INTRODUCTION OF THE SPECIALITY
Ophthalmic surgeries are done under Local and/or General anaesthesia and this provides several unique challenges for the Anaesthesiologists. Operable age groups vary from preterm neonate to Geriatric patients with multiple systemic disorders. Surgical duration varies from 10-15 minutes examination under anaesthesia to prolonged surgery (10-12 hours). Ophthalmic anaesthesia includes regulation of intraocular pressure, prevention of oculocardiac reflex, management of its consequences, control of intra ocular gas expansion and the need to deal with possible systemic effects of ophthalmic drugs.
FACILITIES AVAILABLE :
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Sankara Nethralaya has 19 operation theatres located at five different complexes. |
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Each theatre suite has a preoperative holding area to receive patients undergoing surgery and an ICU to observe patients in the immediate post-operative period. |
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The operation theatres are well equipped with pipeline oxygen and Nitrous oxide supply, Oxygen and Nitrous oxide cylinders, Drager Fabius anaesthesia machines, Boyle MK III machines, Ohmeda adult and paediatric anaesthsia ventilators, multi parameter monitors to record ECG, NIBP, Oxygen saturation, end tidal carbon- dioxide, Nerve stiumulator and radiant warmers. |
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Each operation theatre has anaesthetic equipments including circle system, Bain circuits, Paediatric Jackson Rees and Mapleson F circuits, Laryngoscopes, Guedel airways, Face masks, LMA's (Laryngeal mask Airways), Endotracheal tubes, gum elastic bougies, stilettes, and Tec vaporizers for Isoflurane, Sevoflurane and Halothane. |
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The ICU in theatre suite has emergency drugs, resuscitation kit, oxygen delivery devices, CPAP circuits, nebuliser and a cardio plus defibrillator. |
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There is a difficult intubation trolley for adults and children in each theatre suite. This trolley has different types of Laryngoscopes including McCoy (Trupti) blades, gum elastic bougies and cricothyrodotomy set. This trolley is readily available for use in difficult intubations situations. |
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A 24 hours service of anaesthesiologists is available. |
MAJOR ACTIVITIES:
1 . Anaesthesia for extreme premature Infants and neonates with associated congenital anomalies
2. Hypotensive anaesthesia for orbital decompression and endoscopic DCR
3. Anaesthesia for MOOKP surgeries
4. Anaesthesia at remote locations – ERG, VEP and YAG
5. The following research projects were completed by the department of Anaesthesia:
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Intracuff alkalinsied Lignocaine Versus Saline Versus Air – “A comparative study for smooth extubation of hyperactive airway patients undergoing eye surgery under general anaesthesia |
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Diffusion of lidocaine across the endotracheal tube cuff – An in-vitro study |
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Multimodal approach for postoperative pain relief in children undergoing ambulatory eye surgery |
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Each operation theatre has anaesthetic equipments including circle system, Bain circuits, Paediatric Jackson Rees and Mapleson F circuits, Laryngoscopes, Guedel airways, Face masks, LMA's (Laryngeal mask Airways), Endotracheal tubes, gum elastic bougies, stilettes, and Tec vaporizers for Isoflurane, Sevoflurane and Halothane. |
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Effect of varying duration of digital ocular compression on raised intraocular pressure following fractionated peribulbar anaesthesia. |
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Ongoing research project : |
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“ A comparative study between plain lidocaine Vs warmed, buffered and warmed & buffered lidocaine for peribulbar anaesthesia in cataract surgery” |
6 . Training Operation theatre assistants and Nurses.
| Total no. of ophthalmic surgeries performed |
32,000 |
| Total no. of cases done under GA |
5,000 |
| Total no. of paediatric cases |
3,000 |
| Total no. of Infants done under GA |
500 |
| Total no. of premature babies |
100 |
| Total no of High risk patients |
1,500 |
| Total no. of emergency surgeries |
600 |
FACULTY LIST:
There are 15 fulltime Anaesthetists and 5 part time Anaesthetists.
1. Dr Jagadeesh V (HOD IN-CHARGE}
2. Dr Ian Sundararaj [Advisor – Anaesthesia]
3. Dr Sailendar G V
4. Dr Shobha R
5. Dr Jaichandran V V
6. Dr Pradyna S K
7. Dr Kannan R
8. Dr Manonmani B
9. Dr Sujatha R
10. Dr Usha S
11. Dr Sonali R
12. Dr Manimaran S
13. Dr Lakshmi Prasanna
14. Dr Sujatha V
Part-time Anaesthetists
Dr. Gunasekaran S
Dr. Elangovan S V
Dr. Anuradha C
Dr. Kavitha Devi J
Dr. Sridhar Raj D |
