Department of Anaesthesiology

  • Introduction of Department
  • Vision
  • Facilities of Department
  • Faculty Members
  • Faculty Residents
  • SOP files
  • Teaching Rosters
  • Courses
  • Syllabus details
  • Competency based under Graduate
  • Department Publications
  • Departmental Activities
  • Events

Introduction

The specialty of anesthesiology has been marked by unprecedented growth and change in various methods of rendering the patients insensitive to pain. Monitoring and maintaining vital organ functions during surgery remains the main professional activity of the anesthesiologist. The practice of anesthesiology continues to grow as evidenced in the development of subspecialties like pain management, critical care and preoperative medicine.

Department of anesthesiology of Dr R.P.G.M.C was setup in 1997 at Dharamshala with two faculty members under the leadership of Dr R.S. Thakur. In December 2007 department was shifted to Dr RPGMC campus at Tanda. The department is currently running under the leadership of Dr Sudarshan Kumar.

Over the years , along with development of medical sciences , the department has set its own high standards in patient care, education and research. All surgical specialties are anchored to this specialty.

Total 37 junior residents are pursuing their MD Degrees in this department with annual intake of 13 students. All post graduates are posted in routine OTs, ICU, PAC and pain clinics in rotation.

Conferences, workshops and CMEs are organized and attended by the department regularly.

Vision

To provide a world class service oriented department by continually improving our processes and services to exceed our patients and community requirements by providing excellent ,sustainable and accessible health care services delivered in a timely manner by competent and compassionate staff through the full implementation of sound quality management systems by caring our patients ,education of students and conduct research to provide world class medicines conforming to all statutory and regulatory requirement

Mission

  • Improvement in Peri-Operative care of patients by pushing boundaries of discovery, transforming health care advances in medical care.
  • To meet expectations and needs of patients and their satisfaction and the community at large through effective communication, consultation and clinical skills.
  • Lifelong learning commitment.
  • Provide UG and PG student’s comprehensive portfolio of programmes by continuous professional development and quality evidence based teaching and training.

Hospital Improvement

  • To improve health of community and state by:
    • Setting the standards of excellence in medical education
    • Research
    • Clinical care
  • To provide accessible, equitable, holistic and responsive health care services.
  • To produce outstanding, compassionate and competent health professionals through teaching, training and development.
  • To engage in ethical, relevant researches to continuously conduct Bio-medical research.
  • Provide patients cantered medicine to prevent, diagnose and treat human illness.

Actions Proposed:

  • Zero tolerance to infection in OT, maintenance of asepsis in OT and critical areas(ICU).
  • Maximise case turnover and minimise cancellation of cases.
  • Efficient utilization of existing manpower and equipments.
  • Strengthening of outpatient services and provision of efficient critical care services.
  • Zero tolerance patient’s referral.
  • Strict adherence to safety protocols in peri- operative management.
  • To create awareness of biomedical waste management as per BWM guidelines.
  • Participation of staff in various orientation and refresher courses.
  • Provision of staff and manpower as per actual workload.
  • Regular maintenance / upkeepment of machinery and equipment.
  • Regular maintenance of infrastructure.
  • Establishment of biomedical engineering department: Posting of biomedical engineer and technical staff for on the spot maintenance work of costly equipments.
  • Back up services (CSSD, MGPS) to be outsourced for provision of efficient services by these departments.
  • Good human resource management in regard of organisational culture, motivational mechanisms, learning environment and staff well being and satisfaction to be ensured for effective utilization of their skills and expertise.
  • Service delivery and referral systems with functional management from access and entry of patients to discharge and continuity of patient care to be ensured in a time bound manner.
  • Standard SOP”s and protocol based on standard evidence based guidelines to be put into practice in patient’s health care delivery system.
  • Understanding of system core values and effective leadership in all health care delivery system.
  • Infrastructural issues to be addressed:
    • Establishment of Trauma centre & emergency dept., ICU as per AIIMS standards. Central computerisation, Pain/PAC clinic should be centrally registered and have optimal space separately for both facilities.
  • Staff requirement:
    • Deployment of all categories of technical and supporting staff as per actual workload. All staff should undergo refresher courses at a fixed time frame.

Academic Improvement

Aim to develop department where excellence in teaching is supported by commitment to research and innovation by developing portfolio of high quality programmes for UG and PG students with continuous professional development.

