DM Organ Transplant Anaesthesia and Critical Care: Admissions, Medical Colleges, Fees, Eligibility Criteria details here

Course contents:

1. Anesthetic care

• History of anesthetic practice

• Scope of modern anesthetic practice

• Ethical aspects of anesthetic practice

• Legal aspects of anesthetic care

2. Pharmacology

a. Basic knowledge on pharmacokinetics and pharmacodynamics of drugs, drug interactions, complications of drugs used in transplantation medicine and critical care

b. Delivery systems for anesthetics

o Inhaled anesthetics

o Intravenous anesthetics

o Local anesthetics

c. Transfusion medicine

d. Complications of anesthesia

3. Immunology, rejection & immunosuppression

o Basic Immunology

o Immunologic mechanisms of rejection

o Immunosuppressive drugs: mechanism of action

4. Liver transplantation- curriculum and training objectives

a. Anatomy of various organs

• Physiology and Pathophysiology

a. Physiology, pathophysiology of various organs and systems

b. Rejection – types and management

• Biochemistry

a. Biochemical basis of ischemic-anoxic injury

b. Reperfusion injury

c. Apoptosis

d. Antioxidant biochemistry

e. Promising treatment modalities for reperfusion injury.

• Pharmacology

a. pharmacology of various drugs in patients with end stage liver disease

• Patient centric training

a. Principles of organ procurement and donation- Implications for Liver

b. Donor and recipient selection criteria for liver transplant

c. Anesthesia for patients with hepatocellular disease

d. Anaesthesia for pancreas transplantation

e. Anaesthesia for intestinal and multiple organ transplantation

f. Infectious diseases and transplantation

g. Management of acute liver failure including parturients

h. Intensive care management of the liver, pancreatic and GI transplant patients

i. Molecular Adsorbents Recirculation System(MARS)

5. Cardiac transplantation- curriculum and training objectives

• Anatomy of various organs and cardio vascular system.

• Cardiovascular physiology and pathophysiology

• Biochemistry

a. Cardiac enzymes

b. Cardiac biomarkers

c. Cardiac ischemic injury

• Cardiovascular Pharmacology

• Patient centric training

a. Perform a preoperative cardiac evaluation

b. Donor and recipient selection criteria for cardiac transplant

c. Pathophysiology, diagnosis and management of heart failure

d. Mechanical ventricular support

e. Physiology and conduct of cardiac bypass and oxygenators.

f. Principles of myocardial preservation

g. Anesthesia for patients with compromised cardiac function.

h. Principles of extracorporeal circulation including ECMO, circulatory assist devices and circulatory arrest

i. Intra-operative TEE

j. Monitor, diagnose and treat peri-operative myocardial ischemia, cardiac arrhythmias and, left and right ventricular dysfunction

k. Monitor, diagnose and treat acute pulmonary dysfunction and pulmonary hypertension in the peri-operative period

l. Management of right heart in a newly implanted heart

m. Reperfusion injury

n. Cardiac emergencies and their management

o. Cardiopulmonary Bypass (CPB)

6. Kidney transplantation- curriculum and training objectives

• Anatomy of the Kidneys and Urinary Tract

• Physiology and Pathophysiology

a. Renal physiology, renal failure and renal function tests

b. End Stage Renal Disease

• Biochemistry

a. Biochemical basis of ischemic-anoxic injury of kidney

b. Reperfusion injury, apoptosis

c. Established modalities and research into treatment for reperfusion injury

d. Antioxidant biochemistry

• Patient-centric training

a. Management of acute kidney injury

b. Preoperative Management of a patient with ESRD(End-stage kidney or renal disease)

c. Anaesthesia for patients with ESRD

d. Rejection of transplanted organs – Types, recognition and management

e. Renal Replacement Therapy – modalities, indications and complications

7. Multiple organ donation

a. Preoperative evaluation and intra-operative management of organ donors.

b. Brain death, criteria for certifying brain death and tests to confirm diagnosis

c. Organ dysfunction after brain death especially cardiopulmonary complications, coagulopathy, temperature changes and diabetes insipidus, assessment of organ suitability for transplantation

d. Pathophysiology of organ preservation

e. Intra-operative management of multi-organ donors – Multi-organ brain dead donors, Donation after cardiac death (DCD)

8. Preservation and transportation of retrieved organs

9. Organ recipients

a. Preoperative evaluation and management of recipients for organ transplantation

b. Basic principles of immuno-suppression and graft rejection

c. Reperfusion injury

d. Management of hyperkalemia

e. Post- transplant complications including rejection, infection, immune- suppression

f. Transfusion medicine and coagulation management

g. Safe transport of critically ill patients

10. Ethical issues

a. Patient confidentiality and privacy legislation

b. Patient autonomy

c. Principles of informed consent and decision making

d. Next of kin designation

e. End of life decision making

f. Organ procurement for transplantation

g. Management and review of adverse events

h. Communication with families in crisis

Career Options

After completing a DM in Organ Transplant Anaesthesia and Critical Care, candidates will get employment opportunities in Government as well as in the Private sector.

In the Government sector, candidates have various options to choose from which include Registrar, Senior Resident, Demonstrator, Tutor etc.

While in the Private sector the options include Resident Doctor, Consultant, Visiting Consultant (Organ Transplant Anaesthesia and Critical Care), Junior Consultant, Senior Consultant (Organ Transplant Anaesthesia and Critical Care), Organ Transplant Anaesthesia and Critical Care Specialist.

Courses After DM in Organ Transplant Anaesthesia and Critical Care Course

DM in Organ Transplant Anaesthesia and Critical Care is a specialisation course that can be pursued after finishing a Postgraduate medical course. After pursuing specialisation in DM in Organ Transplant Anaesthesia and Critical Care, a candidate could also pursue certificate courses and Fellowship programmes recognised by NMC and NBE, where DM in Organ Transplant Anaesthesia and Critical Care is a feeder qualification.

Frequently Asked Question (FAQs) –DM in Organ Transplant Anaesthesia and Critical Care Course

Question: What is the full form of DM?

Answer: The full form of DM is a Doctorate of Medicine.

Question: What is a DM in Organ Transplant Anaesthesia and Critical Care?

Answer: DM Organ Transplant Anaesthesia and Critical Care or Doctorate of Medicine in Organ Transplant Anaesthesia and Critical Care also known as DM in Organ Transplant Anaesthesia and Critical Care is a super specialty level course for doctors in India that is done by them after completion of their postgraduate medical degree course.

Question: What is the duration of a DM in Organ Transplant Anaesthesia and Critical Care?

Answer: DM in Organ Transplant Anaesthesia and Critical Care is a super specialty programme of three years.

Question: What is the eligibility of a DM in Organ Transplant Anaesthesia and Critical Care?

Answer: Candidates must be in possession of a postgraduate medical Degree (MD/MS/DNB) from any college/university recognized by the Medical Council of India (now NMC)/NBE.

Question: What is the scope of a DM in Organ Transplant Anaesthesia and Critical Care?

Answer: DM in Organ Transplant Anaesthesia and Critical Care offers candidates various employment opportunities and career prospects.

Question: What is the average salary for a DM in Organ Transplant Anaesthesia and Critical Care candidate?

Answer: The DM in Organ Transplant Anaesthesia and Critical Care candidate's average salary is between Rs. 5.3 Lakhs to Rs. 47.3 Lakhs per year depending on the experience.

Question: Can you teach after completing DM Course?

Answer: Yes, the candidate can teach in a medical college/hospital after completing the DM course.