The Department of Paediatric Anaesthesia provides anaesthetic services for five major and two day surgery theatres. The surgical disciplines include general surgery, orthopaedic, eye, ENT, neurosurgery, dental, plastic and cardiothoracic surgery. The department also anaesthetizes children for radiological procedures like cardiac catheterisation studies and imaging (e.g. MRI and CT scan).

RANGE OF SERVICES
? Paediatric anaesthesia
? Paediatric acute pain service

TRAINING SUPERVISION

Training is supervised by a qualified anesthetist (registrar and above) for all cases under 2 years of age and by at least by an associate consultant or consultant with minimum one year paediatric Anaesthesiology fellowship training for all neonates and complex or high-risk cases. There will be supervision by a registrar or above in at least half of all cases.

TRAINING OBJECTIVES

In addition to learning about the anatomical and physiological changes which take place during growth from neonate to a young child and its implications for anaesthesia, programs are in place for basic and advanced trainees.

PROGRAMME FOR BASIC ANAESTHESIA TRAINEES

The trainee should learn:

• To resuscitate the paediatric patient
• Perioperative management preoperative assessment and preparation anaesthetic management and postoperative care of paediatric patient
• Ambulatory anaesthesia
• Management of surgical emergencies in children. This includes stabilisation, eg. fluid resuscitation prior to induction
• Regional Techniques : local and regional anaesthetic methods
• Acute Pain Management
• Neonatal physiology, pathophysiology and applied pharmacological techniques. Special problems of the preterm and ex-premie baby j) Safe transport for paediatric patients
• Selection, management and monitoring of children for diagnostic and therapeutic procedures carried out under anaesthesia or sedation
• Presentation skills by participating in teaching / CME sessions

By the end of the 6 months posting, the basic anaesthetic trainee should be competent in:

• Providing safe anaesthesia and post-anaesthesia care for infants and children undergoing routine surgical, diagnostic and therapeutic procedures.
• The trainees should be able to recognise when the clinical conditions of the patient or the proposed procedure requires skills, facilities or support beyond his own capability or institution
• Resuscitation for neonates, infants and children
• B asic knowledge of acute pain management and critical perioperative care for neonates, infants and children

WELFARE & FACILITIES FOR JUNIOR DOCTORS
Under construction