Department Of Anaesthesia Intensive Care

Introduction:

Anaesthesia is a term used for absence of feeling and by 1846, O.W. Holmes proposed anaesthesia to mean the state that involves amnesia, analgesia and narcosis to provide a painless condition for surgery.

Anaesthesiology is the study of the sciences and arts of anaesthesia.  This specialty requires a working familiarity with other specialties such as surgery, internal medicine, paediatrics, obstetrics and gynaecology as well as clinical pharmacology, applied physiology and biomedical technology.

Intensive care is the specialty that deals with diagnosis and treatment of critical illness.

It is a great privilege for us to make it clear that the first Anaesthesiologist is God – the Creator Himself who performed the first surgery on Adam (the first man) after causing a deep sleep (anaesthesia) on him (Gen. 2 v 21), the best ever and perfect anaesthesia and surgery.  Recovery was with no hangover and post operative pain.  Then man sinned and this beauty eluded us until the 1840s when God showed mercy to mankind.

BRIEF HISTORY OF THE DEPARTMENT IN NATIONAL HOSPITAL ABUJA

The department of Anaesthesia is one of the pioneer departments in the hospital.  Anaesthetic services commenced in September, 1999.  The Intensive Care Unit was opened in March, 2000 for the care of the critically ill.  The first Head of Department was Dr. Olakunle Okunuga from October, 1999 to May, 2001.  Dr. Obasi E. Ekumankama took over the headship from June 2001 to June 2006.  He handed over to Dr. Fidelia N. Akpa who headed the department from July, 2006 to May, 2009.   Dr. Edem Nehemiah took over the headship till May, 2011.  Dr. Shola S. Jamgbadi was the Head of Department until May, 2013 and Dr. Alfred D. Fom took over until July, 2015.  The current Head of Department is Dr. Obasi E. Ekumankama.

The Department has gradually grown from one to two, to three Consultants to the present size of Seven (7) Consultants.  The number of Resident Doctors have grown from two to Twenty Eight (28).

The work load has greatly increased from few surgeries at the inception to over 3,200 surgeries in a year.

The Department started with two well trained Anaesthestic Technicians.  The Anaesthetic Technicians have grown to eight in number and the Department is currently training Twelve (12) Technicians for the Hospital.

The service areas have quite increased from Eight (8) Theatres in the old portion of the hospital to 13 theatres, with the addition of three (3) theatres in the Trauma Centre, One (1) Emergency Obstetrics Theatre and a Theatre for Cardiothoracic Surgeries.

The Intensive Care Unit beds have increased from Seven (7) in the old side of the hospital to 20  – 13 in the Trauma Centre.

Vision and Mission

The departmental vision and mission is working with God and is concerned for details to enable us maintain safe anaesthesia of the best standards.

FUNCTIONS OF ANAESTHESIA DEPARTMENT

  1. Formulation of policies governing the establishment and administration of Anaesthesia     in the hospital.
  2. Assess the fitness of patient for Surgery by pre-operative assessment.
  3. Deliver different types of Anaesthesia – General Anaesthesia, Total Intravenous Anaesthesia (TIVA), Regional Anaesthesia, Monitored    Anaesthetic Care, Light  Anaesthesia in awake craniotomies.
  4. Pain Management – Post operative pain management, chronic pain management    in the pain clinic and epidural pain relief in labour.
  5. Patient Management in the critical / intensive care units – using respirators,            invasive monitoring, advance life support.
  6. Resuscitation of patient in:
    1. Emergency Units
    2. Trauma Unit
    3. General Wards.
  7. Involved in Rapid Response Team (scoop and run to the hospital at the sites         outside the hospital) – Rescue Operations.
  8. Transfer of critically ill patients from hospital to hospital and hospital to other       centres abroad.
  9. Training of Resident Doctors for the Diploma Certificate and the Fellowship        Certificate of both Colleges and Medical Students on clinical posting.
  10. Extensive Research work relevant to our society and comparing with other            societies / countries.
  11. Training of Anaesthetic Technicians for the hospital and other hospitals.
  12. Anaesthesia outside the theatre – MRI and CT Scan Suites, ECT and         Radiology.
  13. Training of the public in Basic Life support and Advance Life Support for Medical Personnel.
  14. Training of intensive care post graduate nursing students on posting.

FACILITIES

  1. Well Equipped Department
    Datex OHMEDA Anaesthetic Machine

    1. 7 Aspire 7100 with Ventilators and Tec
    2. 7 Vaporisers for Servofluorane & Isofluocane
    3. 5 Senior Anaesthetic Machine with Ventilators and Tec
    4. 5 Vaporisers for Isofluorane and halothane
  2. 8 parameters Monitors (Mindray) all with invasive BP1& BP2 and Capnographs modules.
  3. 19 Bedded Intensive Care Units with:
    1. 13 Dragger Ventilators
    2. 19,  8 Parameter Monitors with 2 Central Monitors,
    3. 3 ABG Machines Plus 2, I Stat Blood Gas Machines
    4. 20 Stryker Beds with their Floatation Mattresses
    5. 8 Bedded Burns ICU.
  4. Neurosurgical and Cardiothoracic surgical supports.
  5.  Designated Theatre for Obstetric Emergencies, Trauma Emergencies.
  6. 9 Mobile Ventilators
    1. 2 Mobile X-ray Machines
    2. 3 MRI and 2 CT Scanners
  7. Piped Oxygen from central sources viz:
    1. 3 Oxygen Plants
    2.  2 Oxygen Tanks.
  8. Syringe and infusion pumps
  9. Well Trained Intensive Care and Cardiothoracic Nurses.

STAFFING:

Consultants 7 in no. including Postgraduate Medical College Examiners

Senior Registrars (SR)       17 in No,

Registrars                               9

Anaesthetic Technicians     7

Technician –In-Training      12

ICU Nurses:

Trauma                                    17

Main ICU                                18

Dr. Akinmola O. Allen 

HOD Anaesthesia / ICU

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