It is a diverse field and includes:

  • Medical students
  • Scientists
  • Health care professionals
  • Public improves

Patient health by developing competent, caring health care professionals and specialists, biomedical scientists who are lifelong learners, driven by scientific enquiry and the desire to serve our society’s evolving healthcare needs.

Effective communication, consultation and clinical skills development as per needs of patients and community requirement.

Lifelong learning commitment.

Actions Proposed:

  • Evidence based teaching in accordance with established guidelines,protocols,SOP’s various treatment algorithms designed and regulated by accredited bodies.
  • Hands on teaching and training of students in the workshops, conferences and CME.s.
  • More emphasis on orientations programs organised by accredited bodies and institutions.
  • Inter-institutionals/universities/college interactions, group discussions& exchange programmes to be promoted.
  • Guest lectures by eminent faculty.
  • Simulation based teaching, training as well as development of simulation and research labs.
  • To adopt modern methods of teaching and simulation models through audio-visual means.
  • Training on manikins’ and simulators to enable students to learn and get trained for safe practices.
  • To start and set up short term refresher courses in sub specialities of anaesthesia.

Treatment of Patients /community health improvement

  • Evidence based treatment of patients.
  • Treatment on lines of protocols, SOP &standard guidelines.
  • Consultency in patients care through Telemedicine, web based linkage with higher institute of excellence to seek expert guidance.
  • Ethernet based collection of data.
  • Development of sub speciality of anaesthesia (Neuro- Anaesthesia, Cardiac, Critical care dept. Pain & palliative care Facilities).

Treatment of Patients /community health improvementResearch

  • Development of research lab.
  • Provision of online journals, E book facilities and regularly updated library.
  • WIFI campus.
  • Research methodology regular updates and refresher courses to be made mandatory to all faculty , students participation in teaching and training in research to be made mandatory in the curriculum.

To improve health care delivery, hospital improvement, academic improvement. The following core values are imbibed in each health care provider:

  • Excellence and discovery (BE THE BEST).
  • Leadership and integrity (BE A ROLE MODEL).
  • Respect and collegiality (BE KIND).
  • Compassion and commitment towards patients, community and colleagues.
  • One should be competent, honest, and credible and share co-responsibility.

To ensure academic improvement ,transitional blocks need to be ensured :

High costs
Slow results
Lack of funding
Regulatory burden
Fragmented infrastructure
Incompatible database 

Gap between best evidence based practice and what actually happens is substantial and needs to be reduced.
For all these improvements/requirements, action plan is necessary.

Facilities

Department of Anaesthesia is providing services in Operation Theatres, ICU, Pain Clinic, CT/MRI, CSSD & PAC clinic as well as providing assistance to various specialties all over the hospital. The department also covers multi specialty camps in remote areas. It currently runs eleven well equipped Operation Theatres, 6 of them being modular ones, on 3rd Floor OT complex, SSB 2nd & 3rd Floor and Maternity Block. 7 Operation Theatres are currently being renovated.  Department runs 8 bedded ICU which caters to critically ill patients. Anaesthesia services are also provided outside OT's like radiology procedure (CT, MRI) for paediatric patients, ECT and Emergency department. Department is running PAC and Pain Clinic. Interventional pain procedures are done for various chronic pain syndromes under fluoroscopic guidance. CSSD department with four CSSD supervisors is providing services to all departments and is well equipped with washer disinfector, sterilizer and ETO machine. Department has latest equipments including state of art Anaesthesia work station with  advance monitoring devices, washer disinfector , ETO , Rapid infusion systems , ultrasound machines , Transport ventilators , ICU ventilators, Fibre Optic Bronchoscope and fogging systems for sterilization of OT's and ICU.

Faculty Members

# Photo Name Qualifications Designations Email ID Date of Joining Awards
1 Dr. Sudarshan Kumar

MBBS, MD

Professor and Head sudarshan58@rediffmail.com 26.06.1999
2 Dr. RK Verma

MBBS, MD

Professor ravinderkumar5858@gmail.com 13.11.1997
3 Dr. Jai Singh MBBS, MD Professor drjaisingh62@gmail.com 28-07-2005
4 Dr. Shelly Rana

