ANAESTHESIA DEPARTMENT UNIT-I

 Dr. Khawar Ali

DA, MCPS, FCPS

Associate Professor

Chairman And Head Anaesthesia Department Unit-I, KEMU

 

Dr. Khawar Ali

The first Department of Anaesthesia in the country was created at King Edward Medical College in November 1959 with Dr. Rustam Ali Nabi becoming first Professor of Anaesthesia. The Department since then has grown steadily both in volume and scope of anaesthetic practice. Due to creation of new surgical sub-specialties at the affiliated Mayo Hospital and increase in work load over the years, a second chair of anaesthesia was created in 1984. King Edward Medical University is the only place in the country where there are two separate units of anaesthesia.

Faculty at Anaesthesia Unit-I

S.NO.     Name                            Designation                 Qualification

1.      Dr. Khawar Ali                  Associate Professor         DA, MCPS, FCPS
2.      Dr.  Farrukh Afzal             Assistant Professor           MCPS, FCPS
3.      Dr. Shahbaz Hussain        Assistant Professor          FCPS

Postgraduate Programmes
The Department is a leading centre of anaesthesia training. It is involved in the teaching and supervision of candidates preparing for M.S., D.A., F.C.P.S. and M.C.P.S. courses in Anaesthesia. The objectives are to:

  • Construct and deliver optimally the above mentioned academic and training programmes to produce expert clinician in the field of anaesthesia

• Conduct and supervise research projects.
• Train residents during pre-operative rounds and anaesthetic planning.
• Train residents in perioperative care.
• Conduct end of case discussion.
• Teach postoperative care and pain management.

  • Provide cover for the management of patients in the intensive care

Medical students programme
The Department organizes didactic lectures for the fourth year and final year students of King Edward Medical University. The Department also offers clinical training opportunities to students and residents training in related specialties. A BSc Honuors course for Anaesthesia Technology is a new addition to the KEM University academic programme.

Research
RECENT PUBLICATIONS

  • Comparison of Nalbuphine and Midazolam on the Cardiovascular Response to Laryngoscopy and Intubation. Annals 2005: 11(3): 253-255
  • Comparison of Propacetamol with Pethidine for Postoperative Pain Relief. Biomedica 2005; 21:  93-97
  • Pharyngolaryngeal Discomfort after use of LMA among Patients Receiving Intermittent Positive Pressure ventilation and that Breathing Spontaneously. Annals 2005; 11(4): 389-391
  • Comparison of Cardiovascular Response to Insertion of Laryngeal Mask Airway with Endotracheal Intubation. JFJMC 2007; 1(3-4): 49-52
  • Effect of Different Doses of Propofol with Atracurium on Intubating Conditions. JFJMC 2008; 2(3): 92-94
  • Comparison of Ephedrine and Propofol in Preventing Nausea and Vomiting after open cholecystectomy. JFJMC 2008; 2(3): 105-110
  • Propofol-Ketamine Combination as a Technique of Total Intravenous Anaesthesia for Diagnostic Dilatation and Curettage. JFJMC 2008; 2(4): 211-214
  • Effect of Intracuff Lignocaine on Coughing during Emergence and Postoperative Sore Throat. PJMHS 2009; 1(1): 50-54
  • Does Genitofemoral Nerve Block Improve Intraoperative Analgesia if added to Ilioinguinal and Iliohypogastric Nerve Block in Children during Inguinal Hernia Repair.
  • Causes of Postponement of Operations in Operation Theatres of General Surgery at Mayo Hospital Lahore.
  • A comparative Study of the Effect of Sciatic Nerve Block with the Help of Nerve Stimulator vs. Elicitation of Paraesthesia in Elderly Patients Undergoing Lower Limb surgery.
  • Comparison of Haemodynamic Changes Between Unilateral and Bilateral Spinal Anaesthesia for Unilateral Inguinal Hernia Repair.

RESEARCH COMPLETED – YET TO BE PUBLISHED

  • Comparison of the Effect of Duration Spent in Sitting Position on the Level of Block and Haemodynamics in Spinal Anaesthesia with Hyperbaric Bupivacaine 0.75%.
  • Cardiovascular Changes During the Three Stages of Nasotracheal Intubation.
  • Respiratory Complications in Immediate Postoperative Period: Comparison Between Awake Extubation and Tracheal Tube Replacement with Laryngeal Mask Airway Before Emergence.
  • Effect of Intravenous Ephedrine on the Onset Time of Vecuronium Bromide during induction of Anaesthesia.
  • Comparison of Crystalloid Pre-loading and Co-loading in Preventing Hypotension Following Spinal Anaesthesia.
  • Prophylactic Intramuscular Ephedrine to Prevent Hypotension after Subarachnoid Block.
  • Effect of Magnesium Sulphate on the Dose requirement of Atracurium during Anaesthesia.
  • Effect of Vasoconstrictor Spray in Preventing the Incidence of Epistaxis During Intubation and Extubation of Nasotracheal Tube in Patients Undergoing Maxillo-facial Surgery.
  • Comparison of Upper Lip Bite Test with the Modified Mallampati Classification in Prediction of Difficult Intubation.
  • Effect of Intravenous Dexamethasone in Prolonging the Duration of Caudal Block in Children Undergoing Orchidopexy in Day Care Surgery.
  • Effect of Subcutaneous Sterile Water Injection in Reduction of Low Back Pain During First Stage of Labor.
  • Effect of Propofol for Prevention of Laryngospasm on Extubation in Paediatric Patients Undergoing Elective Tonsillectomies.
  • A Study on the Effect of Priming with Propofol on Mean Dose of Propofol for Induction of Anaesthesia.

 

Clinical Services
The Anaesthesia Department is committed to provide the best possible care to patients requiring anaesthesia, pain management and intensive care. The clinical workload is large and versatile. It provides a comprehensive range of medical services to patients of all ages including those with the highest risk. More than 30,000 procedures in 44 operating rooms and additional locations on the main hospital campus are looked after every year. As Mayo Hospital Lahore is a major acute hospital, a round-the-clock cover is provided to the extremely busy emergency operation theatres of all sub-specialties.
The anaesthesia cover is provided for the surgical procedures carried out in the following operation theatres:
• Accident and Emergency
• General Surgery
• Dental & Maxillofacial surgery
• Neurosurgery
• Plastic and burn Surgery
• Ophthalmology
• E.N.T
• Orthopaedic and trauma
• Urology
• Paediatric Surgery
• Cardiothoracic Surgery
• Obstetrics and gynaecology: Lady Wellingdon and Lady Aitchison Hospitals

  • Pain management
  • Electroconvulsive therapy
  • Radiology and radiotherapy