress and strain of invasive and traumatic surgical and other therapeutic procedures. Over the last few decades, the risks of anaesthesia have been markedly reduced by increased and improved understanding, teaching, training, and research so that today the chances of dying from anaesthesia are smaller than those of dying in a road traffic accident. The Specialty of Cardiac Anaesthesia and Intensive Care With the ever-increasing scope of specialized anaesthesia care, the department of anaesthesia at PGI entered into a diverse field of super speciality programs, including cardiac, neuro, trauma and intensive care DM courses to produce specialists who could cater to the increasing complexities of surgical procedures. DM cardiac anaesthesia and Intensive care is the first super speciality course in anaesthesia at PGI. The first batch of its graduates joined in the year 2011. Cardiac anaesthesia division is part of department of Anaesthesiology and Intensive Care and provides round the clock anaesthesia services for patients undergoing cardiac, vascular as well as thoracic surgical procedures. The number of procedures has increased from less than 700 cases per year in 2010 to more than 1600 cases per year in 2019-20. During COVID pandemic also nearly 1000 cases per year were done. There has been ten times increase in the neonatal cardiac surgical patients. In addition cardiac anaesthesia division provides round the clock anaesthesia and resuscitation backup for all the cathlab procedures which have increased to more than 10000 cases per year in 2019-20. Cardiac anesthesia division is also providing intensive care services for the 35 bedded cardiac surgery ICU. Cardiac anaesthesia division is first in country to develop closed loop anaesthesia (CLADS) and use high spinals for various cardiac surgeries with critical cardiac lesions for fast tracking in cardiac surgery. Cardiac anaesthesia division division has international mutual academic exchange programmes with Boston Children Hospital, USA and University of Manitoba, Winnipeg, Canada for faculty, residents, nurses, perfusionists and other medical staff. At the cardiac anaesthesia division, we provide perioperative anaesthetic management for all age groups of cardiothoracic patients. It includes adult patients requiring coronary artery bypass surgery (CABG), both on cardiopulmonary bypass as well as on beating heart, heart valve repair and placement surgery, aorta reconstruction demanding deep hypothermic circulatory arrest, mechanical ventricular assist device (VAD) placement, heart transplant, lung transplant, adult congenital heart surgery, lung resection surgery and other thoracic surgeries with thoracotomy. We also manage patients for cardiac pacemaker and automated implantable cardioverter-defibrillator(AICD) placement, cardiac resynchronisation therapy (CRT), Transcatheter aortic valve implantation/ replacement(TAVI), Thoracic endovascular aortic repair(TEVAR), Device closure(ASD, VSD, PDA, LA appendage), Transcatheter pulmonary valve replacement, surgical treatment of cardiac arrhythmia, and the complete gamut of invasive cardiology (catheter-based) and electrophysiology procedures. We play a vital collaborative role in the perioperative management of cardiac patients in the ICU, including general intensive care, ventilator management, mechanical circulatory support management, intra-aortic balloon pumps (IABP) and Extracorporeal membrane oxygenation(ECMO), best transfusion practices and arrhythmia management. We are able to perform this with the help of advanced monitoring techniques, including invasive blood pressure, arterial blood gas analysis, cardiac output monitoring, jugular venous oxygen saturation, cerebral oximetry, Bispectral Index (BIS),Near-infrared spectroscopy (NIRS) and echocardiography. We routinely perform semi-invasive and invasive procedures, including ultrasound-guided vascular access such as arterial line placement (femoral, axillary, brachial, radial) and central venous cannulation (internal jugular, femoral, subclavian), pulmonary artery catheter placement, transvenous pacemaker placement, thoracic epidural analgesia, serratus anterior plane block, stellate ganglion block, fiberoptic endotracheal tube placement, 2D/3D transesophageal echocardiography, intraspinal drainage placement and cannulation for ECMO. Our expertise also includes different lung isolation and ventilation techniques, including double-lumen