The department of anaesthesia started functioning as a separate unit in year 1927 and Dr. Francis DARCS was the first Professor of the Department of Anaesthesiology. He held the chair for 12 years from 1927-1939.
It was during the tenure of Prof. V. Rajagopalan, FFARCS,(1953-1974), that the department of anaesthesia developed academically with the starting of Diploma in Anaesthesiology in the year 1959 and Master Degree in Anaesthesiology in the year 1966.
Earlier there was only one surgical block in the old building with general surgical theatres and as the surgical specialities and techniques developed, so did anaesthesia. In the old building there were 6 operation theatres, 2 theatres per floor. Each theatre had around 4 operating tables. Altogether there were around 24-26 operating tables in the old block.
OT1 was emergency theatre, OT2 - ortho theatre, OT3 - general surgery, OT4 - surgical gastroenterology, OT5 – plastic surgery, surgical endocrinology & general surgery, OT6 -ENT.
Currently The Department efficiently manages 15 operation theatres catering to
General Surgery
Orthopaedic Surgery
Vascular Surgery
Cardiothoracic Surgery
Neuro Surgery
ENT Surgery
Plastic Surgery
Urological Surgery
Gastro intestinal Surgery
Endocrine Surgery
Geriatric Surgery
and round the clock functioning Emergency theatre., Post Anaesthesia care Unit (PACU)
Cardiothoracic, Neuro, and Specialty Theatres
The Cardiothoracic theatre was started in year 1954-55 and the first successful open heart procedure was done in the year 1974 under the leadership of Dr.A.Venkatasamy.
Later on this took a higher stride under Dr.Kabeer and Dr.Janakiraman, then Dr.D.B.Reddy, Dr.Lalitha and then for almost a decade from 1989, under the guidance of Dr.R.Rajendran the anaesthetic management of cardiac and thoracic cases took a turn for the better as it was during this period
that all cases were invasively monitored, thanks to the efforts of Dr. Vijayashankaran, cardiothoracic surgeon who was instrumental in procuring the multipara monitors.
Neurosurgery as a specialty started in the year 1950 and the present block with the neuro theatre was started in the year 1969.
Under the leadership of Dr.L.Appasamy as the chief neuro anaesthetist, and ably assisted by Dr.S.V.Soundappan, Dr.N.Sambandhan, Dr.A.Thiruchelvan,and Dr.S.Vasudevan, neuroanaesthesia blossomed into a fine art. Later, Dr.R.Chandrasekaran was instrumental in procuring the multipara monitors and in refining neuroanaesthesia
Specialty theatre (OT 12) was started in the year 1983. The first renal transplant was done in 1987., under the guidance of Dr.T.A.Thirumalai. Dr.S.P.Ramachandran and Dr.Manonmani underwent training in renal transplant and under their guidance and support, Dr . Ganapathy Asokan who was there for 17 years took OT12 to an exalted
status, under the leadership of Dr.K. Balakrishnan.
Major vascular procedures (both elective and emergency), and the maximum number of renal transplants were done during that period. We still follow the protocol devised by them for anaesthesia for renal transplant.
Emergency OT
The emergency theatre in the ground floor catered mainly to general surgical cases and occasionally to plastic surgery cases .The Orthopaedic emergencies were done in OT 7. Neurosurgical emergencies were done in the neurosurgery theatre and in the mid 1990°s in a small operating room within the head injury ward(N1 ward).
Cardiothoracic emergencies were done in the cardiothoracic theatre.
As Professor and Head of the Department (HOD), the individual leads academic, administrative, and research activities within the department.
Dr.T.Murugan
Professor Director/HOD
As Professor and Head of the Department (HOD), the individual leads academic, administrative, and research activities within the department.
S.No
Name of the Residents joined in the year 2020
Name of the Residents joined in the year 2021
Name of the Residents joined in the year 2022
1
Dr.Akilan
Dr.Aarthi R
Dr. Adhithya Kumar
Facility & Clinical Care
Pre Anaesthesia Clinic
Our perioperative care starts with PAC (Central assessment Room ). Patients coming for preoperative fitness for surgery are being holistically
assessed and completely optimised as per RGGGH PAC Protocol before going for surgery. Nearly 1900 patients are thoroughly assessed per month.
Post Anaesthesia Care Unit
PACU was started in the year 2005 to take care of the surgical patients undergoing major surgery with blood loss/fluid shifts,
faciomaxillary procedures and post-surgical patients with anaesthetic complications.
It had 8 beds and upgraded to 10 beds in 2010 and has 8 ventilators. It is functioning round the clock under the supervision
of qualified anaesthesiologists with help of anaesthesia postgraduates.
Pain Clinic services
Chronic pain incapacitates more than 30% of general population. So chronic interventional pain management helps not only in relieving pain but improves the quality of life.
Pain clinic services are provided to the patients for over three decades as an OP procedure, but it is formally inaugurated 2 years back and rechristened as Chronic Pain Management Centre (CPMC).
We do interventional pain management procedures both ultrasound and fluoroscopic guided. We cater both to palliative cancer patients and chronic pain like LBA. Procedures that are done in CPMC are
We have separate admission rights and OT suite with 8-10 tables per month for interventional pain management.
Organ Retrieval from Brain Dead And Cadaver Organ Transplant Procedures
The first cadaver transplant was done on 26-10-2009.As the patient is declared as brain dead, patient is taken over
anaesthesiologist in the PACU and optimized for organ retrieval After the second apnoea test was performed on brain dead, viable organs are harvested and sent to various institution according
to priority list in coordination with transplant coordinator harvested kidney which is allotted to MMC is immediately transplanted to the specie recipient.
