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, Assistant Professor, Neuroanaesthesia,Sree Chitra Tirunal Institute of Medical Scienses and Technology, Kerala, India
at Sree Chitra Tirunal Institute of Medical Scienses and Technology, Kerala, India
Where to go.....?Follow your heartKnow your heart…..and most importantly……..have a heart!
Where to go.....?If your favourite place in the world is the operating room, be asurgeon.If your favorite place in the hospital is the operating room, bean anesthesiologist.
TRUE OR FALSEYou are more familiar with a surgical knife  and catgut thanan oropharyngeal airway ….You have observed breast lump excision or appendicectomybetter than a peripheral vein cannulation…More often, learning to drive a car will prove easier and useful,than learning to fly an aeroplane!
Why anaesthesia?The Objectives• Loss of awareness / Amnesia!• Analgesia!• Reduce movement in response to stimuli!• Minimize autonomic responses to surgical stimuli!• Muscle relaxation- if required!• Autonomic Regulation!
Youngster !Unlike many other medical specialties, anesthesiology isyoung.!• Availability of effective surgical anesthesia:~150 years.!• Greatest advances: since 1950.!
What a change!1950: Death rate from anesthesia 1 : 1,500!1995: Death rate from anesthesia 1 : 250,000!
Big momentThis demonstration occurred at the Massachusetts GeneralHospital on October 16, 1846Dr. Warren removed a congenital vascular malformation from20-year-old Edward Gilbert Abbott’s neck. After the surgery,the patient replied, “I did not experience pain at any time,though I knew that the operation was proceeding.”
SpecializationsCritical careCardiac AnaesthesiaPain and palliative careNeuroanaesthesiaObstetric , Pediatric Anaesthesia
Thoughts …….Good judgment is based on experience and experience is basedon bad judgment.Savor your successes but do so quickly and then move on—dwelling on them causes overconfidence.
Thoughts …….Some patients you think will get better will get worse.Some patients you think will get worse will get better.When you’re making decisions on rounds, put personalproblems aside.
Hello……You get to interact with the whole menagerie of medical andsurgical specialties
What suits one customer might not suit the next;individualize your Rx .....always
Support! different situations by specific tools.
Patient is more imporant than our ego;call for help, whenever patient is indangerYour Text here
Thank youvisit me @ www.thelaymedicalman.blogspot.inwww.facebook.com/groups/anaesthesiaindiaMacintosh noted: “for the surgeon the spinalends with the injection of the agent; for theanesthetist it begins with the injection of theagent.”