Dr. M. Rama Krishna

OP Timings :

• M.B.B.S -- S.V.Medical college, Tirupati, Andhrapradesh.1995-2001
• DNB[Anaesthesia] -- Amrita Institute Of Medical Sciences, Cochin, Kerala. 2003-2006

Experience:

Total number of years -8 Years

As a Consultant Anaesthetist, I can safely claim to have one of the longest tenures in Neuroanaesthesia, and trauma care. This is by virtue of the nature of the Institutes I worked and working in. SRI NARAYANI HOSPITAL AND RESEACH CENTER, NARAYANA MEDICAL COLLEGE and SANGAMITHRA HOSPITALS started as a “Super Specialty” Institutes and become established as a referral centresfor the specialties of Neurology and Neurosurgery, Trauma services in the form of Orthopaedics, General Surgery, Plastic Surgery and Emergency and Critical Care Medicine in respectivelocalities.

I have been working as consultant on an independent basis. My colleague and Irun four O.Ts. Regularly independently. An average of 120 to 140 major surgeries are performed per month. Of these, around 50% are neurosurgeries, details of which are given below.

The scope of anaesthesia work that I have undertaken  includes:

• Neuroanaesthesia.
• Trauma care including orthopaedics & plastic surgery.
• General surgery
• Paediatric anaesthesia.
• ICU Management.
• High risk pregnancy, Labour analgesia

Neuro Anaesthesia:

I have been involved in the surgical and pre and post surgical management of paitents with head injuries, cranial tumors, cerebral aneurysms, arterio venous malformations, endarterectomies, posterior fossa surgeries, spinal surgery, advanced surgeries for cervical spinal canal, cranio vertebral anomalies (both trans- oral and posteior approaches) stabilization procedures,myelomeningocoeles, cranial repairs in infants etc.

Trauma Care:

• Perioperative trauma care managed by me includes:
• Emergency management of patients with poly trauma, bedside FAST scan
• Chest injuries, Emergency intercostal drainage

General Surgery:

The scope of general surgery patients managed by me includes cases like:

• Mastectomies
• Laparotomies for the entire scope of GI Surgery
• Laparoscopic Surgery for gall bladder etc.

Paediatric Anaesthesia:

I have been managing the paediatric population for anaesthesia and ICU care as a part of the holistic management of children presenting for :

Neurosurgery: meningomyelocoele, cranioplasty, V-P shunt, head injury,intracranial tumors, posterior fossa tumors, etc.

General Surgery: congenital hernias, undescended testis, laparotomiesetc.

The particular challenges that have been posed to me (and successfully managed) during management of the paediatric population for these specialized procedures have been :

• Dealing with massive blood losses
• Prevention of hypothermia,
• Management of difficult surgical positions,
• Fluid replacement,
• Post-operative care,
• Elective Ventilation

ICU Management:

In ICU, I have been responsible for overall management of neurologicial, neuro surgical and polytrauma patients like. G. B. Syndrome, myasthenic crisis, COPD with respiratory failure, status asthmaticus, organophosphous poisoning, polytrauma with various complications (like ARDS, DIC, renal failure), cerebral strokes management in ICU, etc.

This has meant deciding ventilation and treatment strategies, nutrition, antibiotic Regimens, weaning from ventilation etc. and maintenance and unkeep of ventilators, monitoring systems (includingECG, invasive pressures, end tidal CO2, arterial blood gases etc). Defibrillatorsand general ICU management.

ICU procedures including central venous and arterial catheterisations, percutaneous and open tracheostomy, fibre optic bronchoscopy etc. Also skilful in bedside ECHO, IVC monitoring, ARDS ventilation including prone ventilation and necessary skills whenever needed.

Clinical Skills & Proficiency:

• Skilled for providing basic life support to adults and children.
• Skilled at intubation, cardiac resuscitation and emergency ventilation inadults and children.
• Skilled at independent conduct of anaesthesia for all kinds of surgicalprocedures viz. neurosurgery, orthpaedics, generalsurgery, paediatric surgery, renal transplants, urologic procedures, etc.
• Skilled inDifficult Airway management like Blind nasal intubation, Retrograde intubation ,intubating with video laryngoscope and intubating with fibreoptic bronchoscope.
• Skilled at regional anaesthetic procedures like subarachnoid, epidural,USG guided brachial plexus and nerve blocks etc.
• Skilled at post operative care in ICU.
• Skilled in use of various ventilation modes from induction of ventilation tomaintenance and weaning from long term ventilation, including ARDS ventilation stratagies.
• Procedural proficiency in various procedures like lumbar puncture, jugularand sub- clavian venous cannulation, arterial cannulation, percutaneous tracheostomy, bronchoscopyetc

