Anaesthesiologist

Dr. AMIT RAJA PANIGRAHI

Manchester, UK +447*********(UK) D.O.B 26th April 1985

***********@*****.*** linkedin.com/in/arpanigrahi ***********@*******.*** Confident physician with five years of comprehensive experience in Anaesthesiology, Critical care and Pain management. Dedicated to exemplary patient outcomes using the safest recommended strategies with the latest available medical technology. Strong focus on quality improvement guided by continuous training and clinical research. Good understanding of the aspects involved in managing an intensive care and perioperative service. PROFESSIONAL EXPERIENCE

CLINICAL FELLOW NOVEMBER 2018 – PRESENT

DEPT. OF ANAESTHESIA, MANCHESTER UNIVERSITY NHS, UNITED KINGDOM Preoperative assessment and perioperative care of high-risk obstetric women. Provide anaesthesia for conduct of caesarean sections or instrumental deliveries. Provide labour analgesia on maternal request (Neuraxial or opioid based). Active role in obstetric emergencies. Take part in simulations and sub-specialty obstetric clinics. Taking part in kidney and pancreas transplants.

SENIOR RESIDENT AUGUST 2017 – OCTOBER 2018

DEPT. OF ANAESTHESIOLOGY, CRITICAL CARE AND PAIN MANAGEMENT, TATA MEMORIAL CENTRE, MUMBAI, INDIA

Responsible for perioperative safe anaesthetic care of patients, under consultant supervision. Active member of ICU team and acute pain services. Serve as first point of contact to patients/surgeons from the anaesthesia/ICU/pain team. Supervise and mentor junior registrars/paramedical staff. Lead role in emergency OT/ICU and pain calls. JUNIOR RESIDENT JUNE 2014 – JULY 2017

DEPT. OF ANAESTHESIOLOGY, CRITICAL CARE AND PAIN MANAGEMENT, TATA MEMORIAL CENTRE, MUMBAI, INDIA

Gained insight into patient-anaesthesiologist relationships and the procedures pre, during and post-surgery. Observed anaesthesiologists’ practice, the protocols, the interaction with other members of the surgical team. Conducted research and built a comprehensive background in anaesthesia, intensive care and pain management. MEDICAL OFFICER (GENERAL PRACTITIONER) MAY 2012 – JUNE 2014 HEALTH CENTRE, NATIONAL INSTITUTE OF TECHNOLOGY, ROURKELA, INDIA As a general practitioner managed outpatient clinic. Provided referral services for sick patients to higher center after stabilization. Conducted several medical camps and blood donation camps. Processed pre-employment health check-ups, health insurance claims, medical leaves and fitness certificates. Served as In-charge of student and staff health advisory committee.

MEDICAL OFFICER (GENERAL PRACTITIONER) OCTOBER 2011 – MAY 2012 PRIMARY HEALTH CENTRE, GOVERNMENT OF ODISHA, INDIA Served as a primary healthcare provider to the rural tribal population. Provided basic healthcare to outpatients and inpatients. Was responsible for implementation of state sponsored healthcare schemes and programmes. Conducted antenatal checkups and deliveries, organized medical camps (vaccination, family planning, infectious diseases, malnutrition, eye surgeries etc.), performed minor surgeries, emergency resuscitations, provided medico-legal advice to the local law enforcement agencies and conducted autopsies, trained self and paramedical personnel. INTERNSHIP – HOUSE OFFICER OCTOBER 2010 – OCTOBER 2011 MKCG MEDICAL COLLEGE, ODISHA, INDIA

Learnt the basics of medicine and surgery as part of a structured rotating training program: Internal Medicine 2 months (including 15 days in Psychiatry), Community medicine 2 months, Surgery 2 months (including 15 days in Anaesthesiology), Obstetrics and Gynaecology 2 months, Paediatrics 1 month, Orthopaedics and PMR 1 month, Ophthalmology 15 days, Otorhinolaryngology 15 days, Casualty and emergency medicine 15 days, Forensic medicine 15 days.

