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KING EDWARD MEMORIAL HOSPITAL
SETH GORDHANDAS SUNDERDAS MEDICAL COLLEGE

बृहन्मुंबई महानगरपालिका रुग्णालय

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Cardiovascular & Thoracic Anaesthesia

The department is located on the ground floor of the CVTC building of KEM Hospital.

Background History

Cardiac anesthesia has evolved from its primitive stage to achieve it’s highly advanced current state and has been recently recognized as a super-specialty anesthesia branch in India despite its existence since last few decades. It is not only restricted to  open  heart  surgeries  but  it  also caters  to  all  patients  with  diseased  cardiovascular  system  who  needs  special  care  with  advanced monitoring in  the  perioperative period.
Cardiac anesthesia came into existence as a sub speciality of anaesthesia when Dr P.K.Sen in 1958 established department of Cardiovascular and thoracic surgery (CVTS) at this institute. Dr Meena Bhatt  and  Dr  AJ Dhruva  successfully administered  anesthesia  during the first heart transplant in Asia in 1968.
However, during all these years of development, increasing need was felt to develop cardiac anaesthesiology as a super specialty branch with highly trained, technically sound, skillful and knowledgeable cardiac anesthesiologists. So, initially a one year fellowship program was started in 2010 with Dr Manjula Sarkar and Dr Sanjeeta Umbarkar as faculty which was soon followed by DM course in 2013. It is the first Medical council recognized super specialty DM Cardiac Anesthesia course in MUHS and Maharashtra. The department now provides services not only for cardiac surgical patients but for cardiology patients undergoing various complex percutaneous procedures like TAVI, BMV, device closures, TPVR, TMVR and Electrophysiological procedures along with routine angioplasties. Recently the department has started catering services to advanced pulmonary interventions as well.

DR. SANJEETA R. UMBARKAR,
MBBS, MD
PROFESSOR (ADD.) AND HEAD OF DEPARTMENT

 

Email id:
sanjeetaumbarkar@kem.edu
  • Teaching experience of more than 25 years.
  • FTEE, FICA, ECMO board certification
  • National – EC member of IACTA
  • FIACTA teacher
  • National faculty for Cardiac Anaesthesia
  • Former Sectretary And Asso. VP– ACTA Mumbai.
  • Co-org sec- IACTACON 2020.
  • EC member – Research Society, Staff Society, SGMC Mumbai.
  • Editorial board member – Research & innovations in Anaesthesia.
  • National & International publications – more than 25.

DR. RENU UPADHYAY,
ASSISTANT PROFESSOR

 

 

Email id:
renuupadhyay@kem.edu
  • Recipient of Shyamsundar Sarkar Gold Medal , MUHS , Nashik , 2021 for DM Cardiac Anaesthesia.
  • Kabeer Award For FIACTA 2021( Gold Medal)
  • National & International publications – more than 8.

 

DR. JITENDRA RAMTEKE,
ASSISTANT PROFESSOR

 

 

Email id:
jituram@gmail.com
  • Recipient of Shyamsundar Sarkar Gold Medal , MUHS , Nashik , 2022 for DM Cardiac Anaesthesia.
  • Kabeer Award For FIACTA 2022( Gold Medal)
  • National & International publications – more than 9.

 

 

 

DR. RAMPRASAD CHAVAN,
ASSISTANT PROFESSOR

 

 

Email id:
ramprasad.chavan@gmail.com
  • DM Cardiac Anaesthesia
  • FIACTA FELLOWSHIP
  • National & International publications – more than 2.

Visiting Faculty:

 

  • Dr Deepak Tempe

MBBS, MD, FRCA, FAMS,
National Academy of Medical Sciences (India)
(Under Ministry of Health & Family Welfare, Govt of India) - Emeritus Professor, visits our department to guide research activities as well as to mentor students.

 

  • Dr Vijay Shetty, Head of Department of General Anaesthesia and Cardiac Anaesthesia at Fortis hospital in Mulund is a visiting faculty in our department for heart transplantation programme.

Residents

Serial No.

Name

Designation

1.

Dr. Parimal Pimpalkhute

DM Cardiac Anaesthesia– 3rd Year

2.

