DrNB Neuro Anaesthesia: Admissions, Medical Colleges, Eligibility Criteria, Fee Details

Published On 2023-01-05 11:30 GMT   |   Update On 2023-12-16 09:59 GMT

DrNB Neuro Anaesthesia or Doctorate of National Board in Neuro Anaesthesia also known as DrNB in Neuro Anaesthesia is a super specialty level course for doctors in India that is done by them after completion of their postgraduate medical degree course. The duration of this super specialty course is 3 years, and it focuses on the subspecialty area of anesthesia that deals with the...

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DrNB Neuro Anaesthesia or Doctorate of National Board in Neuro Anaesthesia also known as DrNB in Neuro Anaesthesia is a super specialty level course for doctors in India that is done by them after completion of their postgraduate medical degree course. The duration of this super specialty course is 3 years, and it focuses on the subspecialty area of anesthesia that deals with the complex relationships of anesthetic medications, neurosurgical procedures, and the critical care issues that surround the management of these patients.

The course is a full-time course pursued at various accredited institutes/hospitals across the country. Some of the top accredited institutes/hospitals offering this course are P.D. Hinduja National Hospital and Medical Research Centre, Mumbai, Indraprastha Apollo Hospital Delhi, and more.

Admission to this course is done through the NEET-SS Entrance exam conducted by the National Board of Examinations, followed by counseling based on the scores of the exam that is conducted by DGHS/MCC/State Authorities.

The fee for pursuing DrNB (Neuro Anaesthesia) varies from accredited institute/hospital to hospital and may range from Rs. 80,000 to Rs. 1,25,000 per annum.

After completion of their respective course, doctors can either join the job market or can pursue certificate courses and Fellowship programs recognized by NMC and NBE. Candidates can take reputed jobs at positions as Senior residents, Consultants, etc. with an approximate salary range of Rs.8,00,000 to Rs.22,00,000 per annum.

DNB is equivalent to MD/MS/DM/MCH degrees awarded respectively in medical and surgical super specialties. The list of recognized qualifications awarded by the Board in various broad and super specialties as approved by the Government of India are included in the first schedule of the Indian Medical Council Act, 1956.

The Diplomate of National Board in broad-specialty qualifications and super specialty qualifications when granted in a medical institution with the attached hospital or a hospital with the strength of five hundred or more beds, by the National Board of Examinations, shall be equivalent in all respects to the corresponding postgraduate qualification and the super-specialty qualification granted under the Act, but in all other cases, senior residency in a medical college for an additional period of one year shall be required for such qualification to be equivalent for teaching also.

What is DrNB in Neuro Anaesthesia?

Doctorate of National Board in Neuro Anaesthesia, also known as DrNB (Neuro Anaesthesia) or DrNB in (Neuro Anaesthesia) is a three-year super specialty program that candidates can pursue after completing a postgraduate degree.

Neuro Anaesthesia is the branch of medical science dealing with the subspecialty area of anesthesia that deals with the complex relationships of anesthetic medications, neurosurgical procedures, and the critical care issues that surround the management of these patients.

The National Board of Examinations (NBE) has released a curriculum for DrNB in Neuro Anaesthesia.

The curriculum governs the education and training of DrNB in Neuro Anaesthesia.

The postgraduate students must gain ample knowledge and experience in the diagnosis, and treatment of patients with acute, serious, and life-threatening medical and surgical diseases.

PG education intends to create specialists who can contribute to high-quality health care and advances in science through research and training.

The required training done by a postgraduate specialist in the field of Neuro Anaesthesia would help the specialist to recognize the health needs of the community. The student should be competent to handle medical problems effectively and should be aware of the recent advances in their specialty.

The candidate is also expected to know the principles of research methodology and modes of the consulting library. The candidate should regularly attend conferences, workshops, and CMEs to upgrade her/ his knowledge.

