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Introduction
The science and art of anaesthesia has
advanced leaps and bounce during last few decades. It has grown in to a full fledged specialty and anaesthesiologist have came out of operation theatre and contributed towards development of super specialties in anaesthesia such as Critical Care, Pain Management.
There is growing trend to name Anaesthesiologist as Perioperative Physician.
His responsibility begins from admission to the discharge, all round care of the Patient.
In many western countries this movement is gaining momentum
There are four pillars of the foundation of the specialty of anaesthesiology and these are as follows:-
1) Pre op evaluation of patient
2) Vigilant anaesthesiologist
3) Documentation of anaesthesia records which includes monitoring of vital parameters; anaesthesia details such as Induction, maintenance and reversal of anaethesia.
4) Post operative pain management and care
At Bombay Hospital the following anaesthesia chart was introduced in the year 2000 by the author, and in last six years this chart has been updated and now successfully used by group of thirty five consultant anaesthesiologist and in more than 80,000 surgeries of various specialties.
The surgeries done at Bombay Hospital includes Orthopaedic and joint replacements, general surgeries, urological, kidney transplants, cancer, gynaecological, ENT, plastic, ophthalmologic, cardiac catheterization, open heart surgery, valve replacements, Neurosurgical, Interventional radiological procedures. Every year Bombay Hospital conducts more than 15,000 surgeries, in twenty two operating theatres.
This chart covers most of the aspects of patient monitoring and care such as patient identification; Pre-op assessment; ASA Status; Airway control; Regional Anaesthesia; Immediate Post operative Status; Recovery Room; Post operative Pain management and in addition there is space for Comments.
In the space for comments one can mention about any incident, relevant finding during course of anaesthesia which will be useful for future anaesthesia.
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