DR RAJESH CHAUHAN

Permanent Address:30,Pushpanjali, Vikas Marg Extension II, Delhi East– 110092

Email address:,

Phone: +919818797539, +919810606451, 22375167, 22370261

DOB:27/01/1958

Nationality:Indian

Sex:Male

Marital Status: Married

Spouse:Dr Vibha Chauhan

Medical Registration: Delhi Medical Council - Registration No: 9847______

Current CTC:INR 44,40,612 /- per annum, Gross Salary: INR 3,05,000/- per month.

Expected CTC:Negotiable

Expected Position:In accordance with the experience

EDUCATIONAL QUALIFICATIONS

MD in Anaesthesiology GMC, Nagpur 1983-1985

(Affiliated to Nagpur University, Nagpur)

MBBSMahatma Gandhi Institute of Medical Sciences(MGIMS), Sewagram 1975-1980 (Affiliated to Nagpur University, Nagpur)

WORK EXPERIENCE

Milestones and Key Positions:

Overall Experience: 32 years

Experience in Cardiac Anaesthesia: 25 years and 2 months

Worked as the Associate Director in the Department of Cardiac Anaesthesiology, as in-charge of the Department of Cardiac Anaesthesiology at Fortis Hospital Vasant Kunj (FHVK) from 16/08/2011 till term.

Work profile as a Cardiac Anaesthesiologistin Escorts Heart Institute and Research Centre, New Delhi(NABH and JCI Accredited,also offer DNB in Cardiac Anaesthesiology since 2001).

  • Stay in the Organisation: from January 1989 till 31/03/2014
  • Associate Director: promoted in 2010
  • Principal Consultant: promoted in April 2006
  • Senior Consultant: promoted in April 2001
  • Consultant: promoted in October 1985
  • Junior Consultant: promoted in October 1992
  • Attending Anaesthesiologist:joined in January 1989

Senior Resident: Safdarjang Hospital, New Delhi 04/10/1985 to 03/11/1988

Junior Registrar, Anaesthesiology: MGIMS, Sewagram 23/09/1982 to 20/09/1983

Junior Resident, First Year: undertook 6 months residency each, in General Surgery and Anaesthesiology at Safdarjang Hospital, New Delhi 01/07/1981 to 30/06/1983

Responsibilities Involved and My Expertise:

I have participated in all known forms of elective and emergency anaesthetic management of cardiac surgical procedures covering the entire gamut of the surgical procedures being practised in Escorts Heart Institute and Research Centre, New Delhi. This covers cardiac procedures (related to surgical procedures in the treatment of coronary artery disease on-pump and off-pump/ MIDCAB, ministernotomy, Valvular heart diseases); Extra-Cardiac Procedures (related to Carotid Artery Surgery, surgical procedures for replacement of ascending and arch of aorta); congenital heart diseases. Surgical procedures also include surgical treatment of aortic dissection, acute and chronic.

I also expertise in the insertion of central venous lines including study of haemodynamics from parameters obtained from pulmonary artery catheter, pulse oximeter, end-tidal capnometry, cerebral oximetry, use of bi-spectral index, blood gas analysis, pacemakers. I have necessary skills and experienced in performing trans-oesophageal echocardiographic (TEE)for evaluation of myocardial and valvular functions. New intraoperative TEE findings by me, has many a times changed the course of surgical procedure enhancing its outcome by decreasing associated morbidity and mortality.

My in-depth knowledge of anaesthesia induced pathophysiological derangements has set aside complications such as post-operative pneumonia, a dreaded post-operative complication following cardiac surgery whichcauses respiratory failure. As per the record, there has been no case under me that required extended ventilation following pneumonia in the past few years.

I have been involved in imparting intensive training to junior anaesthesiologists, as a part of the DNB degree offered by Escorts, and the associated work force including anaesthesia technicians.

Anaesthesia Record designed by me is being used to maintain the anaesthetic record at FHVK.

