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	AFMC - Department of Anaesthesiology Head of Department: Air Cmde R Chaturvedi The postgraduate teaching and training in Anaesthesiology in AFMC was started in Feb 1960. Maj S Thirumalai was the first post graduate teacher posted to AFMC. The University of Pune formally granted recognition for the DA Course at AFMC on 24 Jan 1962 and for MD on 01 Feb 1968. . The Department is also recognized for PhD with effect from Jun 1970 In May 1998, the Dept got its permanent home in the Golden Jubilee Block. MISSION STATEMENT To train the young doctor so as to mould him into a safe Anaesthesiologist, endowed with the aptitude of a physician, above par academic ability, enthusiasm and dynamism, humane nature, understanding of team sprit, mental stability, sense of humor, and conscientiousness. To impart training to the undergraduate medical cadets so as to enable them to acquire the knowledge, skills and positive attitude to the handle medical and surgical emergencies and to become most effective first contact medical officers, so as to save the lives of soldiers, sailors, airmen and their families. 1. Faculty Details Professor Air Cmde R Chaturvedi Assoc Prof (Col/Lt Col) Col Rashmi Datta Reader/Instr (Col/Lt Col/Maj) Col Navdeep Sethi Assoc Prof (Col/Lt Col) Col Vipul Sharma Reader/Instr (Col/Lt Col/Maj) Lt Col Shivinder Singh Reader/Instr (Col/Lt Col/Maj) Surg Cdr Jaideep CN Reader/Instr (Col/Lt Col/Maj) VACANT Clinical Tutor (Maj/Capt) Surg Lt Cdr Sameer Taneja TRAINING / COURSES CONDUCTED Advance Course in Anaesthesiology MD Anaesthesiology (Pune University) DA Anaesthesiology (Pune University) MBBS (MUHS Nashik) MOJCC SDOC B Sc Nursing Ortho Nursing OT Nursing ICU Nursing ACLS & ATLS for Medical officers BLS & ACLS for paramedics A Handbook has been published for Undergraduates to supplement the anaesthesia lectures. Medical Officers Junior Command and Basic Medical Sciences- The department has taken the initiative of conducting capsules in Basic and Advanced cardiac life support and trauma life support skills for junior medical officers, to improve their ability to respond to emergencies in the field. The response has been very positive and further improvement in the course now that the simulator room has been set up in the department. CLINICAL WORK The Department including the staff at Command Hospital, MH (Cardiothoracic Center), MH Kirkee (Orthopedics) provides anaesthesia cover to 22 operation theaters. In addition the following opportunities for resident training are present: · Anaesthesia for MRI · Anaesthesia for Angiography and Interventional Radiology · Anaesthesia for ICRT · Labour analgesia in the labour room · Interventional Pain management in upper OT · 24 hr Specialist cover to CH (SC)- ICU under trained intensivists · Consultation for all difficult intubation cases · Consultation for difficult central venous access MUSEUM The departmental museum is the largest museum in the country dedicated to Anaesthesiology. Constant efforts are underway to upgrade the display as well as to procure models and equipment of educational value. Posters of academic interest made by postgraduate students of every batch are displayed in the museum. . RESEARCH PROJECT/PUBLICATIONS/UPDATE AFMRC projects 3496/2006 Brig KK Upadhyay Gastric tonometric changes in patient receiving vasopressors for septic shock Principle Worker An evaluation of propofol requirements administered with target controlled infusion device in an Indian population using BIS monitoring during total intravenous anaesthesia. 3497/2006 Col FB Bhot An evaluation of propofol Requirements administered with target controlled infusion device in an Indian population using BIS monitoring during total intravenous anaesthesia. S-09 Col KK Upadhyay An Evaluation of Brachial Plexus Block using a Nerve Locator Versus Ultrasound Guidance: A Randomized controlled trial. S-10 Col R Datta A Prospective Comparison of the Diagnostic Yield of Blind Tracheal Aspiration with Bronchoalveolar Lavage in patients with ventilator associated pneumonia. ICMR Projects 1) To investigate the incidence of hyperglycaemia in the intensive care unit. By VI Term student: Debashish S Das Guide Wg Cdr RM Sharma 2).Analysis of blood pressure recordings during Pre-Anaesthetic chek ups in the Indian population By VII Term student: Irfan Sagir Khan Guide: Surg Cdr C N Jaideep Papers Published 2007 Col FB Bhot, Maj Amit Rai. Postperative neurological complications. J of Anaesthesiology & Clinical pharmacology 2007; 23:219-21. Lakhvinder S Vohra, Rajnish Talwar, Mala Mathur, Chadalavada Vankata R Mohan, Naveen Chawla, Ramanathan Saranga Bharathi. Giant mediastinal teratoma – bull in a China shop: Management strategies. Brief communications. The journal of Thoracic and Cardiovascular Surgery May 2007; 133:1382-3. Lt Col PS Garcha (Retd), Col CVR Mohan, Wg Cdr RM Sharma. Death following intrathecal tranexamic acid. A letter to editor. Anesth Analg 2007; 104:241-2. Col R Datta.ICU visitors- is it time for a change in visitation policy? A letter to editor. MJAF 2007; 63:308. Wg Cdr RM Sharma, Lt Col R Setlur , Col A K Bhargava (Retd) , Lt Col S Vardhan. Walking