Dr Subramanyam S Mahankali

Senior Consultant- Anaesthetist

Overview

Dr. Subramanyam is a senior consultant in anaesthesiology at Aster RV Hospital, Bengaluru. Prior to Aster, he was a senior consultant anaesthetist & academic coordinator at Columbia Asia Referral Hospital, Bengaluru. Dr. Subramanyam is an alumnus of All India Institute of Medical Sciences, New Delhi. He did his postgraduate training at AIIMS, Delhi and comprehensive specialist training in Nottingham, UK.

He has a special interest in teaching and patient safety. His area of clinical interest includes orthopaedic anaesthesia, transplant anaesthesia, regional anaesthesia, thoracic anaesthesia, spinal surgery, neuro anaesthesia, paediatric anaesthesia, and obstetric anaesthesia.

Dr. Subramanyam is also a section editor and editorial board member of Journal of Anaesthesiology and Clinical Pharmacology. He is an editorial board member of the Academy of Regional Anaesthesia of India and also for Indian Journal of Clinical Anaesthesia.

Dr. Subramanyam is a recipient of the National Merit Scholarships, India from 1988 to 1995. He was also awarded Membership of the National Academy of Medical Sciences, New Delhi.

Dr. Subramanyam has worked as a member, VVIP care team (AIIMS, New Delhi) during National festivals of Republic Day & Beating the Retreat. He is also a Section Editor, Journal of Clinical Anaesthesia and Pharmacology, Scientific Chair, 5th National Conference of the Academy of Regional Anaesthesia of India.

Dr. Subramanyam has worked as a leader in developing, designing, and running the elective orthopaedic theatres to improve the orthopaedic efficiency.

Education

Dr. Subramanyam completed his MBBS in 1996 from Bangalore Medical College. In 2000, he completed MD (Anaesthesia) from AIIMS, New Delhi and DNB (Anaesthesia) from National Board of Examinations. Later, in 2004, he completed FRCA degree from the Royal College of Anaesthetists, London and Certificate of Completion of Training (CCT) in anaesthesia, 2008 from PMETB, UK.

Dr. Subramanyam is a trained ATLS Provider (Advanced Trauma Life Support), ALS (Advanced Life Support), ACLS (Advanced Cardiac Life Support), EPLS (European Paediatric Life Support, MOET (Management of Obstetric Emergencies and Trauma) provider.

Work Experience

After completing MBBS in 1996, Dr. Subramanyam started working as Junior Resident in Anaesthetics department at AIIMS, New Delhi between 1997-2000. Later for a year, he worked as a Senior Resident in Anaesthetics department at AIIMS, New Delhi. His interest in teaching grabbed an opportunity as Assistant Professor in Anaesthetics department at Kasturba Medical College & Hospital, Manipal for 1 year between 2001-2002.

Dr. Subramanyam went to UK in 2002 to pursue advanced specialist training.  He did basic specialist training t at Royal Group of Hospitals, Belfast between 2002-2003. Later, he completed Intermediate and Higher specialist training at Queens Medical Centre,  Nottingham City Hospital other associated hospital in East Midlands, UK. He has worked as a Consultant Anaesthetist and Deputy college tutor in Anaesthetist department at Kings Mill Hospital, Nottinghamshire, UK between 2008-2011.

Dr. Subramanyam returned to India in 2011, he was appointed as Consultant Anaesthetist at Columbia Asia Referral Hospital, Bengaluru. Before joining to Columbia Hospital, he was recruited as Associate Professor at Jayadeva Institute of Cardiovascular Sciences, Bengaluru.

Teaching experience

Dr. Subramanyam has a passion for teaching. He has worked as the academic coordinator for postgraduate anaesthesia DNB training program at Columbia Asia Hospitals. He is actively engaged in teaching postgraduate CME and Conferences at state and national level. He is a trained mentor and educational supervisor as per Royal college of anaesthesia, London. He has also organized senior anaesthetic trainee teaching program for Nottingham and East Midlands, a 3-hour weekly afternoon classes at Kings Mill Hospital between 2008-2011.

He has been faculty at several postgraduate training programs. (Be-Orate 2016, 2017, 2018, 2019) (GARC- 2014, 2015, 2016, 2017, 2018) (SANCON  2014, 2016, 2017)

Scientific Meeting

He has been Scientific Chair for the 5th national conference of AORA, India held in 2015, Bangalore.  He has been educational lead for CAUSE-2012 and CAUSE-2013, a workshop/CME focused on USG applications in anaesthesia.  He has been invited speaker at several national conferences (ISACON 2015, 2016, 2017 and 2018) (AOA 2017, 2018) (IAPA-2018) (KISACON 2013, 2014, 2017).

For 2019, he has been invited for ASEAN Congress of Anaesthesiologists at Brunei and World Congress of Anaesthesiologists at Prague.

Apart from this he has delivered more than 40 talks at national and state level CME and conferences.  He has been a regular faculty at more than 25 regional anaesthesia workshops, 8 Simulation in Anaesthesia workshops.

Educational Supervision and Mentorship

Dr. Subramanyam has guided more than 5 thesis for DNB students  and has worked as academic coordinator at anaesthesia department, Columbia Asia Referral Hospital. He has worked as an educational supervisor and mentored trainees from Nottingham and East Midlands School of Anaesthesia.

Research Experience

Co-guide for DNB Thesis

  1. Oral pregabalin and spinal bupivacaine versus spinal bupivacaine with morphine in infraumbilical surgeries: A randomized control study of postoperative pain relief. [DNