Maharajgunj Medical Campus

Maharajgunj , Kathmandu

Department of Anaesthesiology

Name of Department: Department of Anaesthesiology

Name of Head of Department : Prof. Dr. Anil Shrestha

Department introduction/description :

The Department of Anaesthesiology ,Tribhuvan University Teaching Hospital( TUTH), Maharajgunj Medical Campus (MMC), Institute of Medicine (IOM) was established in 24th Feb, 1985( 13th Falgun, 2041 B.S). The department is fully commited for anaesthesia, intensive care and pain management services, teaching and training of students of undergraduate, postgraduate and postdoctoral level to produce human resources for the country. The department has been equally contributing to the development of different surgical and other departments of TUTH and MMC, IOM. Started as one Department of Anaesthesiology, the department has developed into three independent departments viz; Department of Anaesthesiology, Department of Cardiothoracic and Vascular Anaesthesia (CTVA) and Department of Critical Care Medicine (CCM).

Besides providing regular anaesthesia services to varities of surgeries from minor to complex surgeries including transplant surgeries through 12 regular operating rooms, the department also provides 24 hour anaesthesia services in 4 emergency operation theatres. The department also provides 24 hours backup for critical care services to more than 60 intensive care unit beds of the hospital. It also provides OPD services through its Pre-Anaesthetic Check up clinic, Obstetric Anaesthesia clinic, and Pain Clinic and offers varities of interventional pain procedures to the needy patients. The Department also provides postoperative care services as well as resuscitation services as a leader in dire situations. The department has also extended its services as remote anaesthesia to the radiology department for CT, MRI and fluroscopy services , procedural sedation for UGI Endoscopy, Colonoscopy and ERCP for needy patients.

There are 14 full time faculties in the department. Among them, five have speciality training in Pain Medicine, two in Neuroanaestheisa, two in Transplant Anaesthesia and one each in Obstetric Anaesthesia and Paediatric Anaesthesia. With the speciality trainings the department is providing speciality services to the patients coming to the TUTH as well as conducting different educational activities and trainings for the students.

Department vision, mission and goals :

To be a center of excellence in anesthesiology, critical care, and pain management, providing innovative education, cutting-edge research, and exceptional patient care, contributing to the advancement of medical practice in Nepal and globally.

To provide high-quality anesthetic care in various surgical, diagnostic, and therapeutic procedures.

To educate and train future anesthesiologists with the highest standards of medical knowledge, technical skills, and ethical responsibility.

To promote and conduct research in anesthesiology, critical care, and pain management, aiming to improve patient outcomes and contribute to global knowledge.

To collaborate with multidisciplinary teams in offering comprehensive perioperative and critical care management.

To provide academic excellence to Undergraduate, Post -Graduate and Post -Doctorate level.

Department faculty members:

S.N.

Full Name

Designation

Full Academic Qualifications (Bachelor onwards)

Joined year

(A.D)

1.      

Dr. Anil Shrestha

Prof. and HOD

MD, FIPM

2006

2.      

Dr. Renu Gurung

Assoc. Prof.

MD, FPM

2006

3.      

Dr. Binita Acharya

Assoc. Prof.

MD, FCPM

2010

4.      

Dr. Bigen Man Shakya

Assoc. Prof

MD, FCPM, ESRA-DPM

2011

5.      

Dr. Ninadini Shrestha

Assoc. Prof

MD, FIPM, FIPP,CIPS,ESRA-DPM

2012

6.      

Dr. Amit Bhattarai

Lecturer

MD,Fellowship in HBP and Liver Transplant Anesthesia

2013

7.      

Dr. Megha Koirala

Lecturer

MD

2014

8.      

Dr. Navindra Raj Bista

Lecturer

MD, Fellowship in Neuroanaesthesia and Critical Care

2014

9.      

Dr. Bashu Dev Parajuli

Lecturer

MD, Fellowship in Obstetric Anaesthesia

2014

10.   

Dr. Pankaj Joshi

Lecturer

MD, FLTA

2019

11.   

Dr. Ritesh Lamsal

Lecturer

MD, DM

2019

12.   

Dr. Utsav Acharya

Lecturer

MD,DPA

2023

13.   

Dr. Jyoti K.C

Lecturer

MD

2023

14.   

Dr. Robins Tiwari

Lecturer

MD

2023

15.

Dr. Hira Khadka

Medical Officer

MD

2007

Academic programs and students educated/trained each year

Level

S.N.