endotracheal tubes, bronchial blockers, and univent tubes under the guidance of fiberoptic bronchoscopy and jet ventilation. The pediatric cardiothoracic surgical patients under our care comprise the complete spectrum of congenital heart diseases. We care for neonates undergoing balloon atrial septostomy, balloon aortic valvotomy, balloon pulmonary valvotomy, patent ductus arteriosus stenting, pacemaker insertion, arterial switch operation, truncus arteriosus repair, pulmonary artery banding, repair of coarctation of the aorta, creation of shunts including Blalock-Taussig shunt and central shunt, and ligation of patent ductus arteriosus, including in those with low and very low birth weight. Our patient population includes infants and older patients with ventricular septal defects, tetralogy of Fallot, other conotruncal anomalies, anomalous pulmonary venous drainage and other heart diseases with single ventricle physiology undergoing BD Glenn and Fontan procedures. The fellows and dedicated cardiac anaesthesia faculty manage cases in the perioperative period, including preoperative stabilisation in ICU, perioperative anaesthesia management, perioperative echocardiography and postoperative ICU management. Apart from this, the MD anaesthesia trainees rotate for three months in cardiac anaesthesia, during which essential cardiovascular monitoring, assessment and invasive vascular access skills are imparted. DM Cardiac anaesthesia program The cardiac anaesthesia division has been running a three-year DM cardiac anaesthesia training programme since 2011. During training, the DM candidate develops expertise in cardiac anaesthesia, thoracic anaesthesia, perioperative trans-oesophageal echocardiography, circulatory and respiratory assist devices such as extracorporeal membrane oxygenation and intensive care of cardiac surgical patients. DM cardiac anaesthesia residents are sent for one month to other national or international mutual academic exchange centres (Boston Children’s Hospital and the University of Manitoba) as a part of their DM training. Echocardiography training The residents doing DM Cardiac Anaesthesia training get ample opportunity to do hands-on transthoracic and transesophageal echocardiography in the operation theatre, and ICUs with the most advanced state of the art echocardiography machine (GE, Phillips Epic 7) enabled with 3D and advanced echo techniques like strain and strain rate. They have a vast exposure to echocardiography in adults and children with all types of complex congenital cases. They are trained to do focused echo in the ICU to diagnose life-threatening conditions like post-cardiac surgery cardiac tamponade, hypovolemia, vasodilated state, low ejection fraction, ventricular dysfunction, pulmonary artery pressure measurement, and residual lesion identification. PDF PEDIATRIC CARDIAC ANAESTHESIA AND INTENSIVE CARE The focus of paediatric cardiac anaesthesia practice has undergone a sea change over the last decades. With the ever-increasing number of pediatric cases, the need for more dedicated fellows was felt, and two seats per 6 months were created for a one-year fellowship in pediatric cardiac anaesthesia and Intensive Care. Having trained for three years in DM cardiac anaesthesia, the pediatric cardiac anaesthesia fellows further channel their knowledge, skills and research into the perioperative care of complex pediatric cardiac surgical patients. War Against COVID-19 at PGIMER The Department of Anaesthesia and Intensive Care has been at the forefront in managing Covid-19 patients admitted to PGIMER, Chandigarh. And the cardiac anaesthesia faculty and residents took part in the management of the patients, providing bedside transthoracic echocardiography, and lung ultrasound for diagnosis, management and follow-up of treatment. The fight against the pandemic was made possible only due to the selfless and heroic efforts of our doctors, nursing staff, and technicians working round the clock. We are indeed incredibly proud of them! Elective OTs were cancelled during the first and second waves of the Covid 19 pandemic. Still, in the emergency CTVS OTs, we did most of the complex pediatric cases. Residents were also posted in Covid centre on rotation and were trained in ICU management of Covid patients and anaesthetic management of Covid patients for different surgeries. During the second wave of COVID in May-July 2020, post covid patients were managed for prolonged