Cardiac Anesthesiology

2 Doctors

Timings HOD / Unit Chief & Faculty
9.00am to 3.00pm 24/7

Department of Cardiac Anesthesiology at JSS hospital has been an integral part of the Institute from its very origin. It is committed to excellence in anesthesia and perioperative care, educational activities, faculty development and cutting edge research. The Department is equipped with latest technology devices for patient care, which include modern anesthesia machines, gadgets for managing thedifficult airway, vital parameter monitors, ventilators, transesophageal echocardiography machines and many others. The strength of the department lies in its strong team comprising of experienced faculty members, residents, and efficient paramedical staff. We provide anaesthesia services to patients undergoing cardiac, vascular and thoracic surgery as well as patients undergoing various procedures in cath lab. We also provide critical care services inCTVS ICU and CCU.

Adult Cardiac Surgeries

  • Coronary Artery Bypass Grafting (CABG)-OFF pump and ON pump.
  • Aortic Valve Replacement/Repair.
  • Mitral Valve Replacement /Repair.
  • Double Valve Replacement.
  • Tricuspid Valve Repair.
  • Thoracic Arch Replacement.
  • Bentall procedure.
  • Ventricular Aneurysm Repair/Myectomy.
  • Post MI VSD repair.
  • Pericardectomy.
  • Pericardial window.

Access for Haemodialysis

  • Arteriovenous fistulas, simple and complex
  • AV graft insertion
  • Permacath insertion
  • Salvage of AVF, endovascular and open.

Venous Disorders

  • Varicose veins: open, Radio frequency ablation, foam sclerotherapy
  • DVT: catheter guided thrombolysis, Mechanical Thrombectomy, IVC filter placement, Venoplasty (stenting)

Carotid

  • Endarterectomy, stenting, tumour excision

Aneurysms

  • Open: aorta, Femoral, Popliteal, Mesenteric, Upper limb
  • Endovascular: EVAR, TEVAR
  • Hybrid

Emergencies

  • Trauma, Acute Limb Ischemia, Ruptured Aneurysms

Critrical care Services

  • CTVS ICU is well equipped with state of art equipments and Central monitoring facility.
  • CTVS ICU is staffed by highly trained Doctors and Nurses

Congenital Heart Surgeries

  • Acyanotic
  • ASD
  • VSD
  • PDA
  • COA
  • Cyanotic
  • TOF
  • TAPVC

Thoracic Surgery Procesures

  • Decortication
  • Lobectomy
  • Pneumonectomy
  • Diaphragmatic surgeries
  • Bullectomy
  • Surgery for Pneumothorax
  • Pleurodesis

Arterial Occlusive Disorders

  • Open bypass: Femoro popliteal, Aorto femoral, Femoro distal, pedal, mesenteric, upper limb
  • Endovascular: ballooning/ stenting of aorta, iliacs, femoropopliteal segment, below the knee, mesenteric, upper limb
  • Hybrid

Miscellaneous

  • Management of thoracic outlet disorders
  • Arterio venous malformation, open and endovascular (Embolization)
  • Amputation, debridement’s
  • Picc line, Hickman’s line, Chemoport insertion.

Procedure done

  • General anaesthesia
  • Epidural anaesthesia
  • Spinal anaesthesia
  • Combined spinal and epidural anaesthesia
  • USG guided and PNS guided blocks
  • Invasive lines USG guided central venous and arterial lines
  • Cardiac output Monitoring
  • Transoesophageal echocardiography

Sl. No. Equipment List
1 MODULAR OPERATING THEATRE WITH DRAGER PRIMUS ANAESTHESIA MACHINE, INFINITY KAPPA MONITOR WITH SLAVE MONITOR
2 STEEL OPERATING THERATRE WITH DRAGER FABIUS PLUS ANAESTHESIA MACHINE, INFINITY DELTA MONITOR WITH SLAVE MONITOR
3 BISPECTRAL INDEX MONITORING
4 NEUROMUSCULAR MONITORING
5 CARDIAC OUTPUT MONITORING
6 AED WITH DEFIBRILLATOR
7 DEFIBRILLATOR
8 FLUID WARMER
9 ACT MACHINE
10 ABL 80 FLEX ABG MACHINE
11 SINGLE AND DUAL CHAMBER PACING BOX.
12 PHILIPS ECHOCARDIOGRAPHY MACHINE WITH TEE PROBE
13 SIEMENS ULTRASOUND MACHINE

Ongoing

  • Frailty, functional status and nutritional status as predictors of post-operative outcomes in elderly patients undergoing cardiac surgery.
  • Comparison of Peres formula and Radiological Landmark-based formula for Central venous catheter tip positioning in Adult patients undergoing elective cardiac surgery – A prospective randomized comparative Study.
  • Effect of regular versus lower dosing of protamine on post operative bleeding following off pump coronary artery bypass grafting.

Publications

  • Heparin resistance during primary angioplasty and ASD device closure- a therapeutic challenge. (Accepted for publication in Indian Heart Journal- Cardiovascular case reports, June 2018)
  • Role of Transesophageal echocardiography during left atrial appendage occlusion device closure in a patient with non-valvular atrial fibrillation and angiodysplasia of the colon.Annals of cardiac anaesthesia.Vol 21, Issue 1, Jan-March 2018.
  • Incidence and predictors of perioperative myocardial infarction in patients undergoing non-cardiac surgery in a tertiary care hospital. Original research article has been accepted for publication in the Indian heart journal. August 2017
  • Micro-Bubbles in the Left Heart. J Cardiol & Cardiovasc Ther 2017; 8(5): 555748.
  • Left ventricular mass: A tumor or a thrombus diagnostic dilemma. Ann Card Anaesth2016;19:728-32.
  • Malpositioned Central Venous catheter: A diagnostic dilemma. Vol 21 No 1 2016:35-38. Journal of the association for Vascular access.
  • Transvalvular mitral regurgitation following mitral valve replacement a diagnostic dilemma. Annals of cardiac anaesthesia 2015;18: 584-6.
  • Right ventricular thrombus in a case atrial septal defect with massive pulmonary embolism: A diagnostic dilemma. Annals of cardiac anaesthesia 2016:19:173-6.