Course Highlights

Here are some of the course highlights of DrNB in Neuro Anaesthesia

Name of Course

DrNB in Neuro Anaesthesia

Level

Doctorate

Duration of Course

Three years

Course Mode

Full Time

Minimum Academic Requirement

Candidates must have a postgraduate medical Degree in MD/DNB (Anaesthesia) from any college/university recognized by the Medical Council of India (Now NMC)/NBE, this feeder qualification mentioned here is as of 2022. For any further changes to the prerequisite requirement please refer to the NBE website.

Admission Process / Entrance Process / Entrance Modalities

Entrance Exam (NEET-SS)

INI CET for various AIIMS, PGIMER Chandigarh, JIPMER Puducherry, NIMHANS Bengaluru

Counseling by DGHS/MCC/State Authorities

Course Fees

Rs. 80,000 to Rs. 1,25,000 per annum

Average Salary

 Rs.8,00,000 to Rs.22,00,000 per annum

Eligibility Criteria

The eligibility criteria for DrNB in Neuro Anaesthesia are defined as the set of rules or minimum prerequisites that aspirants must meet in order to be eligible for admission, which includes:

Name of Super Specialty course

Course Type

Prior Eligibility Requirement

Neuro Anaesthesia 

DrNB

MD/DNB (Anaesthesia)

Note:

· The feeder qualification for DrNB Neuro Anaesthesia is defined by the NBE and is subject to changes by the NBE.

· The feeder qualification mentioned here is as of 2022.

· For any changes, please refer to the NBE website.

  • The prior entry qualifications shall be strictly by Post Graduate Medical Education Regulations, 2000, and its amendments notified by the NMC and any clarification issued from NMC in this regard.
  • The candidate must have obtained permanent registration with any State Medical Council to be eligible for admission.
  • The medical college's recognition cut-off dates for the Postgraduate Degree courses shall be as prescribed by the medical council of India (now NMC).

Admission Process

The admission process contains a few steps to be followed in order by the candidates for admission to DrNB in Neuro Anaesthesia. Candidates can view the complete admission process for DrNB in Neuro Anaesthesia mentioned below:

  • The NEET-SS or National Eligibility Entrance Test for Super specialty courses is a national-level master's level examination conducted by the NBE for admission to DM/MCh/DrNB Courses.
  • Qualifying Criteria-Candidates placed at the 50th percentile or above shall be declared as qualified in the NEET-SS in their respective specialty.
  • The following medical institutions are not covered under centralized admissions for DM/MCh courses through NEET-SS:

1. AIIMS, New Delhi, and other AIIMS

2. PGIMER, Chandigarh

3. JIPMER, Puducherry

4. NIMHANS, Bengaluru

  • Candidates from all eligible feeder specialty subjects shall be required to appear in the question paper of the respective group if they are willing to opt for a superspecialty course in any of the super specialty courses covered in that group.
  • A candidate can opt for appearing in the question papers of as many groups for which his/her Postgraduate specialty qualification is an eligible feeder qualification.
  • By appearing in the question paper of a group and on qualifying for the examination, a candidate shall be eligible to exercise his/her choices in the counseling only for those super specialty subjects covered in the said group for which his/ her broad specialty is an eligible feeder qualification.

Fees Structure

The fee structure for DrNB in Neuro Anaesthesia varies from accredited institute/hospital to hospital. The fee is generally less for Government Institutes and more for private institutes. The average fee structure for DrNB in Neuro Anaesthesia ranges from Rs. 80,000 to Rs. 1,25,000 per year.

Colleges offering DrNB in Neuro Anaesthesia

There are various accredited institutes/hospitals across India that offer courses for pursuing DrNB in Neuro Anaesthesia.

As per the National Board of Examinations website, the following accredited institutes/hospitals are offering DrNB (Neuro Anaesthesia) courses for the academic year 2022-23.