MBBS, MD, DNB

Professor shelkbj@yahoo.com 15-02-2007
5 Dr. Bharti Gupta

MBBS, MD

Associate Professor drbharti203@gmail.com 10-04-2003
6 Dr. Versha Verma

MBBS, MD

Associate Professor versha2u@yahoo.co.in 06-02-2010
7 Dr. Dheeraj Singha

MBBS, DNB

Associate Professor dheerajsingha@rediffmail.com 02-09-2013
8 Dr. Shyam Bhandari

MBBS, MD

Associate Professor dr.bhandari@yahoo.co.in 18-04-2015
9 Dr. Shyamli Jamwal

MBBS, MD

Assistant Professor sjam6627@gmail.com 01-08-2019
10 Dr. Aman Thakur

MBBS, MD

Assistant Professor aman.zander@gmail.com 01-08-2019

Senior Residents

# Name Qualification Date of Joining
1 Dr. Alpana Kaistha

MBBS, MD

07-11-2019
2 Dr. Anita Sharma

MBBS, MD

06-11-2018
3 Dr. Anjana Badhan

MBBS, MD

13-11-2019
4 Dr. Bhanu Gupta

MBBS, MD

03-11-2018
5 Dr. Manoj Kumar

MBBS, MD

27-03-2017
6 Dr. Nanish Sharma

MBBS, MD

04-10-2017
7 Dr. Payal Shah

MBBS, MD

20-11-2019
8 Dr. Charu Sharma (Medical Officer)

MBBS, MD

06-08-2019

Junior Residents

# Name Date of Joining
1 Dr. Aditi Ranaut 27-05-2017
2 Dr. Ajay Modgil 02-06-2017
3 Dr. Ajay Kumar Verma 26-05-2017
4 Dr. Bharti Chaudhary 27-05-2017
5 Dr. Brijender 27-05-2017
6 Dr. Mahesh Kumar 06-06-2017
7 Dr. Nishchint Sharma 27-05-2017
8 Dr. Roohani Mahajan 01-05-2017
9 Dr. Sheena Sharma 27-05-2017
10 Dr. Tanvi Dhiman 03-06-2017
11 Dr. Vishal Vashist 01-05-2017
12 Dr. Vivek Chaudhary 06-06-2017
13 Dr. Aryan Guleria 17-05-2018
14 Dr. Chander Mohan Negi 23-05-2018
15 Dr. Deepak Bhardwaj 25-05-2018
16 Dr. Harshvardhan Awasthi 25-05-2018
17 Dr. Isha Badhan 29-05-2018
18 Dr. Milind M. Kattimani 04-05-2018
19 Dr. Rita Dadwal 21-05-2018
20 Dr. Ritu Sharma 19-05-2018
21 Dr. Ruby Guleria 22-05-2018
22 Dr. Santosh Kumar Rai 01-05-2018
23 Dr. Saurabh Sharma 27-05-2018
24 Dr. Vipan Kumar 17-05-2019
25 Dr. Isha Khan 01-05-2019
26 Dr. Latesh Saphiya 03-05-2019
27 Dr. Maninder Sing Nehria 03-05-2019
28 Dr. Maninder Raizada 03-05-2019
29 Dr. Mohini Garg 01-05-2019
30 Dr. Nandini Sharma 03-05-2019
31 Dr. Nidhi Thakur 03-05-2019
32 Dr. Nishita Kaushal 02-05-2019
33 Dr. Neetiksha 03-05-2019
34 Dr. Poonam 03-05-2019
35 Dr. Radhika Sharma 02-05-2019
36 Dr. Shelly 03-05-2019
37 Dr. Urvashi Nautiyal 01-05-2019

Courses

B.Sc. in Anaesthesia and OT-Techniques

Labs

# Name Number of labs

Competency based under graduate curriculum

Competency Based UG Curriculum

Department Highlights (Past 5 Years)

Publication List:

Singha D, Singh J, Bhandari S. A Comparative Analysis of Epidural Butorphanol and Fentanyl for Post-Operative Analgesia in Lower Abdominal Surgeries. Int J Med Res Prof. 2016, 2(2); 25-32.

Singh J, Singha D, Verma RK, Singh SS, Bhandari S, Thakur A. Estimation of Serum Potassium in Patients Undergoing Laparoscopic Cholecystectomy. annals of international medical and dental research.2016. 2. 15-20.

Singh J, Verma V, Sood P, Thakur A, Rana S, Thakur L. Midazolam as an adjunct to lignocaine at two different doses in ultrasound-guided supraclavicular brachial plexus block: a randomized controlled trial. Ain-Shams Journal of Anaesthesiology. 2016: 9. 549. 10.4103/1687-7934.198248.

Rana S, Verma RK, Singh J, Chaudhary SK, Chandel A. Magnesium sulphate as an adjuvant to bupivacaine in ultrasound-guided transversus abdominis plane block in patients scheduled for total abdominal hysterectomy under subarachnoid block. Indian J Anaesth. 2016;60(3):174–179.