mechanical ventilation and other organ dysfunction sequelae to COVID 19 infection in our ICU. Out of 20 cases, 15 cases were sent home after recovery. Post Covid ARDS patients were managed on ECMO in our ICU. ECMO PROGRAM The cardiac anaesthesia division is leading the ECMO program at PGIMER, Chandigarh. ECMO is instituted for cardiac as well as respiratory indications. The cardiac anaesthesia team are mainly responsible for institution, maintenance and weaning from ECMO support. The COVID pandemic led to an increased number of ECMO institutions for post-COVID ARDS. We have state of the art portable ECMO machine and well-trained perfusionists to manage the extracorporeal system in these patients. HEART AND LUNG TRANSPLANTATION PGI is one of India's leading Government hospitals in running a successful affordable heart transplant program and the first Government hospital to conduct lung transplantation. Under the constant guidance of Prof. GD Puri, the program’s success is increasing and even during the COVID pandemic, we performed two successful heart transplants. TRAINING OF FACULTY More than half of the cardiac anaesthesia faculty are certified by the National Board of Echocardiography (USA) for advanced Perioperative Transesophageal Echocardiography. In addition, the faculty have undergone training in adult cardiac anaesthesia, pediatric cardiac anaesthesia and heart transplant at the University of Manitoba, Boston Children’s hospital and Pittsburg heart transplant program, which are the respective global centres of excellence. ANNUAL PERIOPERATIVE TRANSESOPHAGEAL ECHOCARDIOGRAPHY WORKSHOP The academic endeavour by the department of cardiac anaesthesia under the able guidance of Prof. GD Puri includes the annual perioperative TEE workshop, which started in 2007 and the yearly transthoracic workshop in 2014. We provide hands-on training in trans-oesophagal echocardiography and transthoracic echocardiography to participants during the workshops. Wet labs demonstrating the heart’s anatomy and its correlation with echocardiographic views on pig heart models are an integral part of both the workshops. Each year 40-50 participants (MD Anaesthesia, medicine residents, intensive care trainees, consultants) are trained for essential transthoracic echocardiography. The faculty for the workshop includes cardiac anaesthesiologists, cardiologists, paediatric cardiologists, and cardiac surgeons from India and abroad. Paediatric Cardiologist from Boston Children, Stanford Children Hospital, USA, participate regularly in the deliberations as part of an international academic program supported by Children’s heart link. RESEARCH AND JOURNAL OF PERIOPERATIVE ECHOCARDIOGRAPHY The faculty and residents at ACC and PGIMER are undertaking cutting edge research working on cardiac anaesthesia, perioperative echocardiography, hemodynamic management etc., which are getting published in peer-reviewed journals. Many peer‐reviewed papers are published every year in national and international journals. Our faculty are also board certified in perioperative transesophageal echocardiography under the National Board of Echocardiography, USA. The development of cardiac anaesthesia took place in terms of improved skill sets and competence, translated in the Journal of Perioperative Echocardiography in 2007. Annexure-A (Cardiac Anaesthesia division of the Department of Anaesthesia has published several PubMed index articles relating to heart disease patients undergoing cardiac surgery (list of the articles attached as Annexure A) 1. Prasad Gourav KK, Mandal B, Mishra AK, Narayanan Nayanar VK. Successful medical management of fungal infective endocarditis post VSD closure. Ann Card Anaesth. 2021;24(1):95-98. 2. Niyogi SG, Sen IM, Jayant A, Mandal B, Bhardwaj N, Yaddanapudi S, Mathew P. Surrogate indices of aortic peak systolic velocity variation to monitor fluid responsiveness in pediatric non-cardiac surgery: a prospective observational study. J Clin Monit Comput. 2020 Dec;34(6):1159-1166. 3. Niyogi SG, Mandal B, Dogra N, Mishra AK. Partial Unroofed Coronary Sinus: An Uncommon Cause of Postcardiac Surgery Hypoxemia. A&A Practice 14 (3), 95-97. 4. Negi SL, Mandal B, Singh RS, Puri GD. Myocardial protection and clinical outcomes in Tetralogy of Fallot patients undergoing intracardiac repair: a randomized study of two cardioplegic techniques. Perfusion. 2019;34(6):495-502. 