Clinical Details

• Average daily OPD.: 130
• Average daily IP Admissions: 10
• Average daily bed occupancy rate:>100%
• Average daily operations: Major-8 Minor-2
• Year-wise available clinical materials (during previous three years)

Year	No: of Out Patients	No: of Inpatients	Grand total (IP & OP)
2020	15068	1524	16,592
2021	17300	1655	18,955
2022	25301	2209	27,510

Surgery Details are given below:-

	2020	2021	2022
Total Number of Operations	1868	1827	2271
Heart Transplant	2	0	0
Open Heart Surgery	1096	1033	1364
Vascular, Thoracic and Closed Major Surgeries	770	794	907
Interventional Procedures	2	69	75

Post Operative ICU

• 19 Beds with Central Air condition, Central; O2 Suction & Central Monitoring Facilities.
• Average Bed Occupancy Rate is 100%
• Has a blood gas analyser with electrolyte & Hb Measurements
• Thoracic ICU : 6 Beds with Central Air condition, Central O2 Suction & Central Monitoring Facilities.

Operation Theatres

• 4 Fully Equipped Stainless Steel Modular air conditioned operation theatres with central oxygen and central suction facilities. All four has laminar air flow with heap filter – For Cardiac Surgery. One is dedicated for paediatric cardiac surgery.
• 1 Fully Equipped air conditioned operation theatre with central oxygen and central suction facilities for thoracic surgery.

List of Fully Functional Equipments available in the Department

No.	Name	Qty
1	Operations Table	6
2	Over Head Lamps	5
3	Anaesthesia Workstation	5
4	Anaesthesia Workstation Paediatric	1
5	Luxtec Fibre Optic Head Light System	6
6	Heart Lung Machine	5
7	Sternal Saw	5
8	Mechanical Ventilators	25
9	Infant Ventilator	1
10	Non Invasive Ventilator VPAP IV SF	1
11	Defibrillator Heart Start XL	13
12	Surgical Diathermy	6
13	Syringe Infusion Pumps	169
14	Epicardial pacemaker	14
15	Multichannel Monitors:
	Philips Intellieuve MP50	4
	Philips Intellieuve MP40	1
	Philips Intellieuve MP20	28
16	Cardiac Output Monitor Edwards	1
17	ABG Machine:
18	Gem Premiere Maintenance free	2
19	Blood Gas Analyser – 500 test/Month	1
20	IABP	4
21	ECG&SPO2 – NIBP –Suresigns VM6	42
22	ACT machine	2
23	FOB	1
24	ECMO	1
25	Full Set of Surgical Instruments: CABG Set- 4, Coronary Instruments-5, Valve Set-2, Open Heart Set-7, Thoracic Set-4, Laprotomy Set-2, Minimally invasive Set-1, VATS Instruments -1, Microvascular Instruments, Percutaneous Tracheostomy Set
26	Karl Storz Rigid Endoscope System-both adult and paediatric, Bronchoscope and esophagoscope with full accessories	1
27	Video Thoracoscope	1
28	Allengers Portable X Ray Machine	2
29	Hemo Dialysis Mach 4007s V104SXAAF75 Machine	1
30	Rigid Bronchoscope Adult & Paediatric	2
31	Classic CR System	1
32	Icelined Refrigerator	1
33	HD 11 XE Philips ECHO Machine with TEE Probe	2
34	Multichannel ECG Machine	3
35	Live 4 D Echo machine	2
36	40 KVA Online UPS	1
37	Electrical Suction Apparatus	1
38	DVTSCP Pump	2
39	Portable Echocardiography	1
40	X ray lobby	4
41	Vascular doppler	1
42	Flexible Video Bronchoscope	1