Hospital/Institute

Specialty

No. of Accredited Seat(s) (Broad/Super/Fellowship)

Apollo Hospital Room No. 306, Office of the Director of Medical Education Jubilee Hills, Hyderabad Telangana-500033

Neuro Anaesthesia

2

Global Hospital and Health City (A unit of Ravindernath GE Medical Associate Pvt Ltd) No-439, Cheran Nagar, Perumbakkam, Chennai Tamil Nadu-600100

Neuro Anaesthesia

2

Indraprastha Apollo Hospital Delhi-Mathura Road, Sarita Vihar, New Delhi Delhi-110076

Neuro Anaesthesia

2

Institute of Neurosciences 185/1, A J C Bose Road, Kolkata West Bengal-700017

Neuro Anaesthesia

4

Kokilaben Dhirubhai Ambani Hospital and Medical Research Institute Achyutrao Patwardhan Marg, 4 Bungalows, Andheri (W), Mumbai Maharashtra-400053

Neuro Anaesthesia

2

Medanta The Medicity Sector-38, Gurgaon Haryana-122001

Neuro Anaesthesia

2

P.D. Hinduja National Hospital and Medical Research Centre Veer Savarkar Marg, Mahim, Mumbai Maharashtra-400016

Neuro Anaesthesia

1

Paras Hospital C-1, Shushant Lok Phase-I, Gurgaon Haryana-122002

Neuro Anaesthesia

2

Sher-I-Kashmir Institute of Medical Sciences Saura, Srinagar Jammu and Kashmir-190011

Neuro Anaesthesia

2

Syllabus

A DrNB in Neuro Anaesthesia is a three years specialization course that provides training in the stream of Neuro Anaesthesia.

The course content for DrNB in Neuro Anaesthesia is given in the NBE Curriculum released by the National Board of Examinations, which can be assessed through the link mentioned below:

1. General principles of Neuroanaesthesia and Neurocritical Care

i. Organization of Neuroanaesthesia and Critical Care Setup

ii. Emergency management and transport of pre-hospital patients

iii. Principles of consent taking and details of informed consent

iv. An awareness of the importance of communication skills and interpersonal relationships

v. Infection control measures and Sterilization procedures

vi. Maintenance of asepsis

vii. Responsibilities in the neurosurgery operation theatre and neurointensive

h. Electrophysiology of CNS, EEG, and Evoked Potentials

i. Mechanism of pain transmission in acute and chronic pain conditions

iii. Respiratory physiology

a. Physiology of spontaneous respiration and mechanical ventilation

b. Indications for mechanical ventilation

c. Modes of ventilation

d. Weaning from ventilatory support

e. Complications of mechanical ventilation – recognition and management

f. Monitoring during ventilatory support

iv. Cardiovascular physiology:

a. Recognition and management of arrhythmias

b. Management of hemodynamic disturbances – hypotension,

hypertension, myocardial ischemia, pulmonary edema, and heart failure

c. Knowledge of commonly employed vasoactive and anti-arrhythmic drugs

v. Renal physiology:

a. Fluid and electrolytes physiology and pathophysiology

b. Prevention, diagnosis, and management protocol for acute kidney disease

c. Basic knowledge of dialysis

vi. Metabolic disorders:

a. Pathophysiology and management of Electrolyte disturbances in neurosurgical patients

b. Acid-base disorders

c. Understanding of endocrine disorders

vii. Neuropharmacology:

a. Basic idea of pharmacodynamics and pharmacokinetics of drugs, drug interactions, complications of various drugs used in neurological patients

b. Sedatives and anesthetic agents

c. Analgesics - narcotics and non-narcotic agents

d. Muscle relaxants

e. Anticonvulsants, antipsychotics, and antidepressants

f. Vasopressors and inotropes care units

viii. Knowledge of various scoring systems, admission, and discharge criteria

ix. Perioperative care of neurosurgical cases

x. Medical Ethics

xi. Biomedical Waste Management

xii. Basics of Research methodology and Bio-statistics

xiii. Internal audit

xiv. Training in Communication skills, interpersonal relationships, organizational capabilities, and leadership qualities

