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Cardiothoracic Anaesthesia

ABOUT CARDIO-THORACIC ANAESTHESIA

Expert Cardio-Thoracic Anaesthesia & Cardiovascular Care at KMCH.

At KMCH, our dedicated team of highly skilled anesthesiologists, led by Dr. M.K. Sivakumar, specializes in providing exceptional pre-operative and post-operative care for a broad range of adult and pediatric cardiovascular and cardio-thoracic procedures. We routinely perform advanced heart surgeries including coronary revascularization (off-pump beating heart surgery: OPCAB, minimally invasive cardiac surgery), valvular heart surgeries (AVR, MVR, DVR, CMV), and complex congenital heart defect corrections (ASD, VSD, ICR, ASO). Additional expertise includes aortic aneurysm repair, pericardiectomy, carotid endarterectomy, and vascular bypass surgeries.

Our cardiovascular interventional procedures encompass Percutaneous Transluminal Coronary Angioplasty (PTCA), Balloon Mitral Valvotomy (BMV), device closures for congenital defects, mechanical heart assist device placement, electrophysiology studies and ablations, and permanent pacemaker implantation.

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PATIENT'S REVIEWS

WHY KMCH HEART INSTITUTE?

Why Choose Cardiothoracic Anaesthesia

Our state-of-the-art Cardio-Thoracic Operation Theatre Suite houses three cardiac and one thoracic operating rooms, spanning over 10,000 sq. ft, equipped with world-class technology to deliver superior surgical outcomes. With an annual caseload of nearly 1,000 cardiovascular and thoracic procedures from across India, KMCH emphasizes ethical blood conservation techniques and patient-centric care to ensure optimal recovery and safety.

Our expert cardiac anaesthesiologists are highly skilled in managing complex cases involving Deep Hypothermic Circulatory Arrest (DHCA), Cardioplegic Arrest, ischemia-reperfusion injury, and perioperative organ protection—particularly for the brain, kidneys, and heart. We offer specialized Cardiac Anaesthesia training for Diplomate of National Board (DNB) postgraduate trainees, ensuring development aligned with the latest clinical standards. KMCH’s Cardio-Thoracic Unit (CTU) hosts regular Continued Medical Education (CME) sessions focused on advanced drugs, fluid management, and cutting-edge cardio-thoracic equipment reflecting global best practices. Weekly academic forums feature clinical updates and case discussions to foster ongoing learning. Our dedicated research targets critical areas such as cardio- and neuroprotective drug administration, reducing cerebral air embolism and brain ischemia during cardiopulmonary bypass (CPB), and investigating cerebral outcomes related to low-flow CPB and DHCA, alongside studies on myocardial injury post-cardioplegic arrest.

KMCH features one of the largest dedicated Cardio-thoracic Intensive Care Units (CT-ICU) in the region, equipped with state-of-the-art facilities for comprehensive invasive hemodynamic monitoring, including pulmonary artery catheterization and Intra-Aortic Balloon Pump (IABP) support. Our CT-ICU includes a specialized High Dependency Unit (HDU) acting as a step-down care unit and an isolation suite for critically ill or infectious cases. Accredited by the National Accreditation Board for Hospitals (NABH) for stringent infection control, the unit is staffed 24/7 by expert cardio-thoracic anesthesiologists and intensivists ensuring seamless care from pre-operative to post-operative periods. This skilled multidisciplinary team plays a vital role in delivering superior outcomes for patients undergoing complex cardio-thoracic surgery at KMCH.

KMCH Allied Health Science Educational Trust offers a 3-year B.Sc. in Cardio-Pulmonary Perfusion Technology, affiliated with Dr. MGR University. The division of Cardio-Thoracic Surgery also provides specialized training for students in the B.Sc. Physician Assistant program and the Diploma in Operation Theatre and Anaesthesia Technology, both under KMCH’s affiliation with Dr. MGR University. These programs equip candidates with advanced skills for careers in cardiovascular and allied health services, supported by KMCH’s expert faculty and state-of-the-art facilities.

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SERVICES AT KMCH HEART INSTITUTE

Our Helping Hands Skilled Support Staff at KMCH Heart Institute

Our dedicated theatre nurses ensure the highest standards of patient safety and care during cardiac and thoracic surgeries. They manage critical safety checks, maintain accurate narcotic drug registers, and handle meticulous documentation as per NABH protocols. Trained to assist in all cardio-thoracic emergencies, they uphold strict sterilization standards in collaboration with the Hospital Infection Control Committee.

Our expert clinical perfusionists operate heart-lung machines and cardiac assist devices under the guidance of our cardiac anesthesia team. They provide essential support during cardiopulmonary bypass, ventricular assist device applications, blood gas monitoring, and thermal regulation. Additionally, they contribute to academic training for B.Sc. perfusion students through hands-on experience and lecture sessions.

Anaesthesia technicians and nurses work alongside cardiac anesthesiologists, managing anesthesia equipment, drugs, and monitors with professionalism and updated knowledge through regular training. The cardiopulmonary rehabilitation specialists; including physiotherapists and respiratory therapists-play a vital role in patient recovery within the CT-ICU and HDU by facilitating early mobilization, respiratory exercises, and psychological support.

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