Dr. Pooja Pimpalkhute

DM Cardiac Anaesthesia– 3rd Year

3.

Dr. Prerana Dixit

DM Cardiac Anaesthesia– 2nd Year

4.

Dr. Pranav Prabhakaran

DM Cardiac Anaesthesia– 2nd Year

5.

Dr. S K Asim Ali

DM Cardiac Anaesthesia– 1st Year

6.

Dr. Jalaram Harshappan

DM Cardiac Anaesthesia – 1st Year

7.

Dr. Sandeep More

Cardiac Anaesthesia Fellow

8.

Dr Riya Shah

Cardiac Anaesthesia Fellow

9.

Dr. Ashima Gupta

Senior Resident

Services Offered:

  • Perioperative care of patients undergoing cardiac surgeries as well as care of patients undergoing procedures in Catheter Lab.
  • Perioperative care of patients undergoing complex pulmonary interventional procedures.
  • Perioperative care of patients undergoing Cardiac CT.
  • Pre Anaesthesia Checkup for assessing and optimizing the status of patients posted for above mentioned procedures.
  • Conducting routine academic sessions related to cardiovascular and thoracic training of Super specialty, PG, UG and Para clinical students. 
  • Research Work and adoption of standard protocols for better patient outcomes.
  • The department is now involved in setting up the 1st cardiac transplantation programme in a MUHS affliated government hospital in Maharashtra.

Patient feedback:
Patients can communicate to our team directly or through departmental
email : departmentcvta@kem.edu

Patient education:
Detailed pre-anaesthesia evaluation of all patients posted for elective procedures are done at their bedside and patients are educated in detail about the anaesthesia procedure they are about to undergo and counselled for the same and written informed consent taken prior to the procedure.

  • Patients are also explained in detail about the peri operative instructions and other queries are cleared.  

Courses Offered:

  • DM Cardiac Anaesthesia – 2 seats per year (affiliated with MUHS, Nashik and NMC Recognized)
  • Fellowship in Cardiac Anaesthesia – 2 seats per year (affiliated with MUHS, Nashik)
  • Senior Resident posts for Anaesthesia post graduates for honing their skills in perioperative management of high risk patients.
  • Students pursuing MD and DNB Anaesthesia from various teaching hospitals are offered Observerships.

Student Activities:
Active participation by students in academic conferences, workshops, paper presentations, research and publications.

We also encourage active participation of our students in extracurricular activities like sports and arts.

Teaching Schedule/Academic Calendar:
Academic sessions are conducted twice a week.
Wednesday -    Short topic discussion/ Case discussions
Saturday     -     Seminar presentation.

Workshop/CMEs:

The department actively conducts various workshops and CMEs every year.

CMEs conducted in 2022:

  • “ Update on Paediatric Cardiac Anaesthesia” on 30 April 2022.
  • “Core topics in Cardiac Anaesthesia: The Heart of the Matter” on 1 and 2 October 2022
  • “Virtual Scientific Event- Interdisciplinary approach towards Pulmonary Interventional procedures” on 23rd April 2022

CMEs conducted in 2023:

  • WORKSHOP on  “Point of Care in Cardiac Patients” on 13 April 2023
  • Workshop on “ACLS and Invasive Hemodynamic monitoring Techniques” on August 2023.

Awards and Honours:

Some of the recent awards received by our faculty and students include:

  • FICA(Fellowship of Indian College of Anaesthesiologists) awarded to Dr Sanjeeta Umbarkar.
  • Kabeer Award - Dr Jitendra Ramteke (For 1st position in FIACTA exam conducted by ICCA in 2022)
  • Dr Ramprasad Chavan has received the FIACTA fellowship in September 2022.
  • Dr Aseem Gargava secured Rank 1 in DNB Cardiac Anaesthesia exam conducted by NBE, New Delhi.
  • Recipients of Shyam Sundar Sarkar Gold Medal (For 1st position in DM Cardiac Anaesthesia) from MUHS university include:
  •  Dr Pushkar Desai- 2016
  • Dr Vishal Prabhu in 2018
  • Dr Amruta Shringarpure in 2019
  • Dr Surendar Saba and Dr Aseem Gargava in 2020
  • Dr Renu Upadhyay in 2021
  • Dr Jitendra Ramteke in 2022