xv. Behaviour and teamwork

2. Basic sciences

i. Neuroanatomy:

a. Gross and applied anatomy of the brain, spinal cord, peripheral and autonomic nervous system

b. Embryological development of the Central and peripheral nervous system

ii. Neurophysiology:

a. Applied physiology of the brain and spinal cord

b. The cerebrospinal fluid circulation

c. Cerebral and spinal circulation and metabolism: Cerebral Perfusion Pressure (CPP), brain elastance, cerebral autoregulation, and metabolic coupling and their measurement methods

d. Effects of various anesthetics (inhalational and intravenous agents)

e. Intracranial pressure (ICP) and its monitoring methods and various herniation syndromes

f. Determinants of cerebral perfusion pressure

g. Mechanism of neuronal injury and brain protection

h. Electrophysiology of CNS, EEG, and Evoked Potentials

i. Mechanism of pain transmission in acute and chronic pain conditions

iii. Respiratory physiology

a. Physiology of spontaneous respiration and mechanical ventilation

b. Indications for mechanical ventilation

c. Modes of ventilation

d. Weaning from ventilatory support

e. Complications of mechanical ventilation – recognition and management

f. Monitoring during ventilatory support

iv. Cardiovascular physiology:

a. Recognition and management of arrhythmias

b. Management of hemodynamic disturbances – hypotension, hypertension, myocardial ischemia, pulmonary edema and heart failure

c. Knowledge of commonly employed vasoactive and anti-arrhythmic drugs

v. Renal physiology:

a. Fluid and electrolytes physiology and pathophysiology

b. Prevention, diagnosis, and management protocol for acute kidney disease

c. Basic knowledge of dialysis

vi. Metabolic disorders:

a. Pathophysiology and management of Electrolyte disturbances in neurosurgical patients

b. Acid-base disorders

c. Understanding of endocrine disorders

vii. Neuropharmacology:

a. Basic idea of pharmacodynamics and pharmacokinetics of drugs, drug interactions, complications of various drugs used in neurological patients

b. Sedatives and anesthetic agents

c. Analgesics - narcotics and non-narcotic agents

d. Muscle relaxants

e. Anticonvulsants, antipsychotics, and antidepressants

f. Vasopressors and inotropes

g. Drugs for treating brain edema/ raised ICP, Parkinsonism, CNS infections, CNS malignancy, acute and chronic pain

h. Radiocontrast media used in CNS investigations

i. Corticosteroids, thrombolytic agents

viii. Neuropathology:

a. Applied to the brain and spinal cord lesions like tumors, tuberculosis, vascular lesions, infections, ischemic lesions, neuropathies etc.

b. Common pathology tests relevant to neuroanesthesia

ix. Neuro-microbiology:

a. Neuro-infections

b. Pulmonary infections

c. Infections related to operating rooms and ICUs

d. Nosocomial infections

3. Clinical science

i. Anaesthetic management of various neurosurgical cases

a. Perioperative management of neurosurgery for space occupying lesions (SOLs)/ brain tumors (supratentorial and infratentorial), neurovascular lesions (intracranial aneurysms, AVMs, anastomoses), spinal cord pathologies, posterior fossa lesions, skull base lesions, epilepsy, head injury, stroke, pituitary lesions etc.

b. Anesthesia for Endovascular (neuro-interventional) surgery

c. Anaesthesia for awake craniotomy, neuroendoscopy, stereotactic surgery (DBS & other functional neurosurgery), neuronavigation, gamma knife surgery, peripheral nerve repair

d. Anaesthetic management of pediatric neurosurgery for congenital hydrocephalus, encephaloceles/ meningomyelocele, craniosynostosis, neural tube defects and other congenital brain and spinal cord deformities, and pediatric brain tumors

e. Difficult airway management, the technique of one-lung anesthesia, and other airway-related issues in Neuroanaesthesia

f. Perioperative cerebral protection strategies

g. Positions used in neuroanaesthesia (supine, prone, sitting, park bench)