EDUCATION

DOCTOR OF MEDICINE IN ANAESTHESIOLOGY (M.D.) JULY 2017 HOMI BHABHA NATIONAL INSTITUTE, MUMBAI, INDIA

BACHELOR OF MEDICINE AND BACHELOR OF SURGERY (M.B.B.S.) AUGUST 2010 M.K.C.G. MEDICAL COLLEGE, ODISHA, INDIA

CERTIFICATIONS

BASIC LIFE SUPPORT (BLS) MAY 2018

AMERICAN HEART ASSOCIATION (AHA)

ADVANCED CARDIAC LIFE SUPPORT (ACLS) MAY 2018

AMERICAN HEART ASSOCIATION (AHA)

PEDIATRIC ADVANCED LIFE SUPPORT (PALS) MAY 2018

AMERICAN HEART ASSOCIATION (AHA)

CERTIFICATE COURSE IN ESSENTIALS OF PALLIATIVE CARE JAN 2018 INDIAN ASSOCIATION OF PALLIATIVE CARE (IAPC)

GOOD CLINICAL PRACTICE (GCP) AUGUST 2018

NATIONAL INSTITUTE ON DRUG ABUSE (NIDA) CENTER FOR CLINICALTRIALS (CCTN) CLINICAL EXPOSURE (58 MONTHS)

ANAESTHESIA 41 MONTHS

Elective surgeries: Rotated through several surgical departments – Major Onco-surgery (12 months; includes complex head neck surgery, major laparotomies, hepatobiliary surgeries, microvascular reconstructions and almost every possible aspect of onco-surgery ), Neurosurgery (1 month), Cardiac surgery (1 month), Thoracic surgery (1 month), Obstetrics

(7 months), Gynaecology (1 month), Paediatric Surgery (1 month), Robotic surgery (1 month), Orthopaedics and Spine (2 month), Trauma (1 month), Urology and Renal/Pancreas Transplant (2 month 15 days), Plastic Surgery and Burns Unit (1 month 15 days), General Surgery (1 month), Otorhinolaryngology (15 days), Ophthalmology (15 days), Dental Surgery

(15 days), Radiology (1 month in Interventional Radiology,15 days in Diagnostic radiology), Radiotherapy Unit (15 days), Cath Lab (15 days), Electroconvulsive Therapy Unit (15 days), Pre-Anaesthesia Check-up Clinic (1 Month 15 days),Day Care Surgery Unit (2 months) Emergency surgeries: Obstetrics, Trauma, General surgery, Neurosurgery, Paediatric surgeries, Re-exploration surgeries, Emergency intervention radiology etc. INTENSIVE CARE 10 MONTHS

Medical ICU (3 months): 14 bedded state of the art ICU dealing with a wide range of patients across several sub-specialties.

Surgical ICU (3 months): 9 bedded modern ICU to look after patients before and after major complex surgeries, sick patients or those with pre-existing comorbidities. Trauma ICU (1 month): 10 bedded trauma ICU dealing with all kinds of trauma patients Surgical Recovery room (3 months): 14 bedded recovery room useful for patient monitoring post anaesthesia; peri-operative optimization if needed; formulate appropriate plan in consultation with primary unit before shifting patients to the ward. Emergency duties: Weekly 24 hours on call duties in ICU or recovery room. PAIN MANAGEMENT AND PALLIATIVE CARE 6 MONTHS

Acute pain service (3 months plus weekly 36 hours on call): Conducted acute pain rounds; identified and treated acute pain using regional catheters with elastomeric pumps delivering local anaesthetic mixture as well as Patient controlled analgesia machines. Chronic pain (2 month): Examined patients with chronic pain, assessed as well as treated pain with multimodal analgesia (including opioid transdermal patch, interventions, PCA) as per WHO ladder; assisted consultants during the conduct of neurolytic / sympatholytic / diagnostic blocks.

Palliative care (1 month): Cared for patients with advanced malignancies in order to provide them a pain free comfortable life.

