Registrar - Cardiac Anaesthesiology

Apollo Knowledge Ventures Limited; Chennai District; On-site; INR 1,200,000 - 2,400,000; Full time

Job summary

Apollo Knowledge Ventures Limited seeks a qualified cardiac anaesthesiologist to lead preoperative assessment, intraoperative management, and postoperative care for complex cardiothoracic surgeries. You will work with cardiac surgeons, perfusionists, and critical-care staff to ensure patient safety and optimal outcomes.

The role involves airway management, haemodynamic monitoring, and participation in CPB planning, TEE assessments, and advanced perioperative care.

Responsibilities

• Pre-Anaesthetic assessment for cardiac and cardiothoracic procedures.
• Review patient history, cardiovascular status, investigations, ECG, and medications.
• Assess airway, haemodynamics, comorbidities, and perioperative risk.
• Formulate anaesthetic plan in consultation with the cardiac anaesthesia team.
• Provide anaesthetic care for procedures such as CABG, valve surgery, and complex cardiothoracic cases.
• Assist with induction, maintenance, and emergence from anaesthesia.
• Intraoperative monitoring including ECG, arterial & venous pressures, O2, ventilation, and urine output.
• Assist with advanced monitoring such as pulmonary artery catheterization and TEE where trained.
• Coordinate perioperative management with perfusionists and surgical team during CPB.
• Participate in postoperative cardiac ICU care, ventilation, fluid management, and complication recognition.
• Respond to emergencies, resuscitation, and on-call duties with the team.
• Maintain accurate clinical documentation and participate in multidisciplinary case reviews.

Job description

Job description:

Key Responsibilities

• Pre-Anaesthetic Assessment
• Conduct comprehensive pre-anaesthetic evaluation of patients undergoing cardiac and cardiothoracic procedures.
• Review medical history, cardiovascular status, investigations, echocardiography, ECG, medications, allergies, and relevant laboratory findings.
• Assess airway, haemodynamic status, comorbidities, and perioperative risk.
• Formulate an appropriate anaesthetic plan in consultation with the cardiac anaesthesia consultant.
• Cardiac Anaesthesia Management
• Provide anaesthetic care for procedures such as coronary artery bypass grafting, valve surgery, congenital cardiac surgery, major aortic procedures, and other cardiothoracic interventions, according to training and competency.
• Assist with induction, maintenance, and emergence from anaesthesia.
• Manage haemodynamic and physiological changes associated with cardiac surgery.
• Intraoperative Monitoring
• Monitor ECG, invasive and non-invasive blood pressure, oxygenation, ventilation, temperature, urine output, and other relevant physiological parameters.
• Assist with invasive haemodynamic monitoring, including arterial and central venous pressure monitoring.
• Assist with advanced monitoring such as pulmonary artery catheterization and transoesophageal echocardiography (TEE), where trained and authorized.
• Cardiopulmonary Bypass
• Participate in the perioperative management of patients undergoing cardiopulmonary bypass.
• Coordinate closely with the perfusionist and surgical team before, during, and after bypass.
• Assist with management of anticoagulation, haemodynamic changes, temperature management, blood conservation, and separation from cardiopulmonary bypass.
• Transoesophageal Echocardiography
• Assist with perioperative TEE assessment where appropriately trained and credentialed.
• Support assessment of ventricular function, valvular pathology, volume status, and other relevant cardiac findings.
• Communicate significant findings promptly to the cardiac surgical and anaesthesia teams.
• Airway and Ventilatory Management
• Perform and assist with advanced airway management appropriate to the patient's condition.
• Provide appropriate mechanical ventilation during anaesthesia and perioperative care.
• Manage difficult-airway situations and assist with emergency airway procedures.
• Haemodynamic and Critical Care Management
• Manage perioperative hypotension, hypertension, arrhythmias, myocardial dysfunction, and other cardiovascular complications.
• Assist with the use of vasoactive and inotropic medications as clinically indicated.
• Participate in the stabilization and management of critically ill cardiac patients.
• Postoperative Cardiac Intensive Care
• Participate in the immediate postoperative management of patients in the cardiac ICU.
• Assist with mechanical ventilation, haemodynamic monitoring, fluid and electrolyte management, analgesia, sedation, and early postoperative stabilization.
• Recognize and promptly elevate postoperative complications such as bleeding, arrhythmias, low cardiac output, respiratory failure, and other critical events.
• Emergency and Resuscitation Services
• Respond to cardiac and perioperative emergencies, including cardiac arrest, severe haemodynamic instability, malignant arrhythmias, acute airway emergencies, and major bleeding.
• Participate in advanced cardiac life support and resuscitation.
• Assist with emergency cardiac procedures and stabilization when required.
• Blood and Transfusion Management
• Assist in perioperative blood-conservation strategies.
• Assess and manage blood loss and transfusion requirements in coordination with the surgical and critical-care teams.
• Follow institutional protocols for blood component therapy and transfusion safety.
• Pain Management
• Participate in postoperative and acute pain management for cardiac and cardiothoracic surgical patients.
• Assist with appropriate multimodal analgesia and regional techniques where indicated and within competency.
• On-Call Responsibilities
• Provide cardiac anaesthesia and emergency critical-care services during assigned on-call duties.
• Attend urgent and emergency cardiac surgical cases and provide timely assessment and management.
• Participate in night, weekend, and public-holiday duties according to the departmental roster.
• Clinical Documentation
• Maintain accurate pre-anaesthetic assessments, anaesthetic charts, invasive monitoring records, drug administration records, postoperative notes, and procedure documentation.
• Document complications and significant perioperative events appropriately.
• Multidisciplinary Coordination
• Work closely with cardiac surgeons, cardiologists, intensivists, perfusionists, nurses, technicians, and other healthcare professionals.
• Participate in preoperative planning, intraoperative team discussions, postoperative handovers, and multidisciplinary case reviews.
• Patient Safety and Infection Control
• Adhere to institutional policies, infection-control practices, medication-safety protocols, transfusion policies, and cardiac anaesthesia guidelines.
• Ensure appropriate checking and preparation of anaesthesia machines, airway equipment, monitors, emergency drugs, blood products, and resuscitation equipment.
• Teaching and Training
• Assist in teaching medical students, interns, junior residents, nursing staff, and other healthcare professionals.
• Participate in academic meetings, case discussions, seminars, journal clubs, and departmental teaching programmes.
• Clinical Governance and Professional Development
• Participate in clinical audits, morbidity and mortality meetings, quality-improvement initiatives, and departmental reviews.
• Contribute to research and academic activities where applicable.
• Maintain continuing professional development and competency in cardiac anaesthesia and critical care.