h. Perioperative basic and advanced monitoring (EEG, evoked potentials, Transcranial Doppler, ICP monitors, Ultrasound, CBF measurement, TEE)

i. Anaesthetic management of patients undergoing neuro-investigations (CT, MRI, DSA): working knowledge of anatomic/ metabolic scanning related to neuroanaesthesia

j. Anesthesia for brain surgery in the intraoperative MRI suite

k. Recent advances relevant to the perioperative care of neurosurgical patients as well as critically ill patients with neurological diseases including general perioperative neuroscientific considerations, stroke, traumatic brain injury, monitoring, anesthetic neurotoxicity, and perioperative disorders of cognitive function.

ii. Emergency neurological conditions and their management techniques

a. Management of Traumatic Brain Injury (TBI)

• Pre-hospital care of patients with neurological injury

• Assessment and resuscitation

• Airway management - conventional laryngoscopic intubation, insertion of LMA, fibreoptic intubation, manual inline stabilization (MILS), use of video laryngoscope and surgical airway

• Laboratory and radiological investigations

• Pathophysiology of head injury

• Factors causing secondary injury

• ICP - physiology and pathophysiology, and principles of management

• Controversies of ICP monitoring in TBI

• CPP: its role in TBI management, the concept of individualized CPP

• ICP-CPP targeted management of TBI

• Biochemical markers of brain injury, molecular and cellular mechanisms of injury

• Brain Trauma Foundation Guidelines in the management of TBI / spinal cord Injury

• Role of hyperventilation in traumatic brain injury

• Methods available to measure/estimate ICP/ cerebral perfusion along with advantages and disadvantages of each method

• Approaches to management of refractory ICP elevation

b. Management of spinal cord injury

• Resuscitation and care of the affected area

• Airway management of C-spine injury

• Pathophysiology of spinal cord injury

• Conservative management of spine injury

iii. Cerebral vascular accidents

a. Pathophysiology of stroke and management

b. Treatment modalities for arterial and venous stroke

c. Long-term care of stroke patients, rehabilitation

d. Understanding the indications/contraindications/side effects of intraarterial/intravenous thrombolysis in ischemic cerebrovascular accident

e. Describing the natural history, risk factors, and management options for malignant infarcts

f. Describing the natural history of intracerebral hemorrhage along with the role of early surgical interventional, and medical treatment (i.e. blood pressure & glycemic control, administration of factor VIIa)

iv. Subarachnoid hemorrhage

a. Various types of cerebral aneurysms

b. Describe the common aneurysm locations leading to SAH

c. Understand the clinical and radiographic grades of SAH

d. Methods used to detect cerebral vasospasm & strategies to treat cerebral vasospasm to prevent secondary ischemic stroke

e. Indications for temporary external ventricular drains/permanent shunts

f. Non-neurological complications of SAH and their management

g. Surgical clipping and coiling of cerebral aneurysm

h. Giant intracranial aneurysms and their implications

i. Anastomotic procedures in cerebral ischemia

v. Understanding basics of neurological diseases

a. Neurologic examination

b. Differential diagnosis and work-up of patients presenting to neurocritical care; coma scores and Stroke scores

d. Management of airway, ventilation, hemodynamics, fluid and electrolyte balance, raised ICP, brain edema/ ischemia.

e. Management of brain/spine injury, spinal cord lesions, neurological and neuromuscular disorders, status epileptics, stroke, and subarachnoid haemorrhage.

f. Nutritional issues, physiotherapy, rehabilitation, open/ percutaneous tracheostomy.

vi. Understanding and management of specific neurological diseases

a. Status epilepticus, refractory status epilepticus, super refractory status epilepticus, epilepsy and encephalopathies

b. Guillain-Barrie syndrome

c. Muscle dystrophies with complication

d. Systemic illnesses causing neurological manifestations: Neuropathy, myopathy, dys-electrolytemias, renal and hepatic failures, multi-organ failure, etc.