Sr.no

Title

Journal

Year

ISSN .no

1

Serial Lobar Lung Lavage In Pulmonary Alveolar Proteinosis

Journal Of Bronchology and Interventional Pulmonology

20(4):333-337, October 2013

 2053-6739

2

Comparison Of emergence And Recovery Characteristics Of Sevoflurane And Desflurane InPediatric Patients Undergoing Ambulatory Surgery

Indian Journal Of Clinical Anesthesia

2014 Volume 1 : Issue 1

2394-4781

3

Role Of Inj. Ropivacaine (0.2%) In Thoracic Epidural Analgesia For Off Pump
Coronary Artery By Pass Grafting Surgery

International Journal Of Current Research

2015 Feb Vol 7, Issue, 02, Pg. 12879-12884

2250 – 3153

4

Comparative Study Of Pulmonary Artery Catheter Versus Central Venous Catheter In Patients Undergoing Beating Heart Coronary Artery Bypass Surgery

Indian Journal Of Clinical Anesthesia

2015;Vol 2 : Issue 1, Pg.32-35

2394-4781

5

Comparative Study Of Central Venous Cannulation By Conventional Landmark Versus Usg Guided Technique In Paediatric Patients Undergoing Cardiac Surgery

Indian Journal Of Anaesthesia And Analgesia

2015 Jan-Jun,Vol 2(1)

23498471

6

Cardioversion: What To Choose? Etomidate Or Propofol

Annals Of  Cardiac  Anaesthesia

2015 Jul-Sep;18(3):306-11

09718561

7

Phenylephrine Versus Ephedrine During Spinal Anesthesia For Caesarean Section: Prospective Randomized Controlled Trial

Indian Journal Of Anaesthesia And Analgesia

2015; Vol 2 , No. 2

23498471

8

Comparative Study Of Intravenous Dexmedetomidine Versus Paracetamol For Postoperative Pain Relief In Laparoscopic Surgery

Indian Journal Of Clinical Anesthesia

2016 Vol 3; Issue 1

2394-4781

9

Current Role Of Dexmedetomidine In Pediatric Cardiac Anesthesia

Indian Journal Of Anaesthesia And Analgesia

2016; Vol 3, No. 1

23498471

10

Resection Of Intracardiac Extension Of Wilmstumor With CPB- An Experience With Epidural Analgesia

Elixir International Anesthesiology

93(2016) 39473-39476

2229712X

11

 ‘Conscious sedation using dexmedetomidine for percutaneous transcatheter closure of atrial septal defects: A single centre experience.’

Annals of Cardiac Anesthesia

2016; 19:3, 463-67

0971-8561

12

Comparison Of Long Chain Triglycerides (Lct) Versus Combination Of Medium Chain Triglycerides And Long Chain Triglycerides (Mct-Lct) Propofol: A Randomized Controlled Trial

Indian Journal Of Anesthesia and analgesia

2016; Vol4, Issue 2

23498471

13

APCO versus PA catheter

Indian Journal Of Anesthesia and analgesia

2016 May –Aug Vol 3, no. 2

23498471

14

Randomized Comparative Study of Intravenous Infusion of Three Different Fixed Doses of Milrinone in Pediatric Patients with Pulmonary Hypertension Undergoing Open Heart Surgery

Annals of Cardiac Anaesthesia

2017;20(3):318-322

doi:10.4103/aca.ACA_231_16

15

Basics of cardiopulmonary bypass

Indian Journal of Anaesthesia

2017;61(9):760-767

doi:10.4103/ija.IJA_379_17

16

Pulmonary Hypertension and cardiac anesthesia

Annals of Cardiac Anaesthesia

2018 Apr-Jun;21(2):116-122

doi: 10.4103/aca.ACA_123_17

17

Use of high-flow nasal cannula for emergency pericardiocentesis in a case of anterior mediastinal mass

Saudi J of Anesthesiology

2018 Jan-Mar;12(1):161-162

doi: 10.4103/sja.SJA_387_17

18

Comparison of Two Different Doses of Sildenafil in Pulmonary Arterial Hypertension –  Prospective Randomised Controlled Study