Chaudhary SK, Verma RK, Rana S, Singh J, Danesh A. Magnesium sulfate at two different doses as an adjuvant to bupivacaine in infraumblical (below knee) orthopedic surgeries under spinal anesthesia. Ain-Shams Journal of Anaesthesiology. 2016: 9. 416. 10.4103/1687-7934.189571.

Chaudhary SK, Verma RK, Rana S, Singh J, Danesh A. Magnesium sulfate at two different doses as an adjuvant to bupivacaine in infraumblical (below knee) orthopedic surgeries under spinal anesthesia. Ain-Shams Journal of Anaesthesiology. 2016:9. 10.4103/1687-7934.189098.

Chaudhary SK, Verma RK, Rana S, Singh J, Gupta B, Singh Y. Ultrasound-guided femoro-sciatic nerve block for post-operative analgesia after below knee orthopaedic surgeries under subarachnoid block: Comparison between clonidine and dexmedetomidine as adjuvants to levobupivacaine. Indian J Anaesth 2016;60:484-90.

Thakur A, Singh J, Kumar S, Rana S, Sood P, Verma V. Efficacy of Dexmedetomidine in two Different Doses as an Adjuvant to Lignocaine in Patients Scheduled for Surgeries under Axillary Block. J Clin Diagn Res. 2017;11(4):UC16–UC21. doi:10.7860/JCDR/2017/23540.9678

Verma V, Rana S, Chaudhary SK, Singh J, Verma RK, Sood S. A dose-finding randomised controlled trial of magnesium sulphate as an adjuvant in ultrasound-guided supraclavicular brachial plexus block. Indian J Anaesth. 2017;61(3):250–255.

Rana S, Singha D, Kumar S, Singh Y, Singh J, Verma R K. Efficacy of magnesium sulphate and/or fentanyl as adjuvants to intrathecal low-dose bupivacaine in parturients undergoing elective caesarean section. J Obstet Anaesth Crit Care 2017;7:20-5.

Singh J, Verma V, Pathania A, Thakur A, Sood P.Comparative Evaluation of Magnesium as an Adjuvant To 0.5% Bupivacaine and 0.5% Ropivacaine In Ultrasound Guided Interscalene Brachial Plexus Block. Annals of International medical and Dental Research. 2017:3. 10.21276/aimdr.2017.3.4.AN6.

Chittra, Dogra RK, Sood A, Bhandari S, Thakur A, Gurnal P. Comparative, Randomized, Prospective, Double Blinded, Evaluation of Epidural Ropivacaine with Dexmedetomidine or Fentanyl as Adjuvants in Patients Undergoing Total Abdominal Hystrectomy. Ann. Int. Med. Den. Res. 2017;3(S1):56-61.

Prakash S, Mullick P, Bhandari S, Kumar A, Gogia AR, Singh R. Sternomental distance and sternomental displacement as predictors of difficult laryngoscopy and intubation in adult patients. Saudi J Anaesth 2017;11:273-8.

Syal K, Goyal A, Singh S, Bhandari S, Chittra. Haemodynamic Response to Tracheal Intubation: A Comparison of Direct Laryngoscopy, Intubating Laryngeal Mask Airway and Lightwand Guided Intubation Techniques. Ann. Int. Med. Den. Res. 2017;3(S1):14-20.

Gupta B, Verma RK, Kumar S, Chaudhary G. Comparison of Analgesic Efficacy of Dexmedetomidine and Midazolam as Adjuncts to Lignocaine for Intravenous Regional Anesthesia. Anesth Essays Res. 2017;11(1):62–66.

Sharma E, Gupta B, Verma RK, Devra V. Block characteristics of different doses of intrathecal dexmedetomidine when combined with low dose heavy bupivacaine for gynecological surgeries : a double blind , randomised comparative study. Sch. J. App. Med. Sci.,2017:5:2286-94.

Devra V, Gupta B, Chaudhary SK et al. A randomised controlled trial to compare two different doses of dexmedetomidine as an adjunct to ropivacaine in epidural analgesia for hip surgeries. Sch. J. App. Med. Sci., 2017; 5(6C):2256-2262.

Singha D, Sood P, Thakur A, Chaudhary SK. Management of mismatched blood transfusion reaction by forced alkaline dieresis. International Journal of Current Research. 2017:9, (05), 50465-50467.