We are the pioneers in organ retrieval and cadaver transplant in India. Till now we have done around 100 cases.
Liquid Oxygen Supply
It was started July 2012. The inauguration of liquid oxygen has eased the problem cylinder shortage and provided us 24 X 7 X 365 days of uninterrupted oxygen supply for nee patients. Initially central oxygen and suction connections were started only for critical care units.
Later because of the availability of liquid oxygen it was extended to all most all the wards. Because of this service any patient who is hypoxemic will be immediately taken care of in the ward itself.
No Guest lecture information available for this department.
Success Stories
Success Story 1: MACME - MMC Anaesthesia Conference
MACME 2023
CME: Neonatal Anaesthesia – Basics and Beyond (in honour of retiring Paediatric Anaesthesia HOD, Prof. Dr. Krishnan)
Introduction of Neonatal Anaesthesia
Pharmacology for Neonates
Tracheo-Oesophageal Fistula
Congenital Diaphragmatic Hernia
Infantile Hypertrophic Pyloric Stenosis
Cyanotic Congenital Heart Disease
Workshop: Anaesthesia Machines/Workstation
Safety Features
Low Pressure System
Intermediate Pressure System
High Pressure System
Circuits
Vaporizers
Workshop: POCUS
RUSH – Rapid Ultrasonogram for shock & hemorrhage
FATE – Focused Accelerated Trans-thoracic Echo
EFAST – Extended Focused Assessment with Sonography for Trauma (Lung USG)
MACME 2022
Organized by Institute of Anaesthesiology and Critical Care, MMC, Chennai and Anaesthesia CME Society on 24–25 September 2022. Focused on hands-on training for postgraduates in Airway Management and POCUS with over 200 registrants.
Airway Management Workshop had 4 stations including Fiberoptic bronchoscope, Video laryngoscope, Supraglottic airway devices. Delegates had hands-on mannequin-based training.
Surgical airway demonstrated using goat’s trachea (by Dr. Kathiravan & Dr. Balaji)
Live scenario simulation of difficult airway in OT setup followed by debriefing
POCUS station coordinated by Prof. Dr. Arul & Dr. Ganesh focused on bedside diagnostic ultrasound.
EFAST
Cardiac Ultrasound
Lung Ultrasound with trauma simulation
MACME 2017
17th Annual CME & two pre-conference workshops (09/07/2017)
Theme: Anaesthetic Challenges in Patients with Coagulation Abnormalities
Coagulation physiology and pre-op evaluation – Dr. V. Nagasamy
Placenta accreta case management – Dr. S. Sridhar
Anticoagulant therapy – Dr. Catherine Ratnasamy
Liver hemangioma lobectomy – Dr. Lakshmi Kumar
Transfusion guidelines and alternatives – Dr. Pankaj Kundra
Workshop on Anaesthesia Machine and Gas Systems:
High Pressure – Dr. N. Ramya
Low Pressure – Dr. R. G. Sivabalan
Intermediate Pressure – Dr. A. Asha
Circle System – Dr. E. Beulah S. Elango
Central Gas System – Dr. E. Balaji
MACME 2016
Date: 03/07/2016
Theme: Scopes in Anaesthesia
Challenges in FESS – Dr. D. Shunmugapriya
Trans-sphenoidal Pituitary Surgery – Dr. M. ArulVelan
FOB-guided nasal intubation – Dr. A. Ganesh
Rigid bronchoscopy – Dr. Akila
Thoracic Surgery – Dr. Seetharaman
Laparoscopic Surgery – Dr. Jeyalakshmi
Cystoscopy/Hysteroscopy – Dr. K. Senthilkumar
Wake-up vs Complete Recovery – Dr. C. Sekar
MACME 2015
Date: 02/08/2015
Theme: Challenges in Post Anaesthesia Care Unit (PACU)
Arterial Hypoxemia – Dr. R. Mala
Low BP Management – Dr. C. Suganthalakshmi
Ultrasound in PACU – Dr. S. Sarvanakumar
Post-operative Oliguria – Dr. N. Gopalakrishnan
Delirium – Dr. Baskaran Jegadish
Pain Relief – Dr. S. Bhuvana
Success Story 2: Anaesthesia Newsletter
Anaesthesia Newsletter 2022
A quarterly publication showcasing abstracts of clinical cases, ongoing research, and student quiz content.
Editorial Board
Chief Editor: Prof. Dr. Sugantharaj Anuradha M.D, DA
Co-Editors: Dr. A. Ganesh M.D, Dr. K. Aishwarya M.D
Student Editor: Dr. K. Aishwarya M.D
Founder Editor: Dr. R. Chandrasekharan M.D, DA
Anaesthesia Newsletter 2023 Editorial Board
Chief Editors: Prof. Dr. M. Vellingiri M.D, DA, Asso. Prof. Dr. Lakshmi Prakash MD, DA
Co-Editors: Dr. B. Mariam Shirin M.D, Dr. N. Sumathi M.D, Dr. Kannan M.D
Student Editor: Dr. Kapil Y S R
Founder Editor: Dr. R. Chandrasekharan M.D, DA
Success Story 3: Transplant OT Achievements
Renal and Liver Transplants – 2023
Since January 2023, 42 deceased donors were managed successfully. Out of these, 13 deceased donor renal transplants and 6 liver transplants were performed. All patients recovered well under intensive monitoring and were discharged post-transplant.
Central Laboratory
No Centarl Lab information available for this department.
Highlights
No Highlights information available for this department.
High Dependency Unit
No High Dependency Unit information available for this
department.
Others
No Others information available for this department.