TECHNICAL EXPERTISE

Sub-specialty

Approximate no. of procedures independently performed Level of expertise

General Anaesthesia

ASA 1 (300), ASA 2 (1000), ASA 3 (200), ASA 4 (40), ASA 5

(10)

Of all these Pediatric Cases (100), Obstetric Cases (150), Geriatric Cases (60)

Total Cases – 1500+

Proficient

Monitored anaesthesia

care

ASA 1 (200), ASA 2 (150), ASA 3 (50)

Of all these Pediatric Cases (50), Geriatric Cases (30) Total Cases – 500+

Proficient

Airway Management

Mask Ventilation (1000+), Intubation (Direct Laryngoscopy

-500+, Videolaryngoscopy-200, Fibreoptic Bronchoscopy- 100+, Light wand Guided-20, Retrograde-50, USG Guided- 20, Etco2 Guided Blind Nasal-5), Supraglottic Airway Insertion (1000+), Apneic Oxygenation Technique (300+), Surgical Tracheostomy under supervision (10),

Percutaneous Tracheostomy (5), Cricothyrotomy (2), Awake intubation (100),THRIVE(150)

Proficient

Neuraxial Intervention

Spinal Anaesthesia (800+), Diagnostic Lumbar Puncture

(500+), Lumbar Drain Insertion (20), Epidural

Anaesthesia/Analgesia (Thoracic 300, Lumbar 500), Caudal Analgesia (50), Combined Spinal Epidural Anaesthesia

(300+), Paravertebral block (10)

Proficient

Upper limb Blocks

Cervical Plexus (Superficial-20, Deep 10), Brachial plexus block (Interscalene- 50, Supraclavicular-30, Infraclavicular- Observed only, Axillary-50), Elbow Level (5), Wrist Level

(20), individual nerve blocks (20)

Moderate

Experience

Lower limb Blocks

Lumbar Plexus (5), Knee level (None), Ankle block (20) Femoral Nerve (50), Sciatic Nerve (5), Obturator Nerve

(10)

Moderate

Experience

Miscellaneous Blocks

Transversus Abdominis Plane (20), Rectus Abdominis Plane (20), Modified Pecs block (20), Serratus Anterior Plane (Only observed), Spermatic Cord Block (20), Hernia block (10), Penile block (20), Intercostal nerve blocks (50) Moderate

Experience

Labour analgesia

Epidural only (500), Walking Epidurals (150), Patient controlled analgesia opioid (500)

Proficient

Vascular interventions

Proficient in both USG and landmark guided techniques: Central vein catheterization (Internal Jugular-200+, Subclavian-20, Femoral-50, peripherally inserted-100), Arterial line cannulation (Radial-200, Brachial-50, Femoral- 30, Dorsalis Pedis-10), Setting up of transducer (several) Proficient

Echocardiography

Transthoracic Echocardiography (50),

Transesophageal Echocardiography (None)

Minimal

Experience

Pleural

drainage/Paracentesis

Intercostal drain insertion (10), pleural effusion drainage

(20), paracentesis (5)

Moderate

Experience

Mechanical ventilation

Invasive ventilation (500+), Non-invasive ventilation

(300+)

Proficient

Emergency procedures

Cardiopulmonary resuscitation and post cardiac arrest care (300+), Resuscitation in shock patients (50), Cardioversion and defibrillation (50), Pneumothorax drainage (3), Joint aspiration and injection (20), Intrathecal chemotherapy and antibiotic administration

(150+), bleeding control in trauma (30), variceal bleeding control (10), Urinary Catheterization (500+), RT/NJ Insertion (500+)

Proficient

Transport of critically ill

patients

Ventilated patients with inotropic support (100+), Ventilated patients without inotropic support (50), non-ventilated patients (50)

Proficient

AREAS OF INTEREST

Obstetric anaesthesia

Onco-anaesthesia

Perioperative medicine

Point of care ultrasound (POCUS)

