The Department of Anaesthesiology and critical care at BHMRC provides expert care in the Operation Theaters (OT), Post Anaesthesia Care Unit (PACU), Surgical Intensive Care Unit (SICU), Pre Anaesthetic Checkup Clinic (PAC), Pain Clinic and the Casualty. The department consists of over 12 consultants and 20 residents.

The 16 OTs are extremely spacious and well planned with laminar flow air conditioning and Hepa filters to maintain absolute sterility. Each OT is equipped with the latest low flow anaesthesia workstations with built-in ventilators. Our department was the first and still one of the very few in the country to acquire a Target Controlled Infusion (TCI) system for computer controlled delivery of IV anaesthetic agents Modern modular monitors are used for continuous monitoring of Pulse, Blood pressure, ECG, temperature, invasive pressures, end tidal CO2 and anaesthetic gases, depth of anaesthesia etc. There are dedicated OTs for Cardiac Surgery, Neurosurgery, Renal transplant, Joint replacement, Laparoscopic, Hysteroscopic, Urology, Thoracic and Vascular surgery etc. The most complex and diverse type of surgeries are performed here on many critically ill patients varying in age from premature babies to centenarians. The OT’s function during office hours for elective surgeries; and round the clock for emergency surgeries.

For post- operative care of patients, the two PACUs (12 and 8 bedded) have piped gases and multi-parameter monitors on each bed. For critically ill surgical patients, the 16 bedded SICU (including 2 reverse barrier nursing suites) has modern ventilators, non invasive ventilation systems and modular monitors. A dedicated and motivated team of doctors, nurses, physiotherapists, technicians etc. provide round the clock care of these patients.

The Department runs an Acute pain service for post operative patients and pregnant patients in labour who are offered various modalities of pain relief including patient controlled analgesia; IV and epidural infusions of analgesic agents and other drugs to relieve their discomfort. The department also runs a Pain Clinic for patients with chronic pain (e.g. cancer pain etc); and a Pre Anaesthetic Checkup (PAC) clinic for evaluating patients coming for surgery. These clinics are run Mon - Sat between 9am - 5pm.

To keep abreast of the latest, the members of the department organize and regularly attend various scientific meetings where they present research papers and deliver lectures.

The department conducts a post graduate residency programme recognized by the National Board of Examinations for awarding the degree of DNB which is recognized in India and abroad. Presently there are 15 post graduate students enrolled in the residency programme.

Brief Resume of Dr Pavan Gurha

Dr Pavan Gurha passed his MBBS, Diploma in Anaesthesia (DA) and MD (Anaesthesia) from Delhi University. Worked as Registrar in Anaesthesiology & Critical Care at AIIMS from 1986-88.

Joined Batra Hospital as Consultant in Anaesthesiology & Critical Care in Nov. 88. Became Head of Department on 1.02.2002.The Department runs 15 Operation Theaters, 16 bedded Surgical ICU and the Casualty round the clock. The Department is recognized for post graduate training (DNB) by the National Board of Examination & has 15 postgraduates on its rolls. Besides running the academic programme of the department, have been an active participant at many academic forums, and have many presentations and publications to his credit.

Presently, Chairman of OT Committee and Purchase Committee of the hospital. Also a member of the Hospital Selection Committee for appointment of senior medical & management personnel. Member of National Committee of CII-IHCF (Confederation of Indian Industry- Indian Health Care Federation) since July’04. Attended a course on Hospital Management organized by Singapore Management University in Nov.04.Was part of a CII-IHCF delegation that visited United Arab Emirates in Jan 04 to promote Medical tourism. Joined ASSOCHAM Expert Committee on Health in March’06.

Brief Resume of Dr LALIT SEHGAL (Junior Consultant, Anaesthesiology)

QUALIFICATION(S): MD (AIIMS), DNB {Anaesthesiology}, MNAMS

MEDICAL REGISTRATION: Delhi Medical Council, Registration no.-14104

PRESENTATION(S):

• Poster presentation titled “The Effect of Addition of Morphine / Tramadol to Adrenalized Lignocaine in Interscalene Brachial Plexus Block” at 1st Biennial Workshop of RSACP, 17 – 18th November, 2001, PGIMER, Chandigarh, India.

• Poster presentation titled “The Addition of Tramadol and Not Morphine to Lignocaine Enhances the Efficacy of Interscalene Brachial Plexus Block” at ASA Annual Meeting 2003, 11 – 15th October, 2003, San Francisco, USA.

PUBLICATION(S):

• Sreevastava D, Trikha A, Sehgal L, Arora M K. Interscalene Brachial Plexus Block for Shoulder Surgery in a Patient with Arthrogryposis Multiplex Congenita. Anaesth. Intensive Care, 2002 Aug; 30(4): 495-8.

• Sehgal L, Arora MK, Trikha AK, Kaul HL, Kotwal PP. The Addition of Tramadol and Not Morphine to Lignocaine Enhances the Efficacy of Interscalene Brachial Plexus Block. Anesthesiology 2003; 99: A1057.

• Sehgal L, Arora MK, Trikha A, Kotwal PP. The Effect of Addition of Morphine / Tramadol to Adrenalized Lignocaine in Interscalene Brachial Plexus Block. Ann Natl Acad Med Sci 2004; 40 (3&4).

• Sehgal L, Sreevastava D. Anaesthesia for A Patient With Alzheimer's Disease. Journal of Anaesthesiology Clinical Pharmacology 2005; 21: 341-2.

SPECIAL INTERESTS:

Intensive Care, Regional Anaesthesia & Pain Medicine.