epidural an effectivemethod of labour pain relief. MJAFI 2007; 63:44-6. Wg Cdr RM Sharma , Lt Col R Setlur. Influence of advanced critical care interventions in polytrauma. Ind J of Trauma Anaesthesia & Critical Care 2007; 8:610-13. Col KK Upadhyay, Brig VP Singh Col TVSP Murthy. Gastric tonometry as a prognostic index of mortality in sepsis. MJAFI 2007; 63: 337-40. Wg Cdr RM Sharma, Col CVR Mohan. Sqn Ldr Manish Dhawan. Eclamptic encephalopathy an unusual radiological picture. J of RSACP 2007; 23 (3): 325-6. Wg Cdr RM Sharma, Lt Col R Setlur, Col KK Upadhyay , Brig A K Sharma, Sqn Ldr Shivani Mahajan. Fat embolism syndrome: A diagnostic dilemma. MJAFI 2007; 63: 394-6. Text book “Fluid Therapy- at your Fingertrips”- Published by Paras Medical Publisher, 5-1-475, First floor, Putlibowli, Hyderabad- 500 095 Authored by Lt Col R Datta. Col CVR Mohan. Neur-axial blocks and Anticoalulation. Indian Journal of Anaesthesia Oct 2008. Col CVR Mohan, Lt Col K Prabhakaran et al Awake Craniotomy for tumor excision. MJAFI 2008: 64,308-310. Col KK Upadhyay, VSM, Lt Col DK Sreevastava, Maj MV Reddy. Automated Target Controlled Infusion system: The Future of Total Intravenous Anaesthesia , MJAFI: Jul 2008, Vol 64, 261-262. Bhot FB, Setlur R. Use of Simulators in Training of Health Care Workers: What can we do in Trauma Training ? Indian Journal of Trauma Anaesthesia and Critical Care. 2008; Vol 9 No 1. Text book “Fluid Therapy- at your Fingertrips” – publication by Paras Medical Publisher, Paras Medical Publisher, 5-1-475, First floor, Putlibowli, Hyderabad- 500 095 Authored by Lt Col R Datta. Datta R. Mobile Phones- Ban or Boon? MJAFI 2008; 64:363-364. Handbooks Notes on Anaesthesiology for Graduate wing students ABC of Cardio Pulmonary Resuscitation Precis for MOJC Anaesthesiology Critical Care & Cardio Pulmonary Resuscitation. Updates organized a) A CME programme titled ‘Widening Horizons in Anaesthesiology’ was held on 18 -19 Oct as part of World Anaesthesia Day celebrations. A galaxy of National and International experts graced the occasion and an extremely stimulating academic programme was appreciated by all. b) Pune branch of ISA under the stewardship of the department of Anaesthesiology AFMC Pune was awarded Winner for “ Best Awareness Programme” at the 56th Annual National Conference of the ISA held at Jodhpur 27-29 Dec 2008 for their path- breaking effort. UPDATES Half day CME and Anaesthesia quiz was organized on 15^th Oct 2005 on the eve of World Anaesthesia day at Deena Nath Mangeshkar Hospital, which was attended by 200 delegates from Pune city branch of ISA. 17^th Annual conference of Research Society of Anaesthesiology & Clinical Pharmacology was held on 10-12^th Nov 2006. Noted anaesthesiologists from civilian stream as well as service delegates attended the conference. Four pre-conference workshops were organized - ultrasound guided nerve blocks, ACLS, difficult airway and ventilatory support. The department is in charge of the Executive Body of the ISA Pune City branch and holds regular monthly meetings ANAESTHESIA AWARENESS PROGRAMME The department organized a weeklong Anaesthesia Awareness programme from 09th Oct to 16th Oct 2006 and World Anaesthesia Day on 15th Oct 2005. A mobile van equipped with charts on history of anaesthesia, anaesthesia procedures and monitoring equipment was taken to the prominent places of city, schools, Government institutions and hospitals. Peoples from all walks of life visited the van; their queries relating to anaesthesia and resuscitation were answered. Both the programme were overwhelmingly successful. The Pune city branch of ISA, under the departments charge, was awarded the best city branch for its work in the field of public awareness during the Annual conference held at Mysore in Dec 2006. INTERVENTIONAL PAIN MANAGEMENT The department refined the technique of neurolytic paravertebral block for advanced cancer pain relief. A large number of patients including civilians are being treated with this and other techniques MODERNISATION The following Items have been recently procured Ultrasonic guided central venous cannulation Target controlled infusion pump Intubation Manikin ACLS Manikin Osmometer Human Patient Simulator ABG analysers HUMAN PATIENT SIMULATOR- The Department of Anaesthesiology became the first academic department in the country to possess a Human Patient Simulator (METI) at the cost of 2.5 crores ( Approximately $500,000 ) with physiologic and pharmacologic modeling, as well as the capability for simulated trauma and cardiac support interventions. This has proved invaluable in the training of Anaesthesiology Residents and Undergraduate students FUTURE PLANS The department plans to start a university recognized diploma for class I ORAs in order to improve their training and job prospects. The department plans to start fellowships in Critical Care, Neuroanaesthesia at Command Hospital (Southern Command) and Cardiac anaesthesia at Military Hospital Cardiothoracic Center. The department intends to pursue our goal of continuous improvement in perioperative care of patients in OT and ICU and to relieve pain in all conditions, especially in advanced cancer patients.