Kumar A, Chaudhary UK, Kansal D, Rana S, Sharma V, Kumar P. Comparison of intravenous Magnesium Sulphate with intrathecal Magnesium Sulphate for post- operative analgesia in orthopaedic patients undergoing extracapsular hip fracture surgery. Int J Basic Clin Pharmacol 2017;6:159-66.

Rana S, Verma V, Bhandari S, Sharma S, Koundal V, Chaudhary SK. Point-of-care ultrasound in the airway assessment: A correlation of ultrasonography-guided parameters to the Cormack–Lehane Classification. Saudi J Anaesth 2018;12:292-6.

Bhandari S, Singh J, Verma V, Singh G. A Comparative Study On Post-Operative Analgesia With Clonidine And Dexmedetomidine As An Adjuvant To Ropivacaine Under Ultrasound Guided Fascia Iliaca Compartment Block In Patients Scheduled For Hip And Femur Surgeries: A Randomized, Double Blind, Control Trial.2018:10.21276/aimdr.2018.4.5.AN3.

Thakur S, Bhandari S, Bhadoria P, Chittra, Kohli A, Kaushal S. To Evaluate The Clinical Efficacy of Total Intravenous Anaesthesia in Paediatric Laparoscopic Surgery-Prospective, Randomized, Control Trial.2018: 10.21276/aimdr.2018.4.6.AN5.

Gupta K, Dayal PD, Bhandari S, et al. Is it time to rethink about protocols for managing intraoperative serum potassium and blood glucose levels during off-pump coronary artery bypass surgery?. The Egyptian Journal of Cardiothoracic Anesthesia. 2018: 12. 17. 10.4103/ejca.ejca_10_18.

Mahajan SR, Mahajan M, Chaudhary UK, Kumar S. Evaluation of Baska Mask Performance in Laparoscopic Cholecystectomy. IOSR Journ. of Den. & Med. Sci. 2018:17.4.12.74-8.

Gupta B, Gupta A, Verma RK, Shah P. Comparative study of dexmedetomidine and clonidine as an adjunct to levobupivacaine in transversus abdominis plane block in patients undergoing total abdominal hysterectomy: a randomized control study. Int J Reprod Contracept Obstet Gynecol 2019;8:3991-5.

Thakur J, Gupta B, Gupta A, Verma RK, Verma A, Shah P. A prospective randomized study to compare dexmedetomidine and dexamethasone as an adjunct to bupivacaine in transversus abdominis plane block for post-operative analgesia in caesarean delivery. Int J Reprod Contracept Obstet Gynecol 2019;8:4903-8.

Koundal V, Rana S, Thakur R, Chauhan V et al. The usefulness of point of care ultrasound (POCUS) in preanaesthetic airway assessment. Indian J Anaesth 2019, 63:1022-8.

Thakur J, Gupta B, Gupta A, Verma RK, Verma A, Shah P. A prospective randomized study to compare dexmedetomidine and dexamethasone as an adjunct to bupivacaine in transversus abdominis plane block for post-operative analgesia in caesarean delivery. Int J Reprod Contracept Obstet Gynecol 2019;8:4903-8.

Kaushal S, Thakut S, Sharma BR, et al. Cross-sectional study of knowledge and practices about contraception in north Indian population: Is it time to change focus? Ind Obs Gynae 2019, 9:30-3.

Gupta B, Gupta A, Verma RK, Shah P. Comparative study of dexmedetomidine and clonidine as an adjunct to levobupivacaine in transversus abdominis plane block in patients undergoing total abdominal hysterectomy: a randomized control study. Int J Reprod Contracept Obstet Gynecol 2019;8:3991-5.

Thakur A, Sharma C, Kumar B, Ranaut A, Bhardwaj D, Rana S. Analgesic efficacy of intraperitoneal vs intravenous dexmedetomidine as adjuvant to levobupivacaine0.25% in laparoscopic cholecystectomy under general Anaesthesia. Int J Med Anesthesiol 2020;3:255-60.

Goyal VD, Rana S. Mediastinal shift towards postpnemonectomy space in the early postoperative period and its management by simple technique of air insufflation. Lung India2019;36:254-6.

Rana S, Gupta B, Verma A, Awasthi H. Ultrasound-assisted subarachnoid block in obese parturient: Need of the hour. Saudi J Anaesth 2020;14:228-30.

Departmental Activities

COLS (Compression Only Life Support) Training to bystanders.

Events

ISA Branch of HP Chapter to be inaugurated

8th HP Chapter of ISACON will be organised in 2020