Introduction

The department of anaesthesiology and intensive care is dedicated for safe anaesthesia and quality intensive care service. The department is also involved in conducting various academic programs. Anesthesia is a medical specialty involved in the provision of life support, insensibility to pain, both for surgical procedures and childbirth. Anaesthesia service includes preanaesthesia check up and optimization, monitored anaesthesia care, sedoanalgesia, regional anaesthesia, general anaesthesia, perioperative management, postoperative management for a variety of emergency and routine surgical and other diagnostic and therapeutic procedures. The intensive care service includes assessment and management of critically ill patients.

Members:

Prof. Dr. Ritu Pradhan, Chief Consultant Anesthesiologist, Head of Department

Prof. Dr. Ravi Ram Shrestha, Chief Consultant Anesthesiologist, Coordinator DM CCM

Prof. Dr. Bidur Baral, MD Anesthesiologist, Coordinator MD Anesthesiology

Assoc. Prof. Dr. Abhay Pokharel, Chief Consultant Anesthesiologist

Assoc. Prof. Dr. Pradip Raj Vaidya, MD Anesthesiologist

Assoc. Prof. Dr. Anuj Jung Karki, Senior Consultant Anesthesiologist

Assoc. Prof. Dr. Surendra Bhusal, MD Anesthesiologist

Assoc. Dr. Subha Kalyan Shrestha, Senior Consultant Anesthesiologist

Asst. Prof. Dr. Luna Sharma Khanal, Senior Consultant Anesthesiologist

Asst. Prof. Dr. Bindu Laxmi Shah, MD Anesthesiologist

Asst. Prof. Dr. Mona Rajbhandari, MD Anesthesiologist

Asst. Prof. Dr. Jay Prakash Thakur, Senior Consultant Anesthesiologist

Asst. Prof. Dr. Rupesh Gami, Senior Consultant Anesthesiologist

Asst. Prof. Dr. Sandeep Kiran Pradhan, Senior Consultant Anesthesiologist

Asst. Prof. Dr. Nirman Gyawali, Senior Consultant Anesthesiologist

Asst. Prof. Dr. Pradip Koirala, MD Anesthesiologist

Asst. Prof. Dr. Gaurav Ratna Bajracharya, MD Anesthesiologist

Asst. Prof. Dr. Laxmi Kharel, Consultant Anesthesiologist

Asst. Prof. Dr. Arjun Prasad Tiwari, MD Anesthesiologist

Dr. Bimlesh Shah, Consultant Anesthesiologist

Dr. Niti Shrestha, MD Anesthesiologist

Anaesthesia Service:

A variety of anesthesia service is provided for emergency and routine general surgery, gastrointestinal surgery, endoscopic surgery, urosurgery, orthopaedic surgery, trauma surgery, ENT surgery, Dental and maxilla-facial surgery, Neurosurgery, Thoracic and vascular surgery, Burn and plastic surgery and Kidney Transplant surgery. Day care anesthesia is provided for procedures line ERCP, brachytherapy, radiodiagnosis and other minor procedures. Apart from this, the department entertains emergency calls for resuscitation and CPR from different wards and units.

New ICU:

The New Intensive Care Unit (New ICU) is owned by the department and takes care of both the medical and surgical critically ill patients. This unit is currently running five beds and in near future will be increased to 13 beds with HDU facility. The unit is under the care of trained nursing staff and senior residents around the clock with qualified intensivists. There are other ICUs like Old ICU/CCU, CTVS ICU, Neuro ICU, Burn ICU where cases of respective specialty are managed and anesthesiologists/intensivist from our department help when patients are critically ill and mechanically ventilated.

Education:

PG Program:

MD Anesthesia: The department in coordination with the Anesthesiology Subject Committee runs a three years postgraduate MD Anesthesia program.

MD Internal Medicine: Residents of MD Internal Medicine are posted in New ICU for 1 month for the exposure of critically ill patients.

MD Anesthesia (BPKIHS): MD Anesthesia residents from BPKIHS are posted in Special OT for two weeks for the exposure of neuro-anesthesia.

Super-specialty Program:

DM Pulmonology, Critical Care and Sleep Medicine: Residents are posted for exposure of management of critically ill patients.

Undergraduate Program:

Anesthesia Assistant Course: The AAC Program Committee under Academic council, NAMS, runs this course. It is of one-year duration intended for previously qualified staff nurses (SN), health assistants (HA) or ophthalmic assistant (OA).

Training:

Advanced Cardiac Life Support: The department provides ACLS training to all the PG residents, which is the mandatory course of MD/MS/MDS program.

Pre-anesthesia Check up (PAC) Clinic

Advanced Cardiac Life Support: PAC is mandatory for all patients requiring anesthesia service. For outpatients, PAC is done every day at PAC clinic from 1200hrs to 1300hrs and 1400hrs to 1500hrs. For inpatients, PAC is done at bedside.

Postoperative Ward

Patients after surgery and anesthesia are managed in postoperative ward where patients are continuously monitored and importance is given for optimal pain management using various techniques including epidural analgesia. There is also facility of mechanical ventilation if required.

NAMS, Bir Hospital