Other

Appointments

• Consultant Anaesthesiologist in SANGAMITHRA HOSPITAL , ONGOLE 2016- To till date
• Assistant professor in Narayana medical college Hospital, Nellore 2014-2016
• Consultant Anaesthesiologist inArogya hospital Ongole from 2014 June to 2014 November
• Consultant Anaesthesiologist in SRI NARAYANI HOSPITAL AND RESEACH CENTER, VELLORE, DURATION MAY 2009 TO JUNE 2014
• Senior resident at NARAYANA MEDICAL COLLEGE-NELLORE.  DURATION-2007 APRIL TO MAY 2009
• Jr. Resident in Anaesthesiology and Critical care at the AMRITA INSTITUTE OF MEDICAL SCIENCES- COCHIN.2003-2006
• Jr. Resident in cardiology at the AMRITA INSTITUTE OF MEDICAL SCIENCES- COCHIN.2003 Jan to 2003 July.
• Jr. Resident in cardiology at Sri Venkateswara institute of medical sciences- TIRUPATI 2002 Jan TO 2002 DEC

Academic Pursuits:

Teaching:

As a Assistant professor at NARAYANA MEDICAL COLLEGE I have been involved in the teaching activities of our Institute in the form of clinical meetings, teaching of junior medical staff and post graduates, teaching of staff nurses as well as nursing staff.

Learning:  I have successfully completed the Congnitive and skills evaluation in Advanced Airway life support conducted by Ramachandra Advanced Airway Life Support (RAALS) ON 16-08-2015 which is valid till 15-08-2018

• National Conferences of Indian Society of Anaesthesiology, Indian Societyof Critical Care Medicine, Indian Society of Neuroanesthesia and CriticalCare.
• Workshop on challenges in obstetric thrombosis and hemostasis as Delegate on 4th November 2016 ,conducted by Fernandage hospital
• Obestetric Medicine update-2016 conference as delegate on 5th and 6th November 2016,conducted by Fernandage hospital
• Participated in the 14th Annual intensive care Review course held during the 4th Annual international Best of Brussels symposium on Intensive Care and Emergency Medicine 3rd -5th july,2016 at Pune
• Participated as Delegate in the ULTRASOUND LIFE SUPPORT-BASIC LEVEL 1 PROVIDER WORKSHOP held during the the 4th Annual international Best of Brussels symposium on Intensive Care and Emergency Medicine 6rd -7th july,2016 at Pune
• Participated as Delegate in the 8th National Conference of obstetric Anesthesiologists and the 1st world obstetric anesthesia congress held at Hyderabad on 12th and 13th of September 2015
• Participated as Delegate in the Ganga Anesthesia Review course which was held in Ganga hospital Coimbatore june 2015
• Participated as Delegate in the 15th Annual Conference of indian society of Neuroanesthesiology and Critical care on 31st January -2nd February 2012 at Jaipur
• Attended the International Congress on Pediatric Airway held at Chennai on 8th and 9th September 2012
• Participated as Delegate in the “NEURO CRITICAL CARE WORKSHOP” 29TH November 2013 conducted by Institute of Neurosciences and Spinal Disorders, Global Health city ,Chennai
• Participated as Delegate in the “NEURO CRITICAL CARE EVIDENCE TO PRACTISE ” 30TH November – 1st December 2013 conducted by Institute of Neurosciences and Spinal Disorders, Global Health city ,Chennai
• Participated as Delegate in the CME on Transplant anesthesia and Critical care 24th and 25th November 2012,Conducted by ISA Cochin City branch
• Participated as Delegate in theWorkshop held on 12th September 2013 at MSRALC-Simulation Workshop during KISACON 2013 at Bangalore
• Attended the “CLINICAL DAY IN TRAUMA MANAGEMENT” ON January 2010 held at SRI NARAYANI HOSPITAL AND RESEARCH CENTRE IN VELLORE

Membership Of Professional Organisation:

• Life membership of Indian Medical Association and Academy Of Medical Sciences.
• Life membership of Indian Society Of Anesthesiology& Critical Care Society Of India.
• Executive member of ISA city branch.