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About the department:

The department of Neuroanaesthesia at NIMHANS is in the forefront of dedicated patient care, quality research and high level training in neuroanaesthesiaand neurocritical care to meet the increasing requirements of the nation since its inception in 1950s. The department is equipped with the latest and best of the equipments (anaesthesia work stations, advanced critical care ventilators, multiparameter monitors, echocardiography, latest airway gadgets, drug delivery systems, temperature management systems, brain function monitors etc)required for meeting the complex challenges in the neurosurgical operating rooms and intensive care units. The faculty are selected and promoted based on a rigorous assessment and selection criteria. Residents undergoing advanced training in our department are chosen based on ahighly competitive all India online entrance test and undergo extensive training and evaluation during the course period. Over several decades, the department has grown both in stature and eminence and is recognised as one of the best centers for training and research in neuroanaesthesia and neurocritical care both in India and abroad. 

Summary information on key activities/work of the department:

The department caters to the requirements of various departments like neurosurgery, neurology, neuroradiology, psychiatry and neurorehabilitation with emergency services provided on a 24 X 7 basis throughout the year. Anaesthesia services are provided for seven neurosurgical operating theatres, three neurointensive care units with 30 beds to cater to critical care needs of neurosurgical, neuromedical and neurotrauma patients. Apart from this, anaesthesia services are provided for both diagnostic (MRI/CT) and interventional radiology procedures and electroconvulsive therapy for psychiatric patients. Perioperative pain management is another key area where department contributes to patient care. Recently a Pain Clinic has been added.

Vision: 

Treating patients with compassion, empathy and with at most dedication on par with world standards

Mission:

Aim to excel in all spheres of anaesthesia that is clinical anaesthesia, teaching and manpower development and research.

Objectives:

Support and treat the patients throughout the hospital stay as and when required for comfortable journey through various processes in the hospital. That includes preoperative services, intraoperative services, postoperative services and intensive care management.

Develop the manpower in neuroanaesthesia and neuro critical care to fulfil the requirements of the nation. Develop the policies and programs to fulfil the same in collaboration with other institutes, government and professional organizations.

As research being the future of anaesthesia, active encouragement and support is being provided to the research projects. Collaboration with other institutes within the country and abroad would be actively pursued. The department would strive to be recognized as a centre for research in the field of neurosciences in the world.

What we do

Services offered: 

Perioperative care in seven neurosurgery OTs (including 24 X 7 emergency OTs), neuromedical and neurosurgical (including neurotrauma) ICUs consisting of 30 beds, diagnostic and interventional radiology units, electroconvulsive therapy unit, acute and chronic pain management.

Anaesthesia care is provided for various neurosurgical procedures include brain tumors, intracranial aneurysms, arterio-venous malformations, revascularization procedures for stroke in young, craniosynostosis, meningomyelocoele, paediatric tumors, epilepsy surgeries, cerebello-pontine angle lesions, neuroendoscopic procedures, spine pathologies, traumatic brain and spine injuries, functional neurosurgeries, neuro-rehabilitative surgeries and awake craniotomy procedures for surgeries in the eloquent areas of the brain. 

Anaesthetic services are provided for magnetic resonance and computed tomography imaging studies in paediatric patients and uncooperative adults  and in the cath lab for interventional procedures like embolization of arterio-venous malformations, arterio-venous fistulae of brain and spine, vein of Galen malformation, endovascular coiling of aneurysms, WADA testing, diagnostic angiography and intra-arterial therapy for stroke and vasospasm, and carotid stenting. 

Patients managed in the neurosurgical ICU include post-neurosurgical patients and traumatic brain and spine injury patients. The patients managed in the neuromedical ICU include but are not limited to those with status epilepticus, myasthenia gravis, acute and chronic inflammatory demyelinating polyneuropathies, neuroinfection and stroke. 

Anaesthesia is provided for modified electroconvulsive therapy for patients with medically refractory schizophrenia, major depression, mania and other severe psychiatric disorders.

Acute postoperative pain management and interventional procedures for trigeminal neuralgia, chronic back pain and other acute neuropathic pain conditions.

Courses conducted by the department:

1. DM Neuroanaesthesia - 3 years

2. PDF Neuroanaesthesia – 1 year

3. PDF Neurocritical Care – 1 year

4. BSc Anesthesia Technology – 3 +1 year

Training to other students provided:

Training Nursing students, DM/MchResidents from other departments of the institution during rotation postings Postgraduate trainees from other colleges (MD/DA/DNB) in neuroanaesthesia for one month Short term training  (3 to 6 months) in neuroanaesthesia from deputed from WHO/government institutes.

Contact (department):

Department of Neuroanaesthesia and Neurocritical Care, 3rd Floor, Faculty Block, NIMHANS, Bangalore 560029

Current Faculty and staff

Sl. No.