e. Myasthenia gravis

f. Stroke (cerebrovascular accidents) and CVT (cortical venous thrombosis)

g. Neuroinfections

• Bacterial, viral, fungal meningitis

• Causative organisms of community-acquired & nosocomial meningitis/ ventriculitis/ abscess along with preferred antibiotic agents

• Describe the pharmacodynamic/ pharmacokinetic principles influencing CNS antibiotic activity

• Peripheral motor neuron disease

• Review the natural history/expression of motor neuron disease related to degenerative diseases, infectious agents and inflammatory conditions

• List the changes that occur in denervated muscles and implications for use of medications with activity at the neuro-muscular junction

• Understand the presentation of respiratory failure and indications for non-invasive and invasive ventilatory support

• Indications for and problems associated with plasmapheresis and intravenous immunoglobulin

• Review the non-neurologic complications and management of motor neuron disease (cardiac denervation, intestinal movement disorders)

ii. Principles of neuro-intensive and postoperative care

a. Management of airway, ventilation

b. Management of hemodynamics, fluid and electrolyte balance, raised ICP

c. Management of brain edema/ ischemia

d. Management of brain/spine injury, spinal cord lesions

e. Neurological and neuromuscular disorders

f. Status epileptics, stroke, subarachnoid hemorrhage

g. Nutritional issues, physiotherapy, rehabilitation, open/ percutaneous tracheostomy

viii. Brain Death

a. Criteria, determination, and certification of brain death

b. Differential diagnosis e.g. drug-induced, locked-in syndrome, etc

c. Organ donation: metabolic and hemodynamic management pending organ harvesting

ix. Monitoring in critical care

a. Neurological monitoring: Evoked potentials, cranial nerve monitoring

b. EEG: understanding basic EEG, the role of continuous EEG monitoring in ICU

c. Monitoring cerebral oxygenation: NIRS, SjVO2, PbtO2

d. Monitoring cerebral blood flow: TCD

e. Monitoring biomarkers

f. Hemodynamic monitoring: cardiac output

g. Respiratory monitoring: loops and waveforms of mechanical ventilation

h. Intracranial pressure monitoring

i. Renal: RRT

j. Coagulation: TEG, ROTEM

k. POCUS including ONSD

x. Nutrition in the neuro-critical care

a. General principles and indications

b. Total parenteral nutrition - indications, advantages/ disadvantages

c. Enteral nutrition: indications, advantages, and side effects

d. Nutrition in presence of metabolic and systemic diseases

xi. Neuroimaging

a. Basics of neuroradiology

b. CT, MRI, TCD (Transcranial Doppler), USG (Ultrasound)

c. Interventional neuroradiologic procedures

d. Identify the basic structures in the central nervous system (ventricles, cisterns, sinuses, major anatomic landmarks)

e. List the imaging techniques/signs used to identify acute intracranial hemorrhages, mass lesions, arterial and venous lesions, and ischemic penumbras/infarcts

f. Distinguish imaging characteristics of SAH, epidural hematomas, subdural hematomas, intraparenchymal hemorrhage and relate to anatomic structure

g. Understanding the concepts of medical and surgical management of various emergencies based on imaging and various decision paradigms

h. Management of complications in neuroradiological procedures

xii. Neuro-rehabilitation

a. Head-injured and spinal cord-injured patients

b. Prevention of acute problems

c. Attendant training and counseling

d. Understanding long-term goals in neuro-rehabilitation

xiii. Temperature regulation

a. Understand the physiology of temperature regulation in OT and ICU

b. Management of hypothermia/ hyperthermia in the neuro-intensive care population

