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Bio Medical Waste Report For Shalimar Bagh

Month Red Autoclave(Infected Plastic Waste) Yellow- Incineration(AnatomicalWaste & Soiled Waste) Blue Autoclave (Glass- Bottles) Black Cytotoxic- Incineration( Cytotoxic Contaminated Items) White- Sharp Total Bags Total Weight(In KG's)
  No. of Bags Weight (in KG's) No. of Bags Weight (in KG's) No. of Bags Weight (in KG's) No. of Bags Weight (in KG's) No. of Bags Weight (in KG's)    
Apr-17 924 2963.50 954 2994.10 239 1017.30 103 279.20 1645 606.40 3865 7861.00
May-17 1175 4624.12 1028 3498.40 276 1524.34 87 195.01 1803 823.85 4369 10665.71
Jun-17 1060 4511.45 902 2886.66 293 1324.05 76 194.00 2057 1100.69 4388 10016.85
Jul-17                     0 0.00
Aug-17                     0 0.00
Sep-17                     0 0.00
Oct-17                     0 0.00
Nov-17                     0 0.00
Dec-17                     0 0.00
Jan-18                     0 0.00
Feb-18                     0 0.00
Mar-18                     0 0.00
YTD 3159 12099.065 2884 9379.155 808 3865.69 266 668.705 5505 2530.94 12622 28543.555

Anaesthesia

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Know your Anaesthesiologist, The Doctor Behind Your Surgical Hero

December 4, 2019 0 2 minutes, 19 seconds read

There are surgeons for all surgical procedures; minor or major, elective or emergency, critical or non critical. For most of the patients the surgeons are the star performers or the superheroes.
Unfortunately very few of our patients are aware that there is another set of doctors who make sure that your surgeon remains the superhero in your eyes. These doctors keep you safe during the entire surgical procedure and they are called Anaesthesiologist.

An anaesthesiologist is a highly skilled specialist doctor who takes care of you when you are under the blade of a surgeon for any type of surgical procedure. Anaesthesiologists are the perioperative physician (Peri means “all-rounder”) who provide medical care for each patient through out their surgical experience. An anaesthesiologist’s job is to take care of their patients in such a way that they do not remember any painful part of the surgery, just the successful outcome.
According to American Society of Anaesthesiologists (ASA), anaesthesiology is defined as the practice of medicine dedicated to the relief of pain and total care of the surgical patient before, during and after surgery.
Anaesthesiologists prepare the surgical patient to undergo the surgical stress, not only physically but as well as mentally. They monitor patients bodily functions, assess the best way to treat the vital organs and provide a balance of medications suited to the individual’s need. They make sure that patient’s vital organs are working in the same way as they were working before surgery. They keep a close eye all the time, to maintain the depth of anaesthesia so you can remain safe under the surgical blade. They make you sleep and make sure that when you wake up, you are pain-free after the trauma of surgical procedure. These specialist physicians do not only take care of the anaesthetised patient but also provide the ideal condition for safe and successful surgery.

A new survey found that 5 billion people worldwide do not have access to safe, affordable anaesthesia and surgical care. In India we have only one anaesthesiologist for every one hundred thousand individuals.

However, these highly skilled professionals play a much wider role than just putting people to sleep for surgery. They have also spread their wings beyond the four walls of the operation theatre.

Anaesthesiologist who work in critical care (ICU) are known intensivist.

Anaesthesiologists are also the lynchpin in:-

  • Chronic pain management 
  • Obstetrics pain management (Labour analgesia)
  • Palliative care management 
  • Emergency management 
  • Disaster management

It is said that “anaesthesiologist is a physician to a surgeon and a surgeon to a physician.”

You can compare the work of an anaesthesiologist to that of an airplane pilot: Even though their work typically goes smoothly, but they are prepared for any eventuality. Each one can be extremely rare but of critical importance

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Dr. Shibani Das

Memberships: 
  • Life Member of ISA
  • Life Member of AORA
  • Life Member of Indian College of Anaesthesiologist
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PROFESSIONAL JOURNEY

