Directorates

Various Directorates of the Hospital

Anaesthesia & Intensive Care

Head of Directorate

INTRODUCTION

The practice of anesthesia has expanded well beyond rendering patient insensible to pain during surgery or labour and delivery.

The specialty is unique in that it requires working familiarity with other specialties, including surgery and its subspecialties, internal medicine, pediatrics and obstetrics as well as clinical pharmacology, applied physiology and biochemical technology.

The application of recent advances in biomedical technology in clinical anesthesia continues to make anesthesia an exciting and rapidly evolving specialty.

FUNCTIONS OF THE DIRECTORATE OF ANESTHESIA AND INTENSIVE CARE  

  1. Assessing, consulting and preparing patients for anesthesia.

Rendering patients insensible to pain during surgical, obstetric/gynecological therapeutic and diagnostic procedures.

  1. Monitoring and restoring Homeostasis in peri-operative period.
  2. Monitoring and restoration of homeostasis in critically ill patients.
  3. Diagnosing and treating acute and chronic painful syndromes
  4. a). Managing and teaching of cardiopulmonary resuscitation.

b). Teaching, Supervising and evaluating the performance of medical and medical personnel involved in anesthesia, respiratory care and critical care.

  1. Conducting research at the clinical science level.

 

STRUCTURE OF THE DIRECTORATE

Has two (2) units i.e.

(a)     Anaesthesia Unit

(b)     Intensive Care Unit

MEMBERSHIP OF THE DIRECTORATE MANAGEMENT TEAM

The directorate is run by a management team of seven (7).  They are:

  • Willem Addison –         Head
  • Wilfred Sam-Awortwi –        Lead Clinician
  • Sanjeev Singh             –         Head, Intensive Care Unit
  • A. Samuel Assibi – Chief, Physician Assistant
  • Cecilia Acheampong – Nurse Manager
  • Anthony K. King – Pharmacist
  • Joseph Tabi Adjei – Accountant
  • Kwabena Amoah-Kumi – Business Manager

 

Management holds meetings monthly to assess the performance of the Directorate.  Unit In-charges are always invited to attend the meetings and also participate in deliberations.

SECTIONS/UNITS WITHIN THE DIRECTORATE

  • Main Theatre Recovery Ward
  • Main Theatre Anaesthesia
  • A1 Theatre Anaesthesia
  • A1 Recovery Ward
  • Poly Theatre Anaesthesia
  • Poly Recovery Ward
  • Accident and Emergency Intensive Care Unit
  • Accident and Emergency Anaesthesia
  • Accident and Emergency Recovery Ward
  • Obstetric & Gynecologist  theatre
  • Directorate Pharmacy

 

T H E A T R E S

MAIN THEATRE

Has five (5) operating rooms.

The following types of surgery are done here:

  • General Surgery

Both elective and emergency

  • Urology

Both elective and emergency

  • ENT, Eye

Both elective and emergency

  • Paediatric Surgery

Both elective and emergency

  • Plastic Surgery

Elective

  • Gynaecology

Only electives

 

ACCIDENT AND EMERGENCY THEATER

  • Neurosurgery

Both elective and emergency

  • Trauma and orthopedic

 

A1 THEATRE

Has two (2) operating rooms

  1. Obstetrics –         emergency and elective
  2. Gynaecology –         only emergencies

 

POLY THEATRE

Has two (2) operating rooms

  1. Ear Nose Throat –    emergency and elective
  2. Maxillofacial      –    emergency and elective

 

INTENSIVE CARE UNIT

The intensive care unit is headed by Dr. Sanjeev Singh.  There are eight (8) beds at the Intensive Care Unit.

ANAESTHETIC CLINIC

The directorate runs pre-anaesthetic clinic on Monday, Wednesday and Fridays at Poly

HUMAN RESOURCE SITUATION

The Directorate is made up of the following categories of staff:

  1. Doctors                                                           19
  2. Physician Assistants                                    52
  3. Nurses                                                            80
  4. Health Care Assistants                                15
  5. Pharmacist                                                     1
  6. Pharmacy Technicians                                2
  7. Accountant                                                     1
  8. Business Manager                                         1
  9. Secretary                                                         1
  10. Library Assistant                                          1
  11. Orderlies                                                        5

 

This sums up the total Human Resource strength of 198.

 

PUBLICATION

  1. Anaesthesiology as a career vis -a –vis professional satisfaction in developing countries.
  2. A rare case of transposition of great arteries with on intact septum and aorto.
  3. Anaphylasxis with poncuronium bromide.
  4. Comparison of Esmolo and Lidocaine for attenuation of cardiovascular stress response to laryngoscopy and endotracheal intubation in Ghanaian population. A
  5. Annamalai A. A study of the Efficacy of cardiac Antidyrhythmic drugs in attenuating hemodynamic responses to laryngoscopy and endotracheal intubation in the Black Population.
  6. Annamadai A, Mahrous DE. CAN SODIUM channel blocker Lidocaine attenuate haemodynamic response to endotrached intubation in patients with coronary ortery disease effectively?
  7. Current status of nanomedicine and nanosurgery.
  8. Mahrous DE. Can intravenous Dexmedetomidine prolong Bupivacaine intrathecal spinal anaesthesia?
  9. Dexmedetomidine induced catecholaminesuppression in pheochromcytoma.
  10. Attenuation of cardiovascular response by B-blocker Esmolo during laryngoscopy and intubation.

WORKSHOP/TRAINING DONE

  • Central Venous Cannulation
  • Immediate Post-Operative Care
  • Emergency Airway Management
  • Management of Post Operative Complications
  • Peri-operative Fluid Management

 

CONTACT ADDRESS/NUMBERS

Komfo Anokye Teaching Hospital

Directorate of Anaesthesia and Intensive Care Unit

Post Office Box 1934

Kumasi – Ghana

051-36396

 

SCHOOL OF ANAESTHESIA

School of Anaesthesia was established in 1987 to train Nurse Anesthetists with student

Population of 14.

The programme runs for 18 months.  Advance Diploma certificates are awarded to its students upon completion of the programme.  The school has since trained 800 Nurse Anesthetists in Ghana.

The current student population is 52.  The school is being headed by Dr. Antwi-Kusi Consultant Anesthesiologist.

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