Other available Spaces and Facilities

• Room for Prof. & Head – One, Size-15×18 ft
• Room for CA to HOD – One , Size-12×8 ft
• Seminar Room – 40 Seats with LCD Projector, White Board – 1 No, Size -61.24m2
• Common Faculty Room with Library – One, Size – 14×12
• Faculty Rooms – Two, Size-14×12
• PG Room – One, Size -14×12
• Outpatient Area with Token Facility – 2 Rooms with Examination Facility, Treatment Room, IP Registration Room & Computer Facility, OP waiting area has a seating capacity for 250 Persons

CSSD with following Equipments

• Ultrasonic Cleaning Machine – 1
• Hot Air Oven (Drier) – 1
• Washer Disinfector – 1
• Autoclave Machine – 2
• ETO Machine – 1
• Gauze Cutting Machine – 2
• Sealing Machine – 2
• Washing Station – 2

Achievements

1. A Centre of Excellence in Cardiovascular and Thoracic Surgery in Kerala.
2. Done 8 Heart Transplantation in Govt. sector in India
3. The Department doing around 2000 open heart surgeries and about 500 other surgeries a year.
4. This is one of the few centres in South India which manages different types of Aortic aneurysm surgery.
5. The department also offers latest advances like Heart & Lung Transplantation, ‘Off Pump’ Bypass Surgery, Thoracoscopic Surgery, Minimally Invasive Cardiac Surgery and Aneurysm Stenting. This centre also has the distinction of doing the maximum number of valve repair surgeries in India.
6. Started Paediatric Cardiac Surgery. This is the only centre under the Government of Kerala which takes care of neonatal and infant cardiac surgical problems
7. Started and established Coronary Artery Surgery in Kottayam Medical College since 2005.
8. Started and established Off pump CABG in Kottayam Medical College
9. Started ‘redo CABG’ for the first time in Govt. sector in Kerala
10. Started and established Aneurysm Surgery & Thoracoscopic Surgery at Kottayam Medical College. This institution is now one of the few centres in South India which offers management of different types of Aortic Aneurysms.
11. Started Pulmonary Endarterectomy first time in Govt. Sector in India.
12. Immersed in developing Kottayam Medical College as a unique centre dealing with full spectrum of cardiothoracic surgery including lung, heart, oesophageal and chest wall reconstructive surgeries in the world.
13. Invited and presented topic Rheumatic Repair and Use of Handmade Loop Chordae on Asia Pacific Structural Heart Forum: Mastery of Mitral Therapies. in 2020
14. Invited and topic presented Mitral valve repair for Infective Endocarditis Surgical strategy and key points on Intensive Mitral Valve Advanced Repair Workshop at the Central Chest Institute of Thailand (CCIT), Nonthaburi, Thailand on May 2023

Ongoing Research

1. Comparative study of minimally invasive cardiac surgery VS conventional sternotomy for mitral valve surgeries –Dr. Jayakumar T.K, Dr. Nidheesh C.H, Dr. Paras R Lalwani.
2. Comparison of Outcomes- Vaccum assisted closure therapy with conventional wound closure in deep sternal wound infections – Dr. Jayakumar T.K, Dr. Vinitha V Nair, Dr. Adi Narayan Kishore Nochur.
3. Pre operative Stress and Anxiety in patients undergoing Cardiac Surgery Councelled with Structured Versus Traditional Programme – Dr. Jayakumar T.K, Dr. Ravikrishnan J, Dr. Nidheesh C.H, Dr. Sivaprasad V, Dr. Vinitha V Nair, Dr. Shiva R
4. Myocardial protection in patients undergoing CPB with Delnido cardioplegia – Dr. Nidheesh C.H, Dr. Vinitha V Nair, Dr. Jeevan Joseph Jose.
5. Short term outcomes of minimally invasive versus conventional aortic valve replacement – Dr. Jayakumar T.K, Dr. Sivaprasad V, Dr. Ravikrishnan J, Dr. Noufal T.B.
6. Aortic Valve Repair: An Indian Experience – 5 year single centre, Dr Jayakumar Thanathu Krishnan Nair; Dr Manjusha Pillai; Dr Dinesh Kumar Sathanantham

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