“Advanced cardiac anaesthesia and CTICU care ensuring safe heart surgery outcomes for both adult and paediatric patients.”
Dr. Prasandan T. MBBS , MD
Cardiac anaesthesia
The Department of Cardiac Anaesthesia at Sree Mookambika Institute of Medical Sciences (SMIMS) provides specialised anaesthesia care for patients undergoing cardiac and major vascular surgeries. Our cardiac anaesthesia team works closely with cardiac surgeons, cardiologists, and critical care specialists to ensure safe perioperative management and optimal patient outcomes.Cardiac anaesthesia requires specialised expertise in managing patients with complex cardiovascular conditions. Our team is skilled in advanced haemodynamic monitoring, perioperative cardiac management, and critical care support, ensuring precise care before, during, and after cardiac procedures.Dr.Prasandan T is a senior Cardiac Anaesthesiologist with extensive experience in perioperative cardiac care and cardiothoracic critical care. He has played a significant role in the development of cardiac surgical services at Sree Mookambika Institute of Medical Sciences (SMIMS). Dr. Prasandan was instrumental in initiating the Cardiovascular and Thoracic Surgery (CTVS) program at SMIMS in 2011, helping establish structured cardiac anaesthesia services and dedicated CTICU care at the institution. He has also gained valuable international clinical exposure in Dhaka, Bangladesh, where he worked in high-volume cardiac centres and was involved in the anaesthetic management of complex cardiac surgical procedures. His areas of expertise include cardiac anaesthesia for open heart surgeries, coronary artery bypass graft (CABG) and valve surgeries, paediatric cardiac anaesthesia for congenital heart disease, advanced haemodynamic monitoring, transesophageal echocardiography (TEE) support, and post-operative CTICU management. Dr. Prasandan is committed to delivering safe, precise, and evidence-based cardiac anaesthesia, ensuring optimal outcomes for patients undergoing complex cardiac procedures.
Key Services
• Anaesthesia for open heart surgeries and minimally invasive cardiac procedures
• Support for coronary artery bypass graft (CABG), valve surgeries, and major vascular procedures
• Paediatric cardiac anaesthesia for congenital heart disease surgeries
• Advanced intraoperative haemodynamic monitoring
• Transesophageal echocardiography (TEE) support during cardiac surgery
• Cardio-Thoracic Intensive Care Unit (CTICU) management
• Post-operative adult and paediatric cardiac critical care including ventilatory and haemodynamic support
• Anaesthesia care for high-risk cardiac patients undergoing non-cardiac surgery
• Compliance with NABH patient safety, infection control, and quality standards
Advanced Monitoring & Technology Support
The cardiac anaesthesia team at SMIMS is supported by modern operation theatre and intensive care technology that enables precise monitoring and safe management of complex cardiac procedures.
• Multiparameter haemodynamic monitoring systems for real-time cardiac function assessment
• Transesophageal echocardiography (TEE) for intraoperative cardiac imaging
• Advanced anaesthesia workstations with integrated ventilatory support and monitoring
• Invasive monitoring including arterial pressure, central venous pressure, and cardiac output monitoring
• Advanced ventilators in the CTICU for post-operative cardiac and paediatric cardiac care
• Defibrillators and temporary pacing systems for cardiac rhythm management
• Infusion and syringe pumps for accurate administration of inotropes and critical medications
• Bedside ultrasound and point-of-care diagnostics for rapid clinical assessment
Perioperative Cardiac Care
• Comprehensive pre-anaesthetic evaluation and optimisation of cardiac patients
• Multidisciplinary perioperative planning with cardiology and cardiac surgery teams
• Post-operative pain management and enhanced recovery protocols
CTICU & Post-Operative Cardiac Care
The Cardio-Thoracic Intensive Care Unit (CTICU) at SMIMS provides specialised care for patients recovering from cardiac and thoracic surgeries. The unit is managed by a dedicated team of cardiac anaesthesiologists, intensivists, trained nurses, and respiratory therapists, ensuring continuous monitoring and advanced life support during the critical recovery period.
The CTICU is equipped to manage both adult and paediatric cardiac patients, with coordinated multidisciplinary care focused on patient safety, infection prevention, and optimal recovery.
Key Features:
• Dedicated Cardio-Thoracic Intensive Care Unit for post-cardiac surgery patients
• Continuous invasive haemodynamic monitoring including arterial and central venous pressure
• Advanced ventilator support systems for adult and paediatric patients
• Cardiac rhythm monitoring, defibrillation, and temporary pacing support
• Precision infusion systems for inotropes and critical medications
• Bedside ultrasound and point-of-care diagnostics for rapid decision making
• Post-operative pain management and early recovery protocols
• Coordinated care with cardiac surgeons, cardiologists, anaesthesiologists, and nursing teams
Our cardiac anaesthesia team is committed to precision, safety, and multidisciplinary collaboration, ensuring the highest standards of perioperative cardiac care.