Massive bleeding protocols

Difficult airway management

Medical teaching

Advanced monitoring (hemodynamic and non-hemodynamic) NON-TECHNICAL SKILLS

Leadership: Served as platoon leader of NCC team at school level. Passed “A” certification conducted by NCC. (The NCC or National Cadet Corps is the Indian military cadet corps with its Headquarters at New Delhi, Delhi, India). Have led school team to several state level awards in ceremonial parade. Have attended several camps conducted by NCC

Communication: Strong writing skills, as well as the ability to communicate verbally clearly and with confidence in a range of situations

Team work: can get along with a variety of personalities and give and take criticism the right way

Record keeping and electronic documentation: 4 years’ experience maintaining patient data electronically

Ability to work under stress and willingness to learn LANGUAGE SKILLS

ENGLISH: Well Qualified, Medium of education since Last 27 Years, IELTS SCORE 7.5

(Reading – 8.0, Writing – 7.0, Speaking – 7.0, Listening – 7.5) (TRF NO. 17IN320555PANA001A), BRITISH COUNCIL, Valid till March 2020

HINDI: Well Qualified, School education for 7 years

ODIA: Well Qualified, School education for 10 years TEACHING/ACADEMICS

Taught Junior Registrars and Doctors, Nurses, Technicians

Formal teaching: Didactic Lectures, Seminars, Case discussion, Study Clubs

Informal teaching: Inside Operation Theatres, Recovery Room, ICU, Residents’ area

Demonstration of skills on mannequins

Supervision of juniors during the conduct of procedures CLINICAL AUDITS/RESEARCH PROJECTS/ PRESENTATIONS

2015 - Audit of pain management following emergency laparotomies in cancer patients: a prospective observational study from an Indian tertiary care Hospital: Presented at National conference - ECAP

2016 - Prospective Trial Evaluating Role of McGrath Videolaryngoscope in Insertion of Double Lumen Tube in Patients with Limited Glottis View with Standard Macintosh Scope: Presented at National conference - DAC

2016 - Preparation, validation and evaluation of information leaflet for patients undergoing day care surgeries under general anaesthesia: Presented at National conference - ISACON

2017 - Effect of an information leaflet on working pattern of a busy day care surgery centre

CONFERENCES/ACADEMIC EVENTS

Anaesthesia review course-ARC (2015, 2016, 2017)

Thematics of advanced hemodynamic monitoring (2016, 2017)

National conference Indian society of Anaesthesiologists-ISACON (2016)

Difficult airway conference-DAC (2015, 2016)

Education in cancer pain-ECAP (2015)

National airway conference-NAC (2014)

Mumbai Criticon (2014)

PRIZES/AWARDS

1st Prize Intercollege Medical Quiz – 2010 - MKCG Medical College

Distinction in Pathology - 2008 - MKCG Medical College

Gold Medallist in Biochemistry - 2006 - MKCG Medical College REFEREES

Prof. J.V.Divatia, Professor and Head, Department of Anaesthesiology, Critical Care and Pain Management, Tata Memorial Centre, Mumbai, India *********@***.***.**; ********@*****.***, +91-222*******, +91-986*******

Prof. Sumitra Bakshi, Professor, Department of Anaesthesiology, Critical Care and Pain Management, Tata Memorial Centre, Mumbai, India ********@***.***.**; *************@*****.**, +91-222*******, +91-986*******

Prof. Aparna Chatterjee, Professor, Department of Anaesthesiology, Critical Care and Pain Management, Tata Memorial Centre, Mumbai, India ************@***.***.**; ************@*******.***, +91-222*******, +91-932*******

Dr. S. Ramkiran, Assistant professor, Department of Anaesthesiology, Critical Care and Pain Management, Homi Bhabha Cancer Hospital, Visakhapatnam, India ***********@*****.***, +91-891*******, +91-726****** PROFESSIONAL MEMBERSHIPS

Royal college of Anaesthetists (RCoA), United Kingdom

Indian Society of Anaesthesiologists (ISA), India QUALIFICATION REGISTRATION

General Medical Council, United Kingdom (GMC No. 7646268)

Medical council in India: Odisha Council of Medical Registration

(OCMR No. 17814/2011)

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