Work Experience: 
  • Worked as an Additional Director, Ortho Anaesthesia at Medanta – The Medicity Hospital, Gurgaon from September 2016 – Sept 2019
  • Worked as an Associate Director, Anaesthesiology, FMRI, Gurgaon (March 2012 - September 2016)
  • Senior Consultant, Anaesthesiology at Max Super Specialty Hospital, Saket (March 2006 - March 2012)
  • Worked as Consultant, Anaesthesiologist at Sitaram Bhartia Institute of Science And Research (2000 -2006)
  • Joined as Attending Consultant at TELCO Hospital, Jamshedpur in 1990 and worked till 2000
Education & Training: 
  • MD, Anaesthesiology
  • MKCG Medical College, Odisha
  • MBBS, MKCG Medical College, Odisha
Awards Information: 
  • Faculty in various Regional and National Conferences

Dr. Deepak Pahwa

Dr. Deepak Pahwa
Consultant - Anaesthesia
Dr. Deepak Pahwa - Max hospital
Memberships: 
  • Life Member Indian Society of Anaesthesiology
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PROFESSIONAL JOURNEY

Work Experience: 
  • Worked as Consultant, Orthopaedic Aneasthesia, Medanta-The Medicity (2016-2019)
  • Worked as Associate Consultant Anaesthesia, FMRI Gurgaon (2013-2016)
  • Worked as Attending Consultant Anaesthesia, Max Hospital, Saket (2012-2013)
  • Worked as Senior Resident Anaesthesia, AIIMS, New Delhi (2009-2012)
Education & Training: 
  • MBBS from Govt Medical College, Nagpur (2003)
  • MD from Seth GS Medical College and KEM Hospital, Mumbai (2009)
  • Fellowship in Pain Medicine, Kolkata (2018)

Dr. Deep Arora

Memberships: 
  • Vice President – Association of Regional Anaesthesia of India
  • Faculty – French Diploma of Regional Anaesthesia by University of Montpellier
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PROFESSIONAL JOURNEY

Work Experience: 
  • Sep 2016 – Sep 2019: Director Orthopaedic Anaesthesia, Medanta, Gurgaon
  • Jun 2012 – Sep 2016: Director Anaesthesia (General), Fortis Gurgaon
  • Apr 2010 – Jun 2012: Head-Anaesthesia (General), MSSH, Saket
  • Apr 2004 – Mar 2010: Senior Consultant, MSSH, Saket 
Education & Training: 
  • MD Anaesthesiology: PGI, Chandigarh
  • MBBS: MAMC, New Delhi

CONSIDER DAY CARE SURGERY AS DEFAULT FOR ALL ELECTIVE SURGERY – ASK WHY NOT? RATHER THAN WHY?

May 23, 2018 0 240 3 minutes, 51 seconds read

Daycare Surgery, also known as outpatient surgery, office-based surgery, same day surgery or ambulatory surgery does not require an overnight hospital stay. Daycare Surgery is not to be confused with 23 hours of stay surgery which is Inpatient surgery with a 1-day length of stay. For daycare procedure patient must be admitted, operated upon and discharged home on the same calendar day. Usually, a stay of 4 – 6 hours is required but with more complex surgical procedures, longer stays may be required.

Dr. Manish Rai, Senior Consultant - Anaesthesiology & Head - Day Care Unit says, Daycare Surgery has grown in popularity due to improved surgical techniques, better anaesthetic drugs and saving the patient time that would otherwise be wasted on the hospital bed. About 60 – 65 % of all elective surgical procedures can be done on outpatient basis.

What are Daycare Surgical Centers?

Daycare Surgical centres or outpatient surgical centres are Healthcare facilities, where surgical procedures not requiring an overnight stay are performed.

Patient and procedure selection for daycare Surgeries:

It is very important that correct patient selection is done to ensure the success of the daycare programme. According to the procedure planned and general physical condition of the patient, different modalities of anaesthesia can be planned:

  • Local Anesthesia
  • Monitored Anesthesia Care
  • Regional Anesthesia
  • General Anesthesia

Criteria considered in selecting patients for day surgery include: ƒ

  • Patients must be assessed as American Society of Anesthesiologists (ASA) classes I or II. However, ASA class III & IV can also be taken up in a well established Day Care Surgical Centre.
  • Operations should preferably not go beyond one and half hour duration.
  • Operations involving excessive blood loss or postoperative severe pain should be disqualified. ƒ
  • Patient’s general health and social conditions are the major criteria, although these may be relaxed for surgery under local anaesthesia.
  • Morbid obese and anxious patients and those who have a strong wish for inpatient treatment should be excluded.