Photograph of Faculty

Name of the Faculty and Designation

Areas of Research

(Only in bullet form without description)

1

 

Prof. V.J Ramesh

Professor &HOD

Neuromonitoring

Head Injury

Outcomes of intensive care

2

 

Prof. G. S. Umamaheswara Rao

Senior professor

Neurointensive care

Mechanical Ventilation

 

3

 

Prof. V. Bhadrinarayan

Professor

Head Injury

Supratentorial tumors

4

 

Prof. K.R.Madhusudan Reddy 

Professor

Neuroendoscopy

Pituitary tumors

5

 

Dr. M  Radhakrishnan

Professor

Neuromonitoring

TCD

6

 

Dr. Sriganesh kamat

Associate professor

Pain

Evidence based clinical practice

Functional MRI

 

7

 

Dr.V Sudhir    

Associate professor

Head Injury

8

 

Dr. Gopal  Krishna

Associate professor

Evoked potentials monitoring

Ultrasound monitoring

9

 

Dr. Sonia Bansal

Assistant professor

Supratentorial tumors

Head Injury

10

 

Dr. Rohini Gondhule

Assistant professor

Neurointensive care

Functional MRI

11

 

Dr Dhritiman Chakrabarti

Biostatistics and Research Methodology.

Neuromonitoring.

Traumatic Brain Injury

12

 

Dr Suprna Bhardwaj

Intraoperative neurophysiological monitoring and Multimodality Monitoring of the brain

13

 

Dr Shwetha S Naik

Intensive care unit

Fluid management in neurological patients

 

Technical Staff:

Mr Mohanty SR

Mr Manjunath RN

Mr John P Andrew

Mr Divakar C

Administrative staff:

Mr Prince

Ms Hema (Contract)

Supporting staff:

Mr Shivakumar LH

Mr ManjunathGM (Contract)

Infrastructure / Equipment / Facilities: 

1. State of the art multi-function patient monitors for 7 OTs, 4 Radiology units, ECT unit and 3 ICUs

2. Advanced anaesthesia work stations and ICU ventilators

3. Portable multifunction ultrasound machine for central venous cannulation and nerve blocks, rapid diagnostic ultrasonography in emergency, transthoracic and transesophageal echocardiography, transcranial dopplersonography, peripheral vascular doppler for diagnosis of DVT 

4. Heart rate variability (HRV) monitors for autonomic nervous system function assessment 

5. Invasive and non-invasive cardiac output monitors

6. Near infrared spectroscopy (NIRS) and jugular venous catheter for assessment of cerebral oxygenation 

7. Bedside integrated electroencephalography monitors for assessment of seizures in ICU and OT

8. Depth of anaesthesia monitors like Bispectral index and spectral entropy

9. Target controlled infusion pumps, MRI compatible anaesthesia work station, patient monitors and drug delivery systems

10. Patient temperature management system, point of care coagulation monitoring systems

11. Patient transport ventilators and monitors, defibrillators

12. Many video laryngoscopes including Air traq, Mcgrath, CMAC..etc. 

13. Intubating laryngeal mask airway, light wand and fibreoptic scopes for difficult airway management

14. Percutaneous tracheostomy services, bedside cardiac enzyme evaluation

15. Intraoperative evoked potentials monitor

Patient information: 

FAQs, Facts about anaesthesia, Intensive care

Milestones:

1977- Establishment of modified ECT, Pain clinic

1978 - Establishment of Respiratory unit

1998 – One year Post-Doctoral Fellowship course in Neuroanesthesia started 

2004 - Organised national conference of Neuroanesthesia and neurocritical care (ISNACC-2004) 

2006 – Establishment of Liquid oxygen plant installed 

2010 - Commencement of three year BSc Anaesthesia Technology course

2011 - Commencement of three year DM Neuroanaesthesia course

2014- Commencement of one year PDF in Neurocritical care course

2016 - Organised national annual conference of Neuroanesthesia and neurocritical care (ISNACC-2016)

2017 – Starting of intraoperative OT complex, and pain clinic

Malathi Memorial Oration at ISNACC:

The department of Neuroanaesthesia constituted an oration in the name of Dr Malathi, the first HOD of the department, to be delivered every year during the annual ISNACC conference. The list of awardees is as below:

Sl No

Awardee

Year

1

Dr Adrian Gelb

2004

2

Dr Ravi Mahajan

2005

3

Dr David Smith

2006

4

Dr James Cottrell

2007

5

Dr Piyush Patel

2008

6

Dr PirjoManninen

2009

7

Dr Michael J Souter

2010

8

Dr TakefumiSakabe

2011

9

Dr Monica S Vavilala

2012

10

Dr YoramShapira

2013

11

Dr Kawaguchi

2014

12

Dr Arun K Gupta

2015

13

Dr Sergio Bergese

2016

14

Dr. M. T. V. Chan

2017