The Department of Cardiac Anaesthesia at SGRH has come a long way since its inception in the year 1999. From the era of on-pump coronary artery bypass grafting to that of off-pump procedures, and now stepping into the future of cardiac surgery, with minimally invasive operations; the department has kept itself at par with international standards in terms of patient safety, monitoring equipment and postoperative outcome. The mortality rate and the complication rate in the department have come down signifi cantly since 1999, which refl ects the department’s comprehensive efforts towards patient safety throughout the perioperative period. The Department of Cardiac Anaesthesia is accredited by the National Board of Examinations and the Indian Association of Cardiovascular Thoracic Anaesthesiologists to conduct two-year fellowship courses in cardiac anaesthesia. We have successfully conducted cardiac transplantation in the year 2011 and have thus become the fi rst private institution in North India to achieve this feat. In future, we will continue to adopt the latest monitoring technologies and therapeutic interventions so as to make cardiac anaesthesia even more safe and further improve patient outcomes.
Cardiothoracic anaesthesiology is a subspecialty of anaesthesiology, dedicated to the perioperative care of patients undergoing cardiothoracic surgery. The subspecialty has expanded its horizons to provide specialist services such as extracorporeal membrane oxygenation (ECMO) and therapeutic hypothermia along with playing a pivotal role in the management of critically ill patients in the cardiac intensive care unit and the cardiac catheterization laboratory. The Department of Cardiac Anaesthesia has two well-equipped, state-of-theart cardiac operating rooms (OR), a recovery area for immediate postoperative care and a 13-bedded postoperative surgical ICU. All beds are connected to a central monitor and are equipped with modern ventilators, advanced facilities and support systems, such as an arterial blood gas analyser, point-of-care coagulation monitoring such as TEG and sonoclot, patient-controlled analgesia pumps, infusion pumps, intra-aortic balloon pumps and centrifugal pumps.
The Department of Cardiac Anaesthesia provides round-the-clock services at the Dharma Vira Heart Centre (DVHC). These include anaesthesia management of routine and emergency cardiac surgical procedures, postoperative care, and management of sick patients in the cardiac critical care unit and in the cardiac catheterization laboratory
Milestones of Dharma Vira Heart Centre
- 1999 First open-heart surgery at the institute
- 2002 Off-pump coronary artery bypass surgeries
- 2005 Transoesophageal echocardiography
Advanced haemodynamic monitoring:
- Continuous cardiac output monitoring
- Continuous mixed venous oxygen saturation monitoring
- 2006 Complex cardiac surgeries
- 2007 Comprehensive postoperative pain management—thoracic epidural analgesia
- 2008 Fast-track cardiac anaesthesia
- 2009 Pulmonary thromboendarterectomy
- 2010 Minimally invasive cardiac surgeries (MIDCAB and valve replacement)
- 2010 Hypertrophic obstructive cardiomyopathy surgeries
- 2010 Subspecialty fellowship programme in cardiac anaesthesia accredited by the National Board of Examinations
- 2011 Heart transplantationg
- 2011 Paediatric cardiac surgery unit started
- 2012 Therapeutic hypothermia
- Ventricular-assist device
- Aortic arch replacement
- Subspecialty fellowship programme in cardiac anaesthesia, accredited by the Indian Association of Cardiovascular Thoracic Anaesthesiologists
- 2013 Extra-corporeal membrane oxygenation (ECMO) for H1N1 patients with respiratory failure
- 2014 Stellate Ganglion block for ventricular storm (ultrasound-guided)
- 2017 Erector spinae plane ultrasound-guided block (alternate to thoracic epidural)
- 2018 DNB super-specialty education programme
- 2019 Conduction of DNB Exit exams for the fi rst time and many exams have been conducted since then
- 2019–2021 Actively involved in COVID-19 pandemic patient management
- 2020 Work-based clinical assessment for formative assessment
- 2022 Mitral annular reconstruction surgery
The Cardiac Anaesthesia Department is actively involved in the critical care of cardiac patients in the CCU, IMCU and SICU. With the growing population (80 years plus/octogenarians) special care in all aspects of healthcare such as nutrition, physical rehabilitation and care of tracheostomized patients is at an advanced level. We are hoping to continue to do more good work in the future.
Address
5th Floor, Dharma Vira Heart Centre, Ext: 1508 Helpline no: 2943
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