AREAS OF SPECIAL INTEREST

I have been involved in the treatment of patients, involving pre-anaesthetic evaluation, intraoperative anaesthetic management and post-operativecare of Cardiac Surgical patients. Being closely involved in the post-operative phase, I have developed necessary knowledge regarding the after-care of sick patients, involving respiratory care,both on and off mechanical ventilation,and managinghaemodynamically unstable patients.

I was alsoin charge of the “Nutrition Care Program” for the patients in the Recovery Room and established a well-organised program which involved monitoring and maintaining a complete record of the patients’ nutritional needs in the follow-up care. Nutrition was provided in enteral as well as parenteral forms, frequently combining both modalities,using feeding pumps which enhanced the recovery of the patients. Under my supervision, Immunonutrition formed the basis for a special category of patients which gave unusually excellent results.

In appreciation of my interest and knowledge, I have been chosen as an author to the following chapters:

A chapter on “Special Issues in Nutrition Intervention in the Critically-ill Patient with Cardiac Disease” in Nutrition Disease Management inUpdate Series 6 booklet published in April 2000, published by the Centre for Research on Nutrition Support Systems (CRNSS - Centre for Research on Nutrition Support Systems.).

Available on the net:

Authored a Chapter, “Heart Lung Machine for CABG - should be relegated to archives,” to be published in a book to be titled “Advanced Cardiovascular Medicine” in commemoration of 25 years of our Institution.

I am attaching a copy of letter of appreciation written to me by Dr Ashok Seth, Chairman, Fortis Escorts Heart Institute, New Delhi, which speaks of constant encouragement from the Institutional Head.

WORK SYNOPSIS

Throughout my working period, I haveperformed excellently andmet all targets expected, remaining high on all quality parameters associated with pre-, intra- and post-operative care of the patients.

During my stay at FHVK, the overall mortality remained 2% with low incidence of blood transfusion (< 10%) intraoperatively. None of the surgical cases required prolonged ventilation on account of pneumonia, during the period, which has been by far the best performance. This has been possible due to my in-depth knowledge of pathophysiological derangements that occur during the anaesthetic state, thereby decreasing the associated complications arising thereof.

Anevidence of excellent team work is that there has been:

  1. A very low incidence of re-exploration on account of excessive drainage postoperatively (1 out of 375).
  2. Zero incidence of Conversion On-pump in all patients undergoing CABG, stable/ unstable, with evolving Myocardial infarction or recent NSTEMI, ejection fraction ≤ 20%.
  3. The overall use of IABP intraoperatively has been < than 1%.
  4. Zero mortality in patients undergoing CABG in renal compromised patients (on haemodialysis).

INTERNATIONAL EXPOSURE IN THE INSTITUTION

Working with a number of visionaries and luminaries including departmental colleagues helped me imbibe the best of the practices in the patient care culminating in constant improvement in the care of the critically ill.

I have been in an important position and have immensely benefitted while working with Cardiac Surgeons, like Dr Calafiore, Dr. R. Buckberg (seen him using Retrograde Cannula for delivery of cardioplegia for the first time in the country in the year 1992), Dr Vincent Dor to name a few internationally renowned Cardiac Surgeons, in various Workshops in Cardiac Surgery, held from time-to-time in our Institution.

PUBLISHED ARTICLES

In Journals (National and International):