Program name

Activities

Bachelor

1.      

MBBS

√ (Theory classes and 2+2 weeks posting)

2.      

BDS

√ (Theory classes and 1week posting)

3.      

BN

√ (Theory classes)

4.      

Bsc Nursing

√ (Theory classes)

Masters

5.      

MD Anaesthesiology,

√ (12 students/year)

6.      

MDGP

√ (8 weeks posting)

7.      

MD Gynae and Obs

√ (1 month Posting)

8.      

MN

√ Theory classes

Super-specialty

9.      

DM CCM

√ (3 month Posting)

10.   

DM Neurology

√ (1 month Posting)

11.   

DM Emergency Medicine

√ (2month posting)

 

A.    List of hospital clinical services provided and Number of patients served/treated

·       Anaesthesia services for 15 Operating Rooms/day: 12 elective OT, 4 emergency OT@ 24 hours

·       PAC clinic: Sunday to Friday

·       Pain Clinic: Sunday to Friday

·       Obstetrics PAC Clinic: Thrusday 2-4 pm

·       HDU Services at Ganeshman Building

·       Anaesthesia services for MRI/ CT and Intervention Radiology procedures

·       Anaesthesia services for ERCP, Upper GI Endoscopy, Colonscopy

·       Resuscitation services 001 call 24 hours

B.     Research activities of the faculties/department (last 1 year)

Faculty's research

  1. Knowledge and Attitude of Labor Epidural Analgesia among Pregnant Women attending Antenatal Clinic in a tertiary level teaching hospital
  2. The effect of arm position on the size of Right Subclavian vein by ultrasound guided infraclavicular approach in intubated patients.
  3. Prevalence of Neuropathic Pain in Cancer Patients in a Tertiary level Hospital of Nepal.
  4. Adherence to the Enhanced recovery after Cesarean delivery(ERAS) protocol at a tertiary level teaching hospital: an observational study
  5. Simulation in Post-Graduation training: Knowledge, practice and acceptance among trainees
  6. Clinical and Transfusion profile of patients undergoing major surgery at a University hospital in Nepal
  7. Anaesthetic management of foreign body bronchus: Profile of cases appearing at Tribhuvan University Teaching Hospital
  8. Evaluation of operating theater efficency in a tertiary care hospital of Nepal: A Cross-sectional study
  9. Study of intrathecal Dexmedetomidine and Fentanyl as an adjunct with 0.5% hyperbaric Bupivacaine
  10. Preoperative pediatric sedation with combination of oral Ketamine and Midazolam - A prospective observational study
  11. Labour Outcome with and without Epidural Analgesia: A Cohort Study

 

Residents' Research

  1. A prospective study of preoperative fasting duration and factors associated with prolonged fasting in pediatric patients undergoing surgery
  2. Sternomental displacement as a predictor of difficult laryngoscopy in adult patients at a tertiary hospital in Nepal
  3. Efficiency of Blood utilization in elective surgical patients in TUTH
  4. Palm print sign as a predictor of difficult laryngoscopy in patients with diabetes
  5. Study of depth of skin to subarachnoid space in parturient in tertiary level hospital
  6. Intraoperative Magnesium Sulphate for postoperative pain in patients undergoing total abdominal hysterectomy under general anaesthesia
  7. Prediction of difficulty in visualization of larynx by Modified Mallampati Test in supine position
  8. Correlation between ratio of trunk length to square of abdominal circumference and level of sensory block following spinal anaesthesia in women undergoing cesarean section
  9. The effect of passive leg elevation on size of internal jugular vein in mechanically ventilated adult patients
  10. Preoperative assessment of gastric content by ultrasound in fasted patients before elective laparoscopic cholecystectomy
  11. Incidence and risk factors for delirium in patients admitted to intensive care unit in a tertiary level teaching hospital in Nepal
  12. Preoperative ultrasound measurement of lateral parapharyngeal wall thickness to predict difficulty of bag and mask ventilation
  13. Correlation between Intubation prediction score and Modified Cormac Lehane grade for prediction of difficult intubation
  14. Internal Jugular vein ultrasonographic measurements for prediction of postspinal hypotension in patients undergoing elective surgery under spinal anesthesia in tertiary level teaching hospital
  15. Ultrasonographic measurement of distance from skin to epiglottis in predicting difficult direct laryngoscopy
  16. Caval/Aorta diameter index to predict post-induction hypotension associated with general anaesthesia: an observational study
  17. Effect of addition of Dexmedetomidine on duration of analgesia in lower limb surgeries under spinal anesthesia
  18. Incidence and factors associated with intraoperative shivering in parturient undergoing lower segment cesarean section under subarachnoid block - an observational study
  19. Prediction of difficult laryngoscopy and intubation using Naguib model: Single centered observational study
  20. Variation in endotracheal tube cuff pressure with insertion of transesophageal echocardiography probe - Single centre prospective observational study
  21. Correlation between gait speed and the Edmonton Frail Scale (EFS) in predicting frailty among elderly patients undergoing elective surgery
  22. Correlation between Intubation prediction score and Modified Cormac Lehane grade for prediction of difficult intubation
  23. Effect of addition of Dexmedetomidine on duration of analgesia in lower limb surgeries under spinal anesthesia
  24. Incidence and factors associated with intraoperative shivering in parturient undergoing lower segment cesarean section under subarachnoid block - an observational study
  25. Prediction of difficult laryngoscopy and intubation using Naguib model: Single centered observational study
  26. Effect of preoperative anxiety level on postoperative pain and analgesia requirement in patients undergoing laparoscopic cholecystectomy

