Anaesthesiology

Vision

“To be the pioneering hub of excellence in anaesthesiology, providing world-class patient care, education, and research, while contributing to the well-being of our community and beyond.”

Mission

“Our mission is to deliver exceptional anaesthesia services, fostering compassionate patient care and safety, innovative education and training, and cutting-edge research, driven by our commitment to improving healthcare outcomes. We strive to serve as a cornerstone of health in Kerala, India, and extend our knowledge and expertise to benefit global healthcare. We are dedicated to upholding the highest ethical and professional standards while embracing cultural diversity and inclusivity.”

About Us

The Department of Anaesthesiology at Govt TD Medical College Alappuzha is a dynamic and dedicated unit, committed to delivering comprehensive peri-operative care, intensive care, and pain and palliative care services. With a rich history of excellence, our department is a vital component of the healthcare ecosystem in Kerala.

We provide anaesthesia services for around 25 to 30 major surgeries daily, covering a wide range of procedures, including renal transplantations, cardiothoracic surgeries, oncosurgeries, neurosurgeries, and pediatric surgeries. Our expertise extends to perioperative care across various surgical specialties, ensuring the safety and well-being of our patients.

In addition to our surgical and critical care roles, our anaesthesiologists also extend their services to out-of-operating room procedures in settings like the cath lab, ICU, and ECT suite. This expansion of our scope allows us to address a diverse array of medical needs, making us an invaluable resource in critical and emergency situations.

Furthermore, we prioritize the importance of thorough patient evaluation. Our pre-anaesthetic clinic is at the forefront of this mission, evaluating nearly 60 patients daily. This process ensures that each patient receives personalized and meticulous care tailored to their unique medical conditions and needs.

Beyond our clinical duties, we host weekly pain clinics and make home visits, prioritizing pain management and palliative care.

Academic Activities

Postgraduate Training: Annually, we admit four postgraduate students and offer them comprehensive training in diverse aspects of anaesthesia, ensuring their well-rounded development.

Undergraduate Education: Our department hosts two-week rotations for undergraduate students, providing essential training in basic life support and airway management, equipping them with vital skills.

State-of-the-Art Skill Lab: We efficiently leverage the college’s state-of-the-art skill lab, providing hands-on training for both undergraduates and postgraduates, fostering practical experience and competence.

Faculty Development: Our faculty members have undergone training in basic biomedical research and ATELC, enhancing their expertise.

Continuing Medical Education (CME): In April 2023, we organized a one-day CME on Mechanical Ventilation, in which our faculty members delivering presentations on various topics, thereby facilitating the dissemination of knowledge.

BLS/ACLS Training: In September 2023, we orchestrated an AHA accredited BLS/ACLS provider course, benefiting both faculty and junior residents, enhancing their life support skills.

Academic Contributions: Routinely, our faculty members and junior residents partake in national, state, and district-level CMEs, where they present posters, case studies, and research papers, thereby making substantial contributions to the academic community.

Academic Engagement: The department actively conducts journal clubs, case discussions, seminars, and workshops, creating a nurturing environment for intellectual growth and collaborative learning.

Life Support Certification: Remarkably, 100% of our postgraduate students and faculty members have completed AHA-accredited certificate courses and workshops on Basic Life Support (BLS) and Advanced Cardiac Life Support (ACLS).

Patient Safety Initiatives: We are actively implementing Laqshya for OBG maternal and baby safety, underscoring our dedication to patient well-being and the promotion of safety measures.

Patient Safety Week: In line with NMC recommendations, we celebrated Patient Safety Week from September 17th to 25th, 2023. During this period, we conducted a mock drill on CODE BLUE activation, meticulously recording the exercise through video and photographs, thereby emphasizing the paramount importance of patient safety.

Our Facilities

Our department is equipped with cutting-edge facilities to ensure the highest standard of care. This includes advanced anaesthesia machines, invasive monitoring devices, high-resolution ultrasound machines, video laryngoscopes, and a comprehensive range of fibre-optic and video bronchoscopes. These technologies enable us to tailor anaesthesia for each patient, closely monitor vital signs, perform precise procedures with ultrasound guidance, enhance airway management, and address complex airway and respiratory challenges. We are dedicated to providing safe, effective, and innovative anaesthesia care to our patients, reflecting our commitment to excellence and modern medical practices.

