Critical care as a career for anaesthesiologists

Abstract

Anaesthesiologists by virtue of their understanding of physiology, pharmacology and resuscitation skills are best suited to manage critical care units. Armed with this varied knowledge, the anaesthesiologist is 'physician to the surgeon and a surgeon to the physician'. Specialised training helps them to provide extended postoperative and critical care. During the past few months in the battle with coronavirus disease (COVID)-19, anaesthesiologists have stood up to the challenge of caring for critically ill patients, compromising on their operating room responsibilities. The fact from a growing body of literature suggests that an anaesthesiologist as a critical care specialist provides efficient care and better outcomes. With an increasing awareness and need for critical care, government support is going to increase with an increase in avenues for training and research leading to better professional development and earning potential.

The critical role of anaesthesia in multifaceted care for severe thoracic trauma: A case study

“…5 But it's a bitter truth that National Board of examinations (NBE) has made general medicine postgraduate curriculum mandatory for entry into superspeciality concerned with critical care medicine (DM., DNB critical care medicine) from NEET SS 2022 and requires the anaesthesiologists to prepare himself/herself with medicine syllabus hence cutting down the number of potential anaesthesiologists entering into the field of critical care medicine. 6 The role of Ultrasonography in emergency settings is crucial as it is used for assessment of trauma -FAST (Focussed Assesment With Sonography In Trauma) and the use in shock -RUSH (Rapid Ultrasound in Shock and Hypotension) and for bedside echocardiography, dynamic indices of fluid responsiveness like IVC filling etc and also for cannulation of central venous catheterization and arterial cannulation. [7][8][9] The absence of ultrasonography in our hospital was a major limitation which would have further helped the physicians in expediting their treatment.…”

Career opportunities and guidance among early-career anaesthesiologists – A questionnaire-based cross-sectional survey

“…Furthermore, there are many career options, including careers in pain medicine, intensive care, emergency medicine, palliative care, and other specialisations. [ 1 2 ] Some courses have been approved by the National Medical Commission and the National Board of Education in Medical Sciences. Various societies, such as the Indian Society for Study of Pain, the Indian Society of Critical Care Medicine, the Indian College of Anaesthesiologists, and the Academy of Regional Anaesthesia, offer other fellowships.…”

Pre-operative screening of diabetic patients for heart rate variability and their hemodynamic responses during induction of general anaesthesia

“…2 Impaired regulation of heart rate and blood pressure causes imbalances in myocardial oxygen demand and supply, which increases the risk of ischemic heart disease, lethal arrythmias and sudden cardiac death. 3 CAN might be subclinical for several years until the patient develops postural hypotension, resting tachycardia, exercise intolerance, hypoglycaemia, unawareness, post prandial hypotension, cardiac dysfunction and diabetic cardiomyopathy. 4 Therefore, the relationship between CAN & perioperative hemodynamic regulation is important.…”