5. Mishra A, Madhavan JS, Ghuman BPS, Raj R, Kumar A, Dutta V, Negi S. Impact and cost effectiveness of routine intraoperative transthoracic and Transesophageal Echocardiography on surgical decision making in pediatric cardiac surgery. Journal of Perioperative Echocardiography 2 (1), 3 6. Negi SL, Damodaran S, Gaurav KP, Sevta P, Singla A .Inadvertent carotid artery cannulation with malposition of catheter tip in right ventricle in tetralogy of fallot patient undergoing total intracardiac repair–A case report. A Singla. Annals of Cardiac Anaesthesia 22 (3), 331. 7. Niyogi SG, Kumar B, Puri GD, Negi S, Mishra AK, Thingnam SKS. Utility of Lung Ultrasound in the Estimation of Extravascular Lung Water in a Pediatric Population—A Prospective Observational Study. Journal of cardiothoracic and vascular anesthesia. 8. Niyogi SG, Kumar B, Puri GD, Negi S, Mishra AK, Thingnam SKS. Cardiac output monitoring using transthoracic echocardiography in children after cardiac surgery-an observational study of feasibility and concordance with transpulmonary . European Heart Journal 42 (Supplement_1), ehab724. 1516. 9. Kumar MG, Ganesan R, Puri GD. Transoesophageal Echocardiographic Diagnosis and Imaging of Cardiac Situs and Malposition. Journal of Perioperative Echocardiography 5 (2), 64-69. 10. Bhat I, Kajal K, Gourav KP, Damodaran S, Munirathinam GK, Ganesan R. ST Segment-Elevation Myocardial Ischemia After Arterial Switch Operation due to Pericardial Drain Placement: A Case Report. A&A Practice 12 (9), 325-328. 11. Puri GD, Biswas I, Mathews PJ, Rana SS. Evaluation of closed loop anaesthesia delivery system for propofol anaesthesia in paediatric cardiac surgery. Anaesthesia and Analgesia 116, 296-296. 12. Singh A, Kumar G, Saini K, Prabhakaran G. Epicardial pacemaker insertion in a preterm very low birth weight neonate–An anaesthetic challenge .Annals of Cardiac Anaesthesia 25 (1), 93. 13. Raj R, Puri GD, Jayant A, Thingnam SKA, Singh RS, Rohit MR. Perioperative echocardiography-derived right ventricle function parameters and early outcomes after tetralogy of Fallot repair in mid-childhood: a single-center, prospective observational study. Echocardiography. 2016; 33(11): 1-8. 14. Biswas I. Mathew PJ, Singh RS, Puri GD. Evaluation of closed-loop anesthesia delivery for propofol anesthesia in pediatric cardiac surgery. Paediatr Anaesth. 2013; 23(12): 1145-52 15. Madhavan S. Puri GD, Thingnam SKS, Rohit MK, Jayant A. Perioperative Follow-Up Patients With Severe Pulmonary Artery Hypertension Secondary to Left Heart Disease: A Single Center, Prospective, Observational Study: J Cardiothorac Vasc Anesth. 2015; 29(6): 1524-32 16. Mishra A, Kumar B. Dutta K. Arya VK, Mishra AK. Comparative Effect of Levosimendan and Milrinone in Cardiac Surgery Patients With Pulmonary Hypertension and Left Ventricular Dysfunction. J Cardiothorac Vasc Anesth. 2016; 30(3): 639-646. 30(3) : 639-646. 17. Rajkumar V. Kumar B, Dutta V, Mishra AK, Puri GD. Utility of Sonoclat in Prediction of Postoperative Bleeding in Pediatric Patients Undergoing Cardiac Surgery for Congenital Cyanotic Heart Disease: A Prospective Observational Study. J Cardiothorac Vasc Anesth. 2018; 31(3) 901-908 18. Kumar A, Puri GD, Bahl A. Transesophageal Echocardiography, 3-Dimensional and Speckle Tracking Together as Sensitive Markers for Early Outcome in Patients With Left Ventricular Dysfunction Undergoing Cardiac Surgery. J Cardiothorac Vasc Anesth. 2017;31(5): 1695 1701 19. Negi SL, Mandal B, Singh RS, Puri GD. Myocardial protection and clinical outcomes in SL Tetralogy of Fallot patients undergoing intracardiac repair: a randomized study of two cardioplegic techniques. Perfusion 2019: 8:267659119828890. 20. Madhavan JS, Puri GD, Mathew PJ. Closed-loop isoflurane administration with bispectral index in open heart surgery: Randomized controlled trial with manual control. Acta Anaesthesiologica Taiwanica. 2011; 49: 130-135. 21. Puri GD, Mathew PJ, Sethu Madhavan J, Hegde HV, Fiehn A. Bi-spectral index, entropy and predicted plasma propofol concentrations with target controlled infusions in Indian patients J s J Clin Monit Comput. 2011; 25: 309-314. 22. Kumar MG, Atteri M, Batra YK, Yaddanapudi L, Yaddanapudi S. Derivation and validation of a formula for paediatric tracheal tube size using bootstrap resamplingprocedure. Indian J Anaesth 2019; 63: 444-9. 23. Sruthi S. Mandal B, Rohit MK, Puri GD. Dexmedetomidine versus ketofol sedation for outpatient diagnostic transesophageal echocardiography: A randomized controlled study Ann Card Anaesth. 