4. Miscellaneous

i. Sepsis - Pathophysiology and management

ii. Management of carotid revascularization procedures

iii. Management of acute and chronic pain, cancer pain, patient-controlled analgesia

iv. Pregnancy and neurosurgery

v. Cyanotic heart disease and neurosurgery

vi. Multiple organ dysfunction syndromes

vii. Reperfusion injury and antioxidants

viii. Shock types and management

ix. Deep vein thrombosis prophylaxis, management, and pulmonary embolism

x. Coagulopathies and their management

xi. Patient safety and prevention of adverse effects

xii. End-of-life care issues

xiii. Pain clinic for the management of failed back (facet block, epidural steroids, etc), complex regional pain syndrome II (CRPS II) of the upper limb following brachial plexus trauma, and neuropathic pain of trigeminal neuralgia

5. Clinical skills to be acquired:

i. Pre-anesthetic evaluation for elective and emergency neurosurgery

ii. Anaesthetic and Perioperative management of various neurosurgical

conditions

iii. Intensive Care

a. Airway Management and Endotracheal Intubation (including video laryngoscopes, fiber optic bronchoscope, laryngeal mask airway and other supraglottic devices)

b. Central Venous Catheterization

c. Arterial Line Placement and Care

d. Temporary Cardiac Pacing

e. Cardioversion and Defibrillation

f. Pericardiocentesis

g. Chest Tube Insertion and Care

h. Bronchoscopy

i. Percutaneous Tracheostomy

j. Cerebrospinal Fluid Aspiration

k. Scalp block and other relevant nerve blocks

l. Interventional Ultrasound (central venous line placement, nerve blocks)

m. Cardiopulmonary Resuscitation

n. Management of Pain in the Critically Ill Patient

o. Routine Monitoring of Critically Ill Patients

p. Resuscitation of a head injured patient

q. Resuscitation of a high spinal cord injury patient

r. Minimally Invasive Hemodynamic Monitoring

s. Neurologic Multimodal Monitoring

t. Echocardiography in the Intensive Care Unit

u. Mechanical ventilation in neurological patients

v. Hemodynamic management in a neuro-ICU patient including ACLS,

w. Fluid & electrolyte management in neuro-ICU patient

x. ICP monitoring

y. TCD monitoring

z. Basics interpretation of EEG, Evoked potential, CT brain, MRI brain, DSA of cerebral vessels

aa. Management of blood gases and acid-base status

bb. Infection control in a neuro – ICU

cc. Bedside echocardiography

dd. Plasmapheresis

ee. Management of a brain-dead donor

ff. Weaning from mechanical ventilation

gg. Transfer of critical neurosurgical patients to different areas of the hospital

6. Diagnostic:

i. Ultrasound evaluation of critically ill patients

a. Cardiac: Tamponade, ejection fraction estimation, intravascular volume status assessment, assessment of contractility

b. Abdomen: Detection of fluid/hem peritoneum, liver/spleen tear

c. Vascular: Deep vein thrombosis, placement of IV canula, CVP lines, arterial cannula

d. Lung: detection of pleural effusion, pneumothorax, rapid protocols like BLUE, RUSH, FAST.

ii. Non-technical skills

a. Orders and prioritizes appropriate investigations

b. Principles of informed consent

c. Principles of crisis management, conflict resolution, negotiation, and debriefing

d. Understand nonverbal communication with critically ill patients

e. Principles of delivering bad news to patients and families

f. Strategies to communicate complicated critical care issues to the general population

g. Scoring systems in ICU

h. Care during patient transportation

i. Internal clinical audit

7. Timeline for Training Programme

i. First Year:

a. 6 months in OT (including trauma OT)

b. 1 month in a pre-anesthetic clinic

c. 1 month in Neuroradiology

d. 4 months in ICU (including neurosurgery, neurology & trauma ICU)

ii. Second Year:

a. 6 months in OT (including trauma OT)

b. 1 month in a pre-anesthetic clinic

c. 1 month in Neuroradiology

d. 4 months in ICU (including neurosurgery, neurology & trauma ICU)

iii. Third Year:

a. 1 month in Neuroradiology

b. 1 month in the Neurology department

c. 4 months in ICU (including neurosurgery, neurology, trauma, pulmonary medicine, and cardiology ICUs)

d. 6 months in OT (including trauma OT)

e. Optional 1-month external posting at other centers (to be adjusted against 1 month of OT)

iv. Rotation:

Rotation to other centers (s) is required to get acquainted with anesthesia for advanced neurosurgical techniques and neuromonitoring not available at the parent institute.

