CTVS CARDIAC ANAESTHESTIST

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1. Preoperative Responsibilities

• Patient Evaluation
• Conduct thorough pre-anesthetic check-ups.
• Assess cardiac function (e.g., via ECG, echocardiography).
• Identify and optimize comorbid conditions (e.g., hypertension, diabetes, pulmonary disease).
• Planning Anesthesia
• Design individualized anesthesia plans based on surgical type and patient condition.
• Explain anesthesia procedures and risks to patients and families; obtain informed consent.

2. Intraoperative Responsibilities

• Anesthesia Administration
• Induce and maintain general anesthesia for complex cardiothoracic procedures (e.g., CABG, valve replacement, aortic aneurysm repair).
• Use advanced airway and vascular access techniques (central lines, arterial lines).
• Intraoperative Monitoring
• Continuously monitor vital parameters: ECG, arterial pressure, CVP, SpO₂, temperature, urine output.
• Use Transesophageal Echocardiography (TEE) to guide intraoperative decisions.
• Manage anticoagulation during procedures using CPB (cardiopulmonary bypass) and heparin-protamine protocols.
• Hemodynamic Management
• Titrate vasoactive medications and fluids to ensure cardiac stability.
• Manage cardiopulmonary bypass weaning and respond to crises (arrhythmias, cardiac tamponade, bleeding).

3. Postoperative Responsibilities

• ICU Management
• Oversee immediate postoperative care in the cardiac ICU.
• Assist in ventilator management, sedation, pain control, and inotropic support.
• Identify and manage complications (e.g., low cardiac output syndrome, bleeding, renal dysfunction).
• Extubation & Recovery
• Evaluate readiness for extubation.
• Ensure smooth transition from mechanical ventilation to spontaneous breathing.

4. Academic, Administrative & Team-Based Roles

• Training & Teaching
• Train junior anaesthesiologists, residents, and ICU staff in cardiac anesthesia techniques.
• Documentation
• Maintain detailed anesthesia records and contribute to surgical audit meetings.
• Multidisciplinary Collaboration
• Coordinate closely with surgeons, perfusionists, intensivists, and nurses to optimize patient outcomes.
• Research & Development
• Participate in clinical research, QI programs, and stay updated with advancements in cardiac anesthesia.

Specialized Skills Required

• Expertise in:
• Transesophageal Echocardiography (TEE)
• Cardiopulmonary Bypass (CPB) physiology
• Advanced hemodynamic monitoring
• Mechanical circulatory support (IABP, ECMO)

Job Types: Full-time, Part-time, Freelance

Schedule:

• Rotational shift

Work Location: In person

Expected Start Date: 01/08/2025