THORACIC FELLOWSHIP PROGRAMME

Eligibility criteria: MD/DNB  Anaesthesiology

Duration: 6 months

Stipend :  Nil

Course content:

1. Faculty lecture once a week
2. Postings
3. Procedures
4. Teaching programme
5. Research

Faculty Lecture

1. Essential anatomy and physiology of respiratory system 
2. Preoperative evaluation for thoracic surgery
3. Physiology of one lung ventilation
4. Lung isolation techniques and management of difficult airway during thoracic surgery
5. Anaesthesia for Robotic surgery
6. Anaesthesia for VATs surgery
7. Anaesthesia for patients with mediastinal masses including thymic surgery 
8. Anaesthesia for  surgery of chest wall and diaphragm
9. Anaesthesia for esophageal surgery 
10. Anaesthesia for combined cardiac and thoracic procedure
11. Thoracic surgery in morbidly obese patients –
12. Massive haemoptysis and whole lung lavage
13. Anaesthesia for tracheal resection 
14. Anaesthesia for lung volume reduction surgery
15. Anaesthesia for paediatric thoracic surgery
16. Anaesthesia management for thoracic trauma
17. Post thoracotomy complications and management
18. Perioperative lung injury
19. Management of postoperative respiratory failure
20. Pain management after thoracic surgery
21. Chronic post thoracotomy pain
22. Inter costal Drainage systems
23. Fiberoptic bronchoscope

Various Postings

1. Pre-anaesthetic check-up
2. Thoracic surgery (OT 1)
3. Robotic Thoracic Surgery (OT 6)
4. Brochoscopy suite
   1. EBUS
   2. Tracheal dilatation
   3. Tumor debulking
   4. Medical thoracoscopy
   5. Biopsy
5. Postoperative Round
6. Acute Pain Services
7. Cardiac anaesthesia (15 days)
8. Radiology  - (7 days)
9. SICU (postoperative management)

Procedures

1. Lung isolation techniques
   1. Double lumen tube
   2. Bronchial blockers
   3. Univent tube
2. Nerve blocks / Neuraxial block
3. Lung ultrasound
4. Central venous cannulation
5. Arterial cannulation
6. Invasive monitoring
7. Different ventilation modes (invasive / non-invasive)
8. Non-invasive  cardiac output monitoring

Teaching programme

1. Seminar – every Tuesday
2. Case presentation – every Thursday
3. Journal Club – One a month, Saturday
4. Tutorials – Once a week
5. Morbidity meeting

Research activity

Fellow will be involved in research activity and will be expected to present/ publish clinical study.