Anaesthesia for following surgeries:
a. Craniotomy for Brain tumours – gliomas, meningiomas, craniopharyngiomas, vestibular schwannomas, epidermoid, and intraventricular tumours
b. Anaesthesia for awake craniotomy.
c. Anaesthesia for craniotomy for other disorders such as intractable epilepsy, movement disorders, infections such as pyogenic abscesses, tuberculosis, fungal infections and cysticercosis, hydrocephalus.
d. Anaesthesia for cerebrovascular disorder – Aneurysm clipping, AVM resection surgery, Dural AV fistula
e. Anaesthesia for Pituitary surgeries – TNTS, Combined transcranial and transnasal approach and CSF leak procedures.
f. Anaesthesia for Spine surgery -Degenerative spine disorders, cervical, thoracic and lumbar laminectomy, instrumentation. Anaesthesia for spinal dysraphism and congenital Craniovertebral junction anomalies, acute spine cord injury (trauma).Anaesthesia for spinal cord tumours, both intramedullary and extramedullary. Anaesthesia for scoliosis/Kyphosis surgery.
g. Anaesthesia for Paediatric neurosurgery – Supratentorial, infratentorial tumours, Anaesthesia for EDAS for Moya Moya disease, complex craniofacial reconstructive surgeries for craniostenostosis, Anaesthesia for Tethered cord release, Meningomyelocele excision, VP shunt/ VA shunt for Hydrocephalus.
h. Anaesthesia for Neuro trauma – Decompression for Subdural/ Extradural haematoma/ contusion/DAI
i. Anaesthesia for Interventional Neuroradiology – Anaesthesia for AVM embolisation/ Tumour embolisation, Aneurysm Coiling, Balloon Occlusion test, WADA procedure, Diagnostic/ Therapeutic angiogram, Stereotactic radiosurgery, stereotactic biopsy.
j. Anaesthesia for MRI for both children and adult.
k. Anaesthesia for Trigeminal Neuralgia – Microvascular Decompression and Radiofrequency Ablation
Pre Anaesthesia Facility – All patients undergoing Elective neurosurgical Procedures are seen in this clinic by a Consultant 1-5 days prior to surgery.
Clinical Neuro monitoring done in our department
1. Depth of anaesthesia monitoring – BIS/ Entropy/ PSI (Masimo)
2. Cerebral Oximetry
3. Neurophysiology monitoring – MEP/SSEP/Cortical Mapping/Facial and other lower cranial nerve monitoring in collaboration with Neurophysiology department
4.Transthoracic Echo – Basic skills
5.Trans cranial Doppler
Procedures done apart from the routine GA/ line placement
1. Scalp block for all craniotomies
2. Epidural Blood patch for spontaneous intracranial hypotension
3. Lumbar drain placement for pituitary surgeries/ For brain relaxation/treatment of intraprocedural CSF leak during spine surgery.
4. Quadratus Lumborum block/Erector Spinae Block for analgesia following anterior illiac bone graft harvest.
5. Different modalities of pain management following spine surgery.