The advantages of daycare surgeries:

  • More economical for the patient in comparison to inpatient surgery.
  • Earlier mobilization.
  • Reduced risk of cross-infection.
  • Pre-booked date and less likely to be cancelled.
  • Shorter waiting lists and lesser uncertainty of a long wait.
  • Easier domestic arrangements.
  • Minimal disruption of patient's personal life. ƒ
  • Earlier return to the normal environment. ƒƒ
  • Avoidance of disruptive nights in hospital wards. ƒ
  • Less loss of time at work.ƒ
  • Less psychological disturbances in children and elderly patient.
  • Lesser chances of cancellation due to pressures of emergency surgeries in a dedicated daycare facility.

ON THE DAY OF YOUR SURGERY:

  • Leave all money and valuables at home (including jewellery and keys).
  • Take a shower or bath before you come to the hospital.
  • Wear loose, comfortable clothing.
  • Remove all make-up, contact lenses and nail polish.
  • A family member or friend must be available to take you home after your procedure.
  • It is important to share all medical information with the surgical daycare Unit staff (i.e.: reaction to medication, anesthesia, difficulty hearing etc.).

Day Care Surgery is done for:

Dental Procedures: 

1. Dental procedures for pediatric age group

2. Jaw Surgeries – single jaw procedures

o   Upper jaw advancement

o   Upper Jaw set back

o   Upper jaw impaction ( correction of Gummy smile)

Teeth socket bone fractures

Ø  Conservative management of lower/ upper jaw fracture

Ø  Cysts removal

Ø  Full mouth dental implants placement

Ø  All four third molars surgical removal under general anesthesia

Ear, Nose & Throat:

Ø  Adenoidectomy

Ø  Tonsillectomy

Ø  Adenotonsillectomy

Ø  Micolaryngeal surgery

Ø  Impacted wax removal from ears

Ø  Tympanoplasty

Ø  Cauterisation of bleeding points in children

Ø  Myringotomy and grommet insertion

Ø  Tongue tie release

Ø  Septoplasty

Ø  Embedded ear/nose stud removal

Ø  Ear lobe repair

Ø  Sleep endoscopy

General Surgical Procedures:

Ø  Fissurectomy

Ø  Fistulectomy

Ø  Laparoscopic Cholecystectomy

Ø  Open inguinal hernia repair

Ø  Open umbilical hernia repair

Ø  Laparoscopic adhesiolysis

Ø  Hemorrhoidectomy (MIPH)

Ø  Superficial Benign tumors excision

Ø  Pilonidal sinus excision

Ø  Sebaceous cyst removal

Ø  Debridement

Ø  I & D

Gynaecology Procedures: 

Ø  Diagnostics Laparoscopy

Ø  Diagnostics Hysteroscopy

Ø  Operative Hysteroscopy

Ø  Colposcopy

Ø  LETZ (large loop excision of the transformation zone) / LEEP (Loop Electrosurgical Excision Procedure)

Ø  IVF Procedures(oocyte pickup)

Ø  Fresh Embryo Transfer

Ø  Frozen Embryo Transfer

Ø  Trans vaginal Ovarian Cyst Aspiration

Ø  Proximal Tubal Catheterization

Ø  Cyrocoti of cervix

Ø  IUDI – Intra Uterine Device Inserts

Ø  Laparoscopic Tubal Sterilization

Ø  MPT(surgical)

Ø  D&C and D&E

Opthamological Procedure: 

  • Cataract surgery
  • Vitro retinal surgery
  • Squint surgery
  • Glaucoma Surgery
  • LASIK Surgery
  • EUA for pediatric patients
  • Occuloplasty
  • Penetrating globe injury surgery
  • DCR surgery

Plastic Surgery:

  • Skin grafting
  • Liposuction
  • Scar revision
  • Rhinoplasty
  • Breast Augmentation/ Reduction
  • Face Lift
  • Eyelid surgery

In ambulatory centre patients are discharged if they are:

  • Hemodynamically stable
  • Normal physical activity
  • Awake and well oriented to time/place/person
  • Regained all reflexes
  • Minimal or no pain
  • No signs of nausea and vomiting
  • Able to void

So, consider daycare surgery as the default for all elective surgery – Ask why not? - Rather than why?

 

                           

 

 

 

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Dr. Manju Mani

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