Department of Anaesthesiology

The Department of Anaesthesiology and Critical care Medicine, was established in the month of October,1992. The department is having all the latest state - of - art equipment relating to Anaesthesia and Critical Care Medicine. Clinical work cover CT Surgery, Neurosurgery, Urology, Surgical Gastroenterology, General Surgery, Plastic Surgery and Surgical Oncology anaesthesia requirements.

Courses Offered :

=> M.D. Anaesthesia - 4 seats
=> Post Doctoral certificate course Anaesthesia - 5 seats
=> B.Sc. in Anaesthesia Technology - 6 seats

Projects :

Projects Completed:
=> Internal Jugular vein catherization - case study of apical versus posterior approach.
=> Postoperative ventilation after major neurosurgical procedures using continuous infusion of fentanyl & midazolam - study outcome.
=> Comparison between radial & femoral arterial pressures during & after cardio- pulmonary bypass - A prospective study.
Timing of baseline ACT in open heart surgeries.
=> Does brain manipulation during major intracranial procedures alter coagulation profile ? A randomized prospective study.
=> “Lignocaine for prevention of reperfusion VF after release of aortic cross clamp”
=> “Fast track cardiac surgery in off pump coronary artery bypass grafting surgery – A prospective analysis”
=> “Comparison of intubating condition between succinylcholine and rocurounium with priming.
=> “Role of magnesium in post operative analgesia
=> “Haemodynamic response to intubation – effect of gabapentin”
=> “ Amiodarane for prevention of arterial fibrillation in patients undergoing on vital valve replacement surgery”
=> “ Correct depth of insertion of right internal jugular central venous catheters based on external landmarks”
=> “Comparison of haemodynamics and intubation conditions during rapid tracheal intubation using suxamethonium and Rocuronium with ephedrine pretreatment”

Ongoing Projects :
=> Thoracic epidural analgesia (TEA) for pain relief in thoracic surgical procedure.
=> Ventilator associated pneumonia experience at a tertiary care teaching hospital in south India.
=> Protamine dose calculation heparin ACT dose response curve.
=> An experience with intrathecal ketamine with ketamine – Midazolam.
=> Ultra low dose aprotinin Vs Tranexemic acid A comparative study in reducing blood loss in open heart surgery.
=> Base line ABG as a predictor of mortality in ICU patients.
=> A study to determine whether volume control pressure control ventilation in better in prone position
=> Comparison B/N plain Bupivacaine vs Bupivacaine with Ketamine for spinal Anaesthesia.
=> “A comparative study of clinical effects between 0.5% Bupivacaine heavy and 0.5% Bupivacaine with Ketamine for lower abdomen and lower limb surgeries”
=> “ Comparison of Butorphanol and Fentanyl for balanced Anaesthesia patients undergoing Laparoscopic Surgeries under General Anaesthesia”
=> “Comparison of clonidine and dexmeditomedine in attenuation of haemodynamic response to laryngosopy and intubation thoracic surgical cases”
=> “Pulmonary Dysfunction in early postoperative period in patients undergoing valve replacement surgeries”
=> “Compare the effect of propofol and thiopentone on BIS during induction and correlation with haemodynamic parameters”.
=> “ Comparison between objective methods ( TOF – watch S X) vs Subjective method ( peripheral nerve stimulation) to monitor no – depolarizing neuromuscular blockade during general anaesthesia”.

Planned Projects :
=> Comparison Between objective vs subjective methods of Neuro muscular Monitoring .
=> Role of BIS in cardiac surgeries.
=> Effect of Tranexemic Acid on post cardiac surgery bleeding.
=> To attenuate the haemodynamic response in laproscopic surgery.

Future Plans :

=> Planning to start D.M. ( Cardiac Anaesthesia ) .
=> Plans to teach CPR for paramedics in & around Tirupati.
=> To organize and prepare for Cardiac & liver Transplant surgery.
=> To Start Animal Lab & Experimental Surgery.
=> To start a fellowship programme in Critical care medicine.
=> To start pain clinic to alleviate cancer Pain.