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Engineering & Maintenance

Oncoanesthesiology

Department In-charge

Dr. Jashma C

Associate professor
Phone - 04902399308
Email - drjashma@mcc.kerala.gov.in

Department of Onco-anaesthesiology started functioning since 2001 with visiting anaesthesiologist from nearby hospitals. In 2009-10, Dr.(Col)N.C.Krishnan was appointed as consultant and he developed the department to the present status.He trained the technicians and organised the visiting consultants. He rendered his services till 2011.In 2015, a permanent faculty joined. At present the department has 5 faculties. On January 13th 2020 major OT complex started functioning after renovation work of OT-1and OT 2..
Now the institution has three major operation theatres and a brachytherapy OT.The major OT Complex is designed with Air Handling Unit with laminar flow, HEPA filter and Temperature, Pressure, Humidity monitoring. Each major OT is equipped with Anaesthesia workstation, Pendant, Intubation Trolley, Drug Repository, Energy devices, Suction devices etc.


NON-OPERATING ROOM ANAESTHESIA (NORA)

1.Cathlab procedures- radiofrequency ablation, microwave ablation 
2.Linear accelerator treatment for pediatric cancer patients
3.4D-CT planning under anaesthesia for pediatric cases
4. PET scan for pediatric cases
5. MRI under general anaesthesia for pediatric cases
6. CT-guided microwave ablation


The surgical intensive care unit (ICU) of Malabar Cancer Centre-Post Graduate Institute of Oncology Sciences and Research (MCC-PGIOSR) is managed by the onco-anaesthesiology team along with surgical oncologists and respiratory physician.

Sl Faculty / Staff Name Designation
1 Dr. Jashma C Associate professor
2 Dr. Roopesh S Assistant Professor
3 Dr. Joona P Assistant Professor
4 Dr. Sonali Opneja Assistant Professor
5 Dr. Namratha Divakaran Assistant Professor
6 Mayan John Dialysis Technician
7 Sreejesh P P OT and Anaesthesia Technician
8 Balukrishnan S R OT and Anaesthesia Technician
9 Shaija E OT in-charge and Staff nurse
10 Sajna N Staff Nurse
11 Jisha P Staff Nurse
12 Maneesh P Staff Nurse
13 Roni Anthony Staff Nurse
14 Sreejith S Nursing Assistant

URRENT FACILITIES

1. High-end Anaesthesia work station with electronic gas mixing, End Tidal gas monitoring.
2. Multipara monitors with cardiac output monitoring, EtCO2, SpO2, Invasive and non-invasive   blood pressure monitoring, temperature monitoring, CVP monitoring.
3. Syringe pumps, infusion pumps, fluid pressure bags and body/fluid warmers
4. Depth of anaesthesia monitoring- entropy, BIS
5. Neuromuscular transmission monitoring
6. Total Intravenous Anaesthesia, Target Controlled infusion and PCA pumps.
7. Ultrasound machine for central venous catheterization and regional anaesthesia
8.Nerve stimulator, manual jet ventilation catheter, high flow nasal cannula

Ongoing Projects

1.Postoperative troponin elevation and its clinical outcome in patients undergoing cancer surgery at a tertiary cancer centre -To study the clinical  outcomes of postoperative patients with positive high sensitive Troponin-I (HS Trop-I) in comparison to negative HS Trop-I in cancer patients undergoing surgery at Malabar cancer centre
2.Oncological outcomes of advanced resection in differentiated thyroid malignancy in a tertiary cancer centre-To study the oncological outcomes after advanced resection  in differentiated thyroid malignancy.
3.Estimation of the prevalence of occupational exposure to biological fluids among anaesthesiologists: A survey study

4.Incidence of post-operative pulmonary complications following cytoreductive surgeries and HIPEC- A Retrospective analytic study.
5.Perioperative coagulopathy in patients undergoingcytoreductive surgeries and HIPEC
6. Effect of perioperative variables on postoperative outcome after cytoreductive surgeries with HIPEC
7.Incidence and risk factors of Ventilator associated pneumonia in ICU in a tertiary cancer centre: A retrospective study:To know the incidence and risk factors of VAP in ICU.

Completed

1.Neutrophil Lymphocyte Ratio and Platelet Lymphocyte Ratio as a predictor of postoperative complications after Major Oncosurgeries: A retrospective study in a Tertiary Cancer Center-To study whether neutrophil lymphocyte ratio or platelet lymphocyte ratio predicts postoperative complications after surgery.

2.Evaluation of insomnia in theperioperative period in patientsundergoing cancer surgeries and factors affecting it-To find out the prevalence of insomnia in preoperative,immediate postoperative period and after 2 weeks of surgery in patients undergoing cancer surgeries

3.An audit of central venous catheter related infections in adult surgical patients in a cancer centre.

4.Post operative stroke after head and neck oncosurgeries-A Retrospectiveanalytic study

5.Prevalance of preoperative anxiety and depression in major onco-surgeries: A cross sectional study-To study the preoperative anxiety and depression in patients undergoing major oncosurgeries.

6.Incidence and risk factors associated with reintubation in ICU in a tertiary cancer centre: A retrospective study-To know the incidence of reintubation in ICU from 1stJanuary 2020 to 31st December 2022.


 

Excellence in patient care,  peri-operative and intensive care To foster an environment that supports  research leading to advancement in the field of anaesthesia.
Providing safe anaesthesia and post-operative care, using latest available equipments.Managing the critically ill patients and providing post operative pain relief.Encouraging research and academic work.

 

  1. Opneja S, Sureshan R, Balasubramanian S, Nizam J, Prabhakaran J, Divakaran N, Raveendran R. Incidence of perioperative cardiac complications in patients with heart disease undergoing major oncosurgeries: A retrospective study. OnkologiaiRadioterapia. 2022 Oct 1; 16(10)
  2. Opneja S, Sureshan R, Balasubramanian S, Divakaran N, KV R. Incidence of intraoperative cardiac arrest in a tertiary cancer centre: A retrospective study. OnkologiaiRadioterapia. 2022 Dec 1; 16(12)
  3. Sureshan R, Opneja S. Comparison of propofol versus fentanyl infusion for postoperative sedation in mechanically ventilated patients following head and neck oncosurgeries-A Retrospective analytic study. OnkologiaiRadioterapia. 2022 Nov 1; 16(11).

NAME OF PERSON

DELEGATE /FACULTY

TITLE OF PRESENTATION

NAME OF CONFERENCE

PLACE

 YEAR

Dr Roopesh

Delegate

Validation of a questionnaire and estimating the prevalence of occupational exposure to biological fluids among anaesthesiologists

SAARC AA 2022,14TH International Congress OfAnaesthesiologists

Kochi

2022

Dr Roopesh

Delegate

Incidence of post-operative pulmonary complications following cytoreductive surgeries and HIPEC-A retrospective analytic study

ISACON 2022

Indian society of anaesthesiologists ,National conference

Shillong

2022

Dr Sonali

Delegate

Incidence of perioperative cardiac complications in patients with heart disease undergoing major oncosurgeries:A retrospective study

SAARC AA 2022,14THInternational Congress OfAnaesthesiologists

Kochi

2022

Dr Sonali

Delegate

Incidence of intraoperative cardiac arrest in a tertiary cancer centre:A retrospective study

ISACON 2022

Indian society of anaesthesiologists ,National conference

Shillong

2022