Sl No	Name of Faculty	Educational Qualifications	Designation	Registration Number (State Medical Council)
1.	Dr. Veena N	DNB, DA, Mphil, MBBS	Professor and HOD	18931
2.	C.Chawngroliana	MBBS	Junior Residency	MSMS/2021/914
3.	Anamika S	MBBS	Junior Resident
4.	Dr. Arsha G Nair	MBBS	Junior Resident	79847
5.	Dr. Aswathy.M S	MBBS, MD Anaesthesiology	Senior Resident	72528
6.	Dr. Joyce J Parambil	MBBS, MD Anaesthesiology	Senior Resident	57869
7.	Dr. Biby Mary Kuriakose	MBBS, DA, MD Anaesthesiology	Professor CAP	31483
8.	Dr. Kiran K	MBBS, MD Anaesthesiology	Senior Resident	69424
9.	Dr. Neena Thomas	MBBS, MD	Associate Professor CAP	32349
10.	Dr. Vimal Pradeep	MBBS, DA, MD	Associate Professor (CAP)	33780
11.	Dr. Deepa George	MBBS, MD, DA (Anesthesiology)	Professor(CA P)	26338
12.	Dr. Rinku P Joseph	MBBS	Junior Resident	54346
13.	Dr. Keerthana A	MBBS	Junior Resident	98689
14.	Dr. Devika Suresh	MBBS	Junior Resident	77383
15.	Dr. Megha Murali	MBBS	Junior Resident	76469

Courses Offered

Department of Anaesthesiology Committee Members

Dr. Veena.N Professor & HOD – Member of the Institutional Research Committee, Govt TD Medical College Alappuzha.
Dr. Biby Mary Kuriakose, Cap Professor – Member of phase wise curricular subcommittee for undergraduates.
Dr. Vimal Pradeep, Cap Associate professor, Nodal Officer for implementing LAQSHYA Government TD Medical College Alappuzha.
Dr. Mathew V Mammen, Assistant Professor - Skills Lab team member.
Dr. Aswathy L R, Assistant Professor-Nodal officer critical care- Fellow of National Board Critical Care.

