Anesthesia and Critical Care: Base Hospital Dehiattakandiya

Topics: Surgery, Epidural, Anesthesia Pages: 3 (680 words) Published: February 24, 2013
Post MD training in anaesthesiology
Outstation appointment
Senior Registrar – Anaesthesia & Critical care
Base Hospital Dehiaththakandiya

1st October2012 – 31st December 2012

Base hospital Dehiaththakandiya is situated in the eastern province, Ampara district just beyond the border of north central province. It caters over 1.6 million of both indoor and outdoor patients annually. The hospital has a bed strength of 138, the annual indoor admissions are over 19,564 and the number of live births that take place exceed 1344 annually. 50 doctors and 72 nursing officers are working in the hospital. A consultant paediatrician, physician and a obstetrist and gynaecologist are rendering their services currently. It was established in 1988 as a central dispensary and upgraded to a district hospital in 1994, base hospital in 1999 respectively. The operation theatre was started functioning in 2006. The major centers surrounding are GH Polonnaruwa, BH Mahiyangana and GH Ampara.

Operating theatre
There is one operating theatre and four HO anaesthetists are covering the duties within 24 hours. Major operation lists are on every Tuesdays and Thursdays and mainly the gynaecological operations. About 2 total abdominal hysrerectomies, 2 vaginal hysterectomy and repairs and 2-3 elective LSCSs are performed per day. During my period, I anaesthetized patients who had complications with diabetes mellitus, hypertension, ishaemic heart disease/structural heart disease and kidney disease for major gynaecological procedures under the guidance of Dr Chandana Fernando(consultant anaesthetist/GH Ampara), who are otherwise needed to be transferred to the centres where consultant anaesthetist is available. Some of these patients were inserted lumbar epidural catheters for postoperative pain relief.

Preoperative assessment
The patients who are supposed to undergo major gynaecological surgeries and mothers awaiting elective LSCS for complicated...
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