8. Workshops:

The candidate must be encouraged to attend workshops, especially hands-on training to increase clinical competency. The following workshops are highly suggested

• Basic and advanced cardiac life support

• Ultrasound in critically ill

• Acute Neuro Care or other equivalents

• Neuromonitoring

9. Biostatistics and Research Methodology Minimum 15 days training in clinical research and methodology (during I year)

10. Ethics:

11. Medico-legal aspects relevant to the discipline:

12. Health Policy issues as may be applicable to the discipline:

13. Procedures to be performed independently: The minimum number and type of procedures to be done independently by the candidates are as follows:

i. Anaesthesia for Supratentorial Surgery. 50

ii. Anaesthesia for Neurovascular Surgery 30

iii. Anaesthesia for Posterior Fossa Surgery 30

iv. Anaesthesia for Pediatric Neurosurgery 30

v. Anaesthesia for Pituitary Surgery 20

vi. Anaesthesia for Neuroendoscopy 20

vii. Anaesthesia for Neuroradiology 30

viii. Anaesthesia for Spinal Surgery 40

ix. Anaesthesia for Surgeries requiring Neuromonitoring 15

x. Transcranial Doppler Monitoring 50

xi. Total Intravenous Anaesthesia (TIVA) 50

xii. Scalp Block 10

xiii. Fiberoptic Bronchoscopy 10

xiv. Percutaneous Tracheostomy 10

Career Options

After completing a DrNB in Neuro Anaesthesia, 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 (Neuro Anaesthesia), Junior Consultant, Senior Consultant (Neuro Anaesthesia), Critical Care Specialist, etc.

Courses After DrNB in Neuro Anaesthesia Course

DrNB in Neuro Anaesthesia is a specialization course that can be pursued after finishing a Postgraduate medical course. After pursuing specialization in DrNB in Neuro Anaesthesia, a candidate could also pursue certificate courses and Fellowship programs recognized by NMC and NBE, where DrNB in Neuro Anaesthesia is a feeder qualification.

Frequently Asked Questions (FAQs) – DrNB in Neuro Anaesthesia Course

Question: What is the full form of DrNB?

Answer: The full form of DrNB is Doctorate of National Board.

Question: What is a DrNB in Neuro Anaesthesia?

Answer: DrNB Neuro Anaesthesia or Doctorate of National Board in Neuro Anaesthesia also known as DrNB in Neuro Anaesthesia 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 DrNB in Neuro Anaesthesia?

Answer: DrNB in Neuro Anaesthesia is a super specialty program of three years.

Question: What is the eligibility of a DrNB in Neuro Anaesthesia?

Answer: Candidates must have a postgraduate medical Degree in MD/DNB (Anaesthesia) from any college/university recognized by the Medical Council of India (Now NMC)/NBE, this feeder qualification mentioned here is as of 2022. For any further changes to the prerequisite requirement please refer to the NBE website.

Question: What is the scope of a DrNB in Neuro Anaesthesia?

Answer: DrNB in Neuro Anaesthesia offers candidates various employment opportunities and career prospects.

Question: What is the average salary for a DrNB in Neuro Anaesthesia candidate?

Answer: The DrNB in Neuro Anaesthesia candidate's average salary is Rs.8,00,000 – Rs.22,00,000 per annum depending on the experience.

Question: Can you teach after completing DrNB Course?

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

Question: What is the difference between DrNB and DNB?

Answer: As of today, DrNB is a super-specialist qualification imparted by the NBE (SS level). Whereas DNB is a specialist qualification (PG level). Earlier DrNB used to be called DNB SS but now it is called DrNB.

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