  1. Mishra M, Chauhan R, Sharma KK, Dhar A, Milind Bhise, Dhole S, et al. Real-time intraoperative transesophageal echocardiography-how useful? Experience of 5,016 cases. J Cardiothorac Vasc Anesth 1998 Dec; 12(6): 625-632
  2. Arora D, Mehta Y, Chauhan R. Peripheral Nerve Blocks for high risk case. J Cardiothorac Vasc Anesth. 2007 Oct; 21 (5): 780
  3. Kohli V, Malhotra Rajneesh, Mishra Y, Meharwal ZS, Bapna R, Chauhan R, Mehta Y, Trehan N. Evaluation of hemodynamic parameters with or without “starfish” in off pump coronary artery bypass (OPCAB) surgery during lateral displacement. IJTCVS 2003; 19:2
  4. Kumar A, Mehta Y, Chauhan R. Accidental administration of norepinephrine due to breech in a closed infusion system. Ann Cardiac Anesth 2006; 9: 65
  5. Mehta Y, Chauhan R, Ganguly S. Abrupt reduction of PEEP to float pulmonary artery catheter in difficult situations in ventilated patients. J Cardiothorac Anesth 1994 Aug; 8(4):485-86.
  6. Chauhan R and Mehta Y. Hyperalimentation in the critically ill Cardiac Surgical Patient. Annals of Cardiac Anaesthesia 1999, 2(2): 31-43
  7. Chauhan R, Mehta Y, Mishra M and Trehan N. High Frequency Positive Pressure Ventilation during Internal Mammary Artery Bypass Grafting Using Servo Ventilator 900D. Asian Cardiovascular & Thoracic Annals 1993 June; 1(2):67-76.
  8. Chauhan R, Mehta Y and Mishra M. Inverse Ratio Ventilation (IRV) in a patient with pulmonary Oedema (A Case Report).Ind. J.Anaesth 1992 Feb; 40(1): 39-42
  9. Chauhan R, Mishra A and Saxena RS. An Indigenous T-Piece Device for humidification during Oxygen therapy using Ventimask-3. J.Anaesth Clin. Pharmacol1988 July;4(3):189-192
  10. Chauhan R, Naithani BK and Saxena RS. Unusual presentation of a foreign body. Ind. J Anaesth: 1988 July;4(3) 205-7.
  11. Saxena RS, Nayyar A, and Chauhan R. Management of Organophosphorus poisoning: Retrospective study covering 1972-1986. J. Anaesth Clin. Pharmacol 1989 Jan; 5(1): 5-9.
  12. Gupta S, Singh S, Wadhawan R, Muneendra G, Chauhan R. Case Report: Excision of carotid body tumor – Surgery of a rare tumor. Fortis Medical Journal 2012 Apr-June; 5(2): 33-35.
  13. Chauhan R. Nutritional Support in the Critically ill patient. Souvenir in 48th National Conference ISA in Nagpur,Dec 26-30, 2000 Pages 47-56

Chapters Authored in Monograms and Textbooks:

  1. Chauhan R. Special Issues in Nutrition Intervention in the Critically-ill Patient with Cardiac Disease. Nutrition DiseaseManagement in Update Series 6 booklet published in April 2000, published By Centre for Research on Nutrition SupportSystems (CRNSS - Centre for Research on Nutrition Support Systems.) pages 1-12.
  2. Under Publication:Chauhan R and Gupta S. Heart Lung Machine for CABG - should be relegated to archives. Under print: in a book titled “ADVANCED CARDIOVASCULAR MEDICINE.” To be released in commemoration of 25 years of Escorts Heart Institute and Research Centre, New Delhi.

AWARDS AND AFFILIATIONS

Received Certificate of Honour with Gold Medal for long service awarded on completion of 10 years, 15 years and 20 years.

A letter of appreciation from Medical Superintendent, Safdarjang Hospital Delhi (Ref No. PA/DMS/87- Emer) on performing National duty with devotion and dedication during Indian Mission for Medical Relief to the people of Jaffna (Sri Lanka) from Govt. of India from June 2, 1987 to June 4, 1987.

Life Member, Delhi Medical Association.

Life Member, Indian Association of Cardiovascular and Thoracic Anaesthesiologists

Life Member, Indian Association of Enteral and Parenteral Nutrition

INTERESTS AND ACTIVITIES

Photography – capturing landscapes and forms.

Music – Listening to a personal collection of English pop and Hindi classics.

Reading – Keeping pace with recent advancements in the field by reading a personal collection of textbooks in the field of anaesthesiology, nutrition and critical care and medicine.

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