2018, 21(2):143-150. 24. Kumar B, Munirathinam GK. Predictors and outcome of early extubation in infantspostcardiac surgery: A single-centre observational study. Ann Card Anaesth 2018; 21: 407-8. 25. Bhat 1, Kajal K, Gourav KP, Damodaran S, Munirathinam GK, Ganesan R. ST Segment-Elevation Myocardial Ischemia After Arterial Switch Operation due to Pericardial Drain Placement: A Case Report. A A Pract. 2019; 12(9): 325-328. 26. Mandal B, Kaur G, Batra YK, Mahajan S. Manifestation of Long QT syndrome with normal QTc interval under anesthesia: a case report. Paediatr Anaesth. 2011;21(12): 1265-7. 27. Munirathinam GK, Kumar B, Singh H. Right Atrial Myxoma with Pulmonary Artery inam Hypertension. Role of Transesophageal Echocardiography in Detection of Cause and Perioperative Management. J Cardiothorac Vasc Anesth. 2018; 32(2): 801-806. 28. Kumar B, Munirathinam GK, Mishra AK, Arya VK. Giant Peripheral Pulmonary Artery Aneurysm Rupture Under Anesthesia-A Sequela of Positive-Pressure Ventilation. J Cardiothorac Vasc Anesth, 2017, 31: 279-282. 29. Alok K, Aveek J. A Qualified "PAT" on the Back for the Evaluation of Pulmonary Acceleration Time in Cardiac Surgical Patients. J Cardiothorac Vasc Anesth. 2016; 30/5): 240-1 30(5): e40-1. 30. Ganesan R, Kumar B. Bhat I, Singh H. Situs Inversus Double Outlet Right Ventricle With Restrictive Interventricular Communication: Role of Transesophageal Echocardiography. J Cardiothorac Vasc Anesth. 2019; 33(3): 785-790. 31. Gourav KP, Gandhi K, Kumar B, Damu S. A Unique Easily Preventable Complication of a Newer Pulmonary Artery Introducer Sheath-Eyes Can See What the Mind Knows! J Cardiothorac Vasc Anesth 2018; 32(2): e43-e44. 32. Puri GD, Shyam KS, Mishra AK, Madhavan JS. Complete neurological recovery after delayed onset resuscitation in a normothermic witnessed arrest Perfusion. 2013; 28/3) 28(3): 253-5. 33. Dogra N, Puri GD, Rana SS, Glucose-6-phosphate dehydrogenase deficiency and cardiac surgery. Perfusion. 2010; 25(6): 417-21. 34. Kumar B, Puri GD, Manoj R, Gupta K, Shyam KS. Severe pulmonary artery hypertension following intracardiac repair of tetralogy of Fallot: An unusual Pulm Circ. 2011; 1(1): 115-118. 35. Mandal B, Mishra AK. Batra YK. Congenital tracheal stenosis challenging the management of patent ductus arteriosus in an infant Res Opin Anesth Intensive Care 2017, 4: 93-5. 36. Dogra N. Puri GD, Kumar B. Isolated pericardial echinococcosis: Perioperative transesophageal echocardiographic evaluation. Journal of Card Dis Research. 2013; 4: 149-151. 37. Sethi S, Kumar M, Kumar B. Anaesthetic implications in a child with severe copper deficiency - A case report. Acta anaesthesiologica Belgica. 2012; 63(1): 55-7. 38. Kumar B, Puri GD, Singh A, Rana SS. Critical pulmonary stenosis: challenges following surgical correction. World J Pediatr Congenit Heart Surg. 2011; 2(1): 136-8. 39. Munirathinam GK, Kumar B, Mishra AK. Tricuspid stenosis: A rare and potential complication of ventricular septal occluder device Ann Card Anaesth 2018 21:195-9. 40. Kumar B, Munirathinam GK, Puri GD, Mishra AK, Arya VK. Silicone tracheobronchia stent: A rare cause for bronchoesophageal fistula and distortion of airway anatomy. Ann Card Anaesth 2017, 20: 355-8. 41. Gogia R, Kumar B. Jayant A. A proposed method to visualize the ductus arteriosus on transesophageal echocardiography. Ann Card Anaesth 201 17: 296-8. 42. Kumar A, Kumar B, Kumar R. Traumatic transection of descending thoracic aorta: A rare cause of pulmonary veln obstruction. Ann Card Anaesth 2018 21:293-6. 43. Prasad GKK, Kumar B, Thingnam SKS. Traumatic aortic dissection pseudoaneurysm with multiple entry: Role of transesophageal echocardiography. Ann Card Anaesth. 2018; 21(4): 427-429. 44. Sinha PK, Kumar B. Varma PK. Anesthetic management for surgical repair of Ebstein's anomaly along with coexistent Wolff-Parkinson-White syndrome in a patient with severe mitral stenosis. Ann Card Anaesth. 2010; 13(2): 154-8 45. Kumar B, Jayant A, Munirathinam GK, Mahajan S. Tricuspid valve straddling: An uncommon cause of left ventricular outflow tract obstruction in transposition of great artery with ventricular septal defect. Ann Card Anaesth 2018; 21: 61-4. 46. Kumar B, Kumar A, Kumar G, Singh H. Role of transesophageal echocardiography in surgical retrieval of embolized amplatzer device and closure of coronary-cameral fistula. Ann Card Anaesth 2017, 20: 351-4. 