 

C.     Number of publications by faculties/department (last 1 year)

Original articles

Review articles

Case reports

Newspaper

Online news

Total

13

1

5

1

3

23

 

D.    Training/Workshops/Conferences conducted by department (last 1 year)

S. No.

Date

Activities

Remarks

1.

2080/01/08

USG guided Musculoskeletal Pain Workshop

Pre-conference workshop of NASPCON

2.

2080/01/30

SAN CME

 

3.

2080/06/29

Blood Donation Program at TUTH

On World Anaesthesia Day in collaboration with SAN

4.

2080/07/16

Workshop on ACLS for MD/MS Residents

 

5.

2080/07/17

Workshop on ACLS for MD/MS Residents

 

6.

2080/07/23

Workshop on ACLS for MD/MS Residents

 

7.

2080/07/24

Workshop on ACLS for MD/MS Residents

 

8.

2080/08/02

CURRENT 2023: Updates on Anaesthesiology, Critical Care and Pain Medicine

 

9.

2080/08/16

NMC CPD - ACLS training

With NMC and SAARC Federation of Oncologists - Nepal

10.

2080/11/18 -19

Interventional cancer pain Symposium: Live demonstration of Neuraxial Neurolysis

 

11.

2080/12/15

USG guided Hands on Cadaveric RA Workshop

Pre-Conference workshop of SAN

12.

2080/12/18

Obstetric Anaesthesia Simulation Workshop

Post-Conference workshop of SAN

 

 

E.     Achievements/Grants/Awards received by faculties/department (last 1 year)

Faculties Academic Achievement

Dr. Ritesh Lamsal - Global Clinical Scholars Research Training - 1 year training from Harvard Medical School USA. Completed on March 2024.

Dr. Navindra Raj Bista - Clinical Fellowship in Neuroanaesthesia and Critical Care - 1 year program from St. Michaels Hospital, University of Toronto, Canada. Completed on June 2024

Dr. Bigen Man Shakya - European Diploma in Pain Management (EDPM)

Dr. Ninadini Shrestha - Fellow of Interventional Pain Physician (FIPP), Certified Interventional Pain Sonologist (CIPS) Examinations, European Diploma in Pain Management (EDPM)

Dr. Megha Koirala - enrolled in PhD in Educational Leadership at Kathmandu University

 

Professional Achievement

Dr. Anil Shrestha - President elect of SAN

Dr. Renu Gurung - President of NASP

Dr. Bigen Man Shakya - Gen. Secretary of NASP

Dr. Ninadini Shrestha - Joint Treasurer of SAN

Dr. Amit Sharma Bhattarai - Exe. Member of SAN

Dr. Bashu Dev Parajuli - Gen Secretary of SAN

 

Residents Achievement

Dr. Nitendra Raj Bajracharya - Received SAN Research Grant 2080

Dr. Pushkar Bishwakarma - Received SAN Research Grant 2080

Dr. Rashmi Thapa - Received Best Paper Award (Oral) 3rd place at SANCON 2023

Dr. Poojan Kafle - Received Best Paper Award (Oral) 2nd place at SANCON 2023

Dr. Pushkar Bishwakarma - Received Best Paper Award 1st place (Joint) at SANCON 2023

Dr. Reshma Shrestha - Received Best Paper Award 1st place (Joint) at SANCON 2023