List of Publications from the Department

1. Efficacy of levobupivacaine and bupivacaine in supraclavicular brachial plexus block for forearm orthopaedic surgeries-an observational study. nadarajan v,rangaswamy r,ejaselias b p,et al.efficacy of levobupivacaine and bupivacaine in supraclavicular brachial plexus block in forearm orthopaedic surgeries-an observational study.j.evid.based med.healthc.2016;3(57);2970-2974.doi: 10.18410/jebmh/2016/647
2. Comparative study of intrathecal bupivacaine with midazolam and intrathecal bupivacaine alone in patients undergoing inguinal hernia surgeries. Mary Ann Linda,Nadarajan Veena.Comparative study of intrathecal bupivacaine with midazolam and intrathecal bupivacaine alone in patients undergoing inguinal hernia surgeries.world journal of pharmaceutical and medical research 2017.3(3).201-206
3. Hyperbaric Bupivacaine with fentanyl compared to Hyperbaric bupivacaine alone for spinal anaesthesia in caesarean section. Archana L,Nadarajan Veena,Hyperbaric Bupivacaine with fentanyl compared to Hyperbaric bupivacaine alone for spinal anaesthesia in caesarean section.j.evid.based med.healthc.20174(33);2349-2562./jebmh/2017/02
4. Comparison of Ondansetron,Granisetron and dexamethazone for prevention of post operative nausea and vomiting in thyroidectomy patients in our rural tertiary care center. Kuriakose BM, Veena N. Comparison of ondansetron, granisetron and dexamethasone for prevention of postoperative nausea and vomiting in thyroidectomy patients in our rural tertiary care centre. J. Evolution Med. Dent. Sci. 2017;6(33):2692-2696, DOI: 10.14260/Jemds/2017/581
5. Intrathecal preservative free ketamine with bupivacaine in comparision with bupivacaine alone in lower limb and lower abdominal surgeries -a clinical study. Sreekumar V, Veena N. Intrathecal preservative-free ketamine with bupivacaine in comparison with bupivacaine alone for lower limb and lower abdominal surgeries- a clinical study. J. Evolution Med. Dent. Sci. 2017;6(42): 3309-3312, DOI: 10.14260/Jemds/2017/716
6. To compare the effects of intermittent versus continuous administration of epidural Ropivacaine with Fentanyl for labor analgesia at Govt T D Medical College, Alappuzha. To Compare the Effects of Intermittent versus Continuous Administration of Epidural Ropivacaine with Fentanyl for Labour Analgesia at Govt. T.D. Medical College, Alappuzha Ramachandran Lakshmi1, Nadarajan Veena2 1Department of Anaesthesiology, Government T. D. Medical College, Alappuzha, Kerala, India. 2Department of Anaesthesiology, Government T. D. Medical College, Alappuzha, Kerala, India.
7. Veena N, Pradeep V. Incidence and predictors of difficult laryngoscopy in patients undergoing coronary artery bypass grafting. J. Evid. Based Med. Healthc. 2018; 5(49), 3363-3368. DOI 10.18410/jebmh/2018/685.
8. Kuriakose BM, Nadarajan V ,Cardiovascular effects of intravenous oxytocin in elective caesarean section- a study from Alappuzha, Keràla.J Evolution Med Dent Sci 2021;10(45):3821-3826,DOI:10.14260/jemds/2021/773
9. Efficacy and safety of intravenous Tranexamic acid in control of bleeding in Total Knee Replacement- A randomized clinical trial. Journal Of Medical Science And Clinical Reasearch ( Jmscr) Vol/05/Issue/03//Page 19441-19447//March 2017.
10. Comparitive Study of Supraclavicular Brachial Plexus Block Using Nerve Stimulator Vs Ultrasound Guided Method. Journal Of Medical Science And Clinical Reasearch ( Jmscr Vol//05//Issue//06//Page 22964-22969//June 2017
11. George D, Ramachandran N. A clinical study to assess the efficacy of erector spinae plane block for postoperative analgesia after modified radical mastectomy in a tertiary health care centre. J Evolution Med Dent Sci 2022;11(02):380-385, DOI: 10.14260/jemds/2022/73( Dr Deepa George, Dr Nanna R. Chandran)
12. Ramachandran N. Effect of addition of clonidine to intrathecal bupivacaine on postoperative analgesia in inguinal and lower limb surgeries in adults. J Evolution Med Dent Sci 2022;11(02):386-390, DOI: 10.14260/jemds/2022/74 (Dr Nanna R. Chandran)
13. Kavitha K, Letha J, Nanna R. Chandran. Attenuation of stress response during laryngoscopy and endotracheal intubation using esmolol and fentanyl - a comparative study. International Journal of Pharmaceutical and Clinical Research 2022; 14(5); 290-302
14. Anu W, Nanna R. Chandran, Letha J. Comparison of Minimum Volume and Dose of Epidural Levobupivacaine 0.125%W/V and 0.25%W/V with Fentanyl for Labor Analgesia. International Journal of Pharmaceutical and Clinical Research 2022; 14(6); 665-675
15. A prospective comparative study of the efficacy of standard dose bupivacaine vs low dose bupivacaine with fentanyl for hip arthroplasty in elderly females in a tertiary care hospital in south India. Dr. Deepa George, Assistant Professor,GTDMCH-Alappuzha, Journal of medical science and clinical research –May 2018-Volume 6-Issue 5.