47. Kumar A, Dutta V. Negi S, Puri GD. Vascular airway compression management in a case of aortic arch and descending thoracic aortic aneurysm. Ann Card Anaesth. 2016, 19(3): 568-71. 48. Kumar R, Munirathinam GK, Raja J, Srivastava A, Mishra AK, Singh RS, et al. Late presentation of iatrogenic diversion of inferior vena cava to the left atrium. Ann Pediatr Card 2019; 12: 188-9. 49. Kajal K, Munirathinam GK, Mandal B, Gandhi K, Singh H, Kanojia R. Wilm's tumor with intracardiac extension causing dynamic tricuspid valve obstruction: An anesthetic challenge. Saudi J Anaesth 2018; 12: 321-3. 50. Kumar R, Raja J, Kumar A. Sterile Aortic Root Abscess Mimicking Calcified Aortic Nodule: A Rare Case. Journal of Clinical and Diagnostic Research. 2017; 11(12): PD01-PD02. Annexure-B (paediatric cardiac anaesthesia sub-division is actively pursuing projects concerning paediatric cardiac anaesthesia and intensive care) 1 Derivation of Normal Echocardiographic Parameters in Indian Pediatric Population. 2. Evaluation of the effect of VIS (Vasoactive Inotropic Score) on the outcome in Pediatric Cardiac Surgery. 3. Comparison of TTE and TEE Echocardiographic parameters in paediatric cardiac patients. 4. RACHS score validation in paediatric cardiac surgical patients. 5. Long term follow up of paediatric cardiac patients focusing on neurological outcome post by-pass surgery.
Courses and Training details
Academic courses and training: (1) DM Cardiac Anaesthesia The department has a recognized DM course in Cardio-thoracic anesthesia from 2011. Every year aspiring students get enrolled through all India entrance examination. The institute is one of the leading teaching centre for cardiothoracic anesthesia training in the country. Complex and high risk surgery including all types of complex congenital cardiac surgery is undertaken daily in the 4 dedicated operating theatres, providing training opportunities for the DM students. This is the second largest public sector pediatric cardiac care program of India. There is also a program of challenging cardiology catheter lab procedures including electrophysiology, device implantation and transcatheter aortic repairs. The intensive care unit admits elective and emergency cardiac surgical patients. Institute’s emphasis is on clinical excellence and high quality patient-centered care. Echocardiography is now an essential skill for anaesthesia and critical care and there are periodic courses to provide a comprehensive clinical service and training opportunities. There are several training programs and practices in the operating rooms and the intensive care unit. The perioperative echocardiography program of ACC is unique. DM fellows spend six months out of 3 years in training, doing perioperative echo both transthoracic (TTE) and transesophageal (TEE) to confirm the preop diagnosis and detect intraop residual defects post-op for haemodynamic management. 1) Regular seats-8 2) Sponsored seats- 3 (2)Post-Doctoral Fellowship Paediatric Cardiac Anaesthesia And Intensive Care 1) Regular seats-1 2) Sponsored seats- 1 Fellowship in Cardiac Critical Care is to be started soon
(3)Senior resident Cardiac Anaesthesia The Department has a dedicated program for postgraduates to do senior residency in Anaesthesia. Senior residents are rotated in all specialties. They take part in all academic and research activities. 1) No of seats-4
PhD courses
All residents take part in the didactic teaching activities regularly. The activities are for all working days in a week, which includes seminars, journal clubs, case discussion, tutorials etc. This is in addition to daily teaching activity based on the cases conducted in the operation theatres & Intensive Care unit.
Workshop and Seminar details Conferences and Workshops The department regularly organises conferences, both national & international, workshops and continuous medical education programs (CME) from time to time. Upcoming Conferences & CMEs
Conferences held in 2022
Conferences held in 2021
Conferences held in 2020
Conferences held in 2019
Conferences held in 2018
2017
2016:
2015:
2014:
2009:
international conference of pulmonary vascular research institute (PVRI) was organised at ACC in October 2009 in which paediatric cardiac surgeon, cardiologist, paediatric cardiac anaesthesiologist and intensivists from all over the world participated.
DM Cardiac Anaesthesia Alumni
PDF Paediatric Cardiac Anaesthesia And Intensive Care Alumni
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