M.D. ANAESTHESIA

M.D. ANAESTHESIA

Human Anatomy and Physiology of various organ systems and cellular components in
relation to Anaesthesia including muscles, neuromuscular junction, nerve plexuses,
cardiovascular, respiratory, neurological, hepatobiliary, renal, endocrine and temperature
homeostasis, theories of mechanism of production of anaesthesia, changes during pregnancy,
various tests/investigations to evaluate the functional status of organ systems as applied to
Anaesthesia Management, Intensive Care Practice and Pain Relief
B. Pharmacology as applied to Anaesthesia, Intensive Care Practice and Pain Relief including
General Pharmacological Principles, Pharmacokinetics and Pharmacodynamics of
Anaesthetic Drugs (including Uptake and Distribution of Inhaled Anaesthesia agents and All
the Adjuncts used in Anaesthesia, Drugs used for treatment of various Diseases and Drug
Interaction
C. Pathophysiology of various diseases including disorders of cardiovascular, respiratory,
neurological, hepatobiliary, renal, endocrine and immune systems, various
tests/investigations to grade/measure the disease process of various organ systems as applied
to anaesthesia management, intensive care practice and pain relief
D. Medicine as applied to the practice of Anaesthesia including diagnosis and management of
Diabetes, Hypertension, Bronchial Asthma, Chronic Obstructive Pulmonary Diseases,
Respiratory Failure, ARDS, Myocardial Ischemia / Infarction, Arrhythmia, Shock,
Congestive Heart Failure, Acute / Chronic Renal Failure, Head Injury, Unconscious patients,
Status Epilepticus / Asthmaticus, Endocrine Disorders, Diseases related to Dysfunction of
Hepatobiliary, Muscular, Connective Tissues and Immune system, Management of
Perioperative Infection, Neuromuscular Disorders, Poisoning etc. and interpretation of ECG /
Blood Gases / Other Biochemical Values and Function Tests
E. Physics as applied to Anaesthetic gases, vapours, anaesthesia machine, breathing systems,
monitors, ventilators, therapeutic devises & other relevant equipment including physical
principles involved in their construction and functioning
F. Perioperative Anaesthesia management including pre-operative evaluation, intra-operative
management as well as post-operative care, monitoring (invasive as well as non-invasive) as
applied to various surgical specialities and age groups.
G. Theory and practice of various techniques / aspects of Routine & Emergency cases of
General Anaesthesia (e.g., Intravenous / Inhalational, Endotracheal / Mask / LMA / COPA,
Spontaneous/Controlled mode of ventilation, induced hypotension / hypothermia etc.),
Regional Blocks (Spinal, Epidural & Peripheral Nerve block) and Local Anaesthesia,
including various postures required for anaesthetic/surgical procedures, their effects and
Recent Advances for most minor to supra major surgeries in the field of:
· General surgery: e.g. minor cases like haemorrhoidectomy to supra major cases like
Liver transplant
· Gynaecology and Obstetrics
· ENT and Head & Neck
· Orthopaedics
· Ophthalmology
· Pediatric & Neonate: Differences between adult and pediatric Anatomy, Physiology,
Pharmacology, Anaesthesia principles, pediatric/neonatal emergencies, postoperative
care, fluid & ventilator management etc
· Cardiac, Vascular & Thoracic: Conduct of closed heart as well as open heart
surgeries (Valvular, Ischemic, Congenital -Cyanotic & Acyanotic), CABG (including
off pump), Pulmonary Cases (Insertion of Double Lumen Tube, one lung
anaesthesia), Thymus and Vascular surgeries etc. Ability to go on Cardiopulmonary
bypass and disconnect from bypass, Ability to take, manage and interpret Arterial,
Central Venous and P.A. Lines, postoperative care, management of re-explorations
etc.
· Neurosurgery: Ability to monitor ICP, Management of head injuries, bleeds,
tumours, etc with raised ICT. Ability to safely manage cases in sitting, prone, lateral,
jack-knife positions and Anaesthetic management for neuro-radiology procedures
· Urology: Management of endoscopic surgeries like TURP/TURBT etc, Problems
related to TURP, extracorporeal shock wave lithotripsy, percutaneous placement of
nephrostomy etc., anaesthetic management of patients with acute and chronic renal
failure, anaesthetic management of renal transplant cases of donor as well as
recipient.
· Plastic: Management of burns contractures, congenital faciomaxillary abnormalities
like cleft lip and palate, faciomaxillary injuries like fracture mandible, maxilla,
zygoma, panfacial fractures, difficult intubations, microvascular surgeries,
reconstructive surgeries, aesthetic surgeries etc
· Dental: Monitored Anaesthesia Care, Anaesthetic management of pedodontia
patients, maxillo-facial surgeries including TMJ Ankylosis, Awake, Retrograde &
Fibreoptic intubations
· Endoscopies / laparoscopies: Anaesthetic management, specific requirement and
complications of various endoscopies like cystoscopy, ureteroscopy, PCNL,
hysteroscopy, thoracoscopy, mediastinoscopy etc. and Lap. assisted/laparoscopic
surgery like hysterectomy, tube ligation, appendicectomy, cholecystectomy etc.
· Anaesthesia for various diagnostic, therapeutic and Specialized procedures
· Anaesthesia for Geriatric patients
· Anaesthesia for surgery using LASER
· Anaesthesia / Sedation techniques out side operating room: Electroconvulsive
shock therapy (ECT), Electrophysiologic tests, Radiofrequency ablation,
Cardioversion, Cardiac catheterization, Special anaesthetic considerations in
radiology and interventional radiology related to Dye allergies, Embolization,
Monitoring / Equipment options in the MRI suite
H. History of Anaesthesia
I. Airway Management: Assessment of difficult airway, Awake, Retrograde, Use of
intubating LMA's, Intubating Stylets, Various laryngoscopes designated for difficult airway,
Insertion of Combitube, Ability to perform Cricothyrotomy and use of Venturi, Minitrach &
Fibreoptic intubations etc
J. Basic & Advanced Cardiopulmonary & Cerebral Resuscitation (CPCR) for all age
group of patients under different situations e.g., neonates, pregnant females, poisoning cases,
trauma victims etc.
K. Acid base & Fluid management including use of Crystalloids, Colloids, blood & blood
products
L. Arterial, Central Venous and P.A. Lines: Establishment, management and interpretation
M. Anaesthetic drugs used in perioperative care
N. Equipments (Minor to advanced monitoring) - their use, maintenance, sterilisation and care
O. Medical gases: Knowledge of Manufacturing, Storage and Central pipeline Systems
P. Day Care / Outpatient Anaesthesia.
Q. Remote Location Anaesthesia: Anaesthetic practice during disasters and for large turnover
surgeries in camps / mass casualties.