16. Ultrasound as a tool for endotracheal tube confirmation in patients with or without difficult airway undergoing elective surgery-Dr.Deepa George, Assistant Professor,GTDMCH-Alappuzha, Journal of evolution of medical and dental sciences- May 2017-issue 39.
17. Comparison of two different doses of oral pregabalin as premedication on hemodynamic pressor response during intubation and extubation in modified radical mastectomy Dr.Deepa George, Assistant Professor, GTDMCH-Alappuzha, Journal of evolution of medical and dental sciences- June 2017-issue 44.George D, Ramachandran N. A clinical study to assess the efficacy of erector spinae plane block for postoperative analgesia after modified radical mastectomy in a tertiary health care centre. J Evolution Med Dent Sci 2022;11(02):380-385, DOI: 10.14260/jemds/2022/73( Dr Deepa George, Dr Nanna R. Chandran)
18. Vinoj KV, Deepa G. A comparative study of ropivacaine with dexamethasone and ropivacaine with dexmedetomidine in ultrasound guided brachial plexus blockade for adult upper limb surgeries. J Evid Based Med Healthc 2020; 7(44), 2514-2519
19. Anzer Shah M, George D. An observational study to assess vocal cord mobility by laryngeal ultrasonography and direct laryngoscopy in total thyroidectomy patients. J. Evid. Based Med. Healthc. 2020; 7(5), 199-202. DOI: 10.18410/jebmh/2020/42. Anzer Shah M, Dr Deepa George
20. Kuriakose BM, Nadarajan V ,Cardiovascular effects of intravenous oxytocin in elective caesarean section- a study from Alappuzha, Keràla.J Evolution Med Dent Sci 2021;10(45):3821-3826,DOI:10.14260/jemds/2021/773 (Dr Biby Mary Kuriakose , Dr Veena N)
21. Kuriakose BM et al, A comparative study of intravenous lignocaine, dexamethasone and combination of lignocaine-dexamethasone in attenuating propofol induced pain, Kuriakose BM et al. Int J Res Med Sci.2022 Feb;10(2) DOI:10.18203/2320-6012.ijrms20220058 (Dr Biby Mary Kuriakose)
22. Comparision of ondansetron,granisetron and dexamethazonefor prevention of post operative nausea and vomiting in thyriodectomy patients in our rural tertiary care center -original article published in JEMDS volume6,issue33 on april24 2017 First author Dr Biby Mary Kuriakose
23. A prospective comparative study of the efficacy of standard dose bupivacaine vs low dose bupivacaine with fentanyl for hip arthroplasty in elderly females in a tertiary care hospital in south India. Dr.Deepa George ,Dr Biby Mary Kuriakose, Journal of medical science and clinical research –May 2018-Volume 6-Issue 5.
24. Veena N, Pradeep V. Incidence and predictors of difficult laryngoscopy in patients undergoing coronary artery bypass grafting. J. Evid. Based Med. Healthc. 2018; 5(49), 3363-3368. DOI 10.18410/jebmh/2018/685. (Dr Vimal Pradeep)
25. Pradeep V, Ushadevi RS. Ease of access to the subarachnoid space and its association with spinous process dimensions, in patients undergoing spinal anaesthesia J. Evid. Based Med. Healthc. 2018; 5(28), 2118-2122. DOI: 10.18410/jebmh/2018/439. (Dr Vimal Pradeep)
26. Prolongation of postoperative analgesia by the addition of bupernorphine in brachial plexus block – International Journal of Pharmaceutical and Clinical Research 2022; 14(6);705-712. ISSN No: 0975- 1556, Dr Neena Thomas, Dr Mohamed Hussain sait dated 25/06/2022.
27. Estimation of Appropriate Size Endotracheal Tube for Anaesthetic Intubation in Children-International Journal of Pharmaceutical and Clinical Research Vol14, Issue12, 1203-1211. ISSN: 0975-1556, Dr Anil kumar P , ,Dr Mohamed Hussain sait , Dr Neena Thomas dated 30-12-2022
28. Kaniyil S., Anandan, K., & Thomas, S. (2018). Ratio of height to thyromental distance as a predictor of difficult laryngoscopy: A prospective observational study. Journal of anaesthesiology, clinical pharmacology, 34(4), 485–489.https://doi.org/10.4103/joacp.JOACP_283_17 Dr. Sanjith Thomas
29. Mammen MV,Tripathi M,Chandola HC,Tyagi A,Bais PS,Sanjeev OP.Comparison of enhancement of analgesic effect of intrathecal neostigmine by intrathecal clonidine and transdermal nitroglycerin patch on bupivacaine spinal anesthesia.Anesth Essays Res 2017;11:993-7
30. Prospective Comparative Study of Epidural Ropivacaine Vs Epidural Levobupivacaine on the Duration of Analgesia in Adult Patients Undergoing Subumbilical Surgeries .Dr Bhagyasree Gopinath, Dr Santhosh Surendran; a. International Journal of Pharmaceutical and Clinical Research 2022; 14(6); 372-377
31. The Comparison of Ease of Insertion of Proseal Laryngeal Mask Airway and Endotracheal Tube in Patients Undergoing Laparoscopic Surgeries Under General Anaesthesia. Dr Adlene Rodrigues, Dr Sheeila Rani Imanual, Dr Rehana B a. European Journal of Molecular & Clinical Medicine. ISSN:2515-8260 Volume 10, Issue 03, 2023