Journal of Cancer Prevention & Current Research

2017, 7(3): 00237

19

Prophylactic preoperative levosimendan for off-pump coronary artery bypass grafting in patients with left ventricular dysfunction: Single-centered randomized prospective study

Annals of Cardiac Anaesthesia

2018,21(2):123-128

DOI: 10.4103/aca.ACA_178_17

20

Prospective Randomized trial of Bilateral Paravertebral block Versus Thoracic Epidural Analgesia for off-pump coronary artery bypass (OPCAB) surgery

International Journal of Scientific Research

Volume-7 | Issue-7 | July-2018

 July-2018

21

Anaesthetic implications during off-pump coronary artery bypass surgery

 

Indian Journal of Clinical Anaesthesia

Volume : 5, Issue : 3, Year : 2018
Article Page : 311-314

https://doi.org/10.18231/2394-4994.2018.0060

22

Coronary Cameral Fistula and its Complications: A Case Report

Annals of Cardiac Anaesthesia 

23(4):496-498

October 2020
DOI:10.4103/aca.ACA_140_19

 

23

Usefulness of ultrasonography for selection of correct size endotracheal tube in paediatric patients with congenital heart disease., Sanjeeta Umbarkar, Sachin Vaishnav

International Journal of Scientific Research

Volume-10 | Issue-9 |

September-2021

24

Pulmonary artery catheter – Dilemma is still on?

Annals of Cardiac Anaesthesia

Editorial
  • January 2021

DOI:10.4103/aca.ACA_185_19

25

Balloon pulmonary valvotomy and anesthesia implications- Upadhyay R, Ramteke J, Umbarkar S, Chavan R, Jumley A

The Egyptian Journal of Cardiothoracic Anesthesia

 16(3):p 68-70, Sep–Dec 2022.
  • 2022 Sep 1;16(3):68.

DOI: 10.4103/ejca.ejca_7_22

  •  

  • Safety and feasibility of second generation Laryngeal Mask Airways with gastric port for Trans- esophageal Echocardiography guided trans- catheter device closure procedures: a prospective observational study.
  • Can cerebral oximetry be a surrogate monitor of Cardiac Output during Off- pump Coronary Artery Bypass Grafting Surgery?
  • Sugammadex versus Neostigmine: A comparative study of Efficacy and safety in the Cath Lab.
  • Assessment of gastric volume and gastric content in patient undergoing elective cardiac surgery using ultrasonography.
  • Comparison of Topical Tranexamic Acid vs Intravenous Tranexamic Acid in Off-Pump CABG
  • Study to assess the applicability of EuroSCORE II and STS score in Indian cardiac patients undergoing valve surgeries.
  • Enhanced recovery after cardiac surgery- Use of Sugammadex vs Neostigmine.
  • To Study the effect of Dexmedetomidine as a perioperative adjunct in cardiac surgical patients of valvular heart disease replacement
  • To evaluate relationship between preoperative patient factors and usage of Allogenic Blood and Blood products in Adult patients undergoing cardiac surgery- A prospective observational study.
  • Prospective observational study of effects of cardiopulmonary bypass in cardiac surgery on Thyroid Function tests in Euthyroid patients and in patients on thyroid medications.

  • During COVID 19 Pandemic, faculty and residents of the Department had served as COVID Warriors in various Intensive Care Units in KEM Hospital as well as various other  COVID centers all over Mumbai.
  • Our faculty and residents routinely conducts programs for BLS and COLS training in various housing societies in Mumbai.

Photo Gallery

Location in campus

The department is located on the ground floor of the CVTC building of KEM Hospital.
Residents and faculty provide their services in the following locations:

  • CVTS Operation theatres  – 2nd floor CVTC building
  • Bronchoscopy room  –3rd floor CVTC building
  • Catheter Laboratory –  4th  floor CVTC building

Contact Us

  • Department telephone:     91-22-24107000
  • Admin Office: Extn. 7429
  • Head of Department:       Extn. 7429, 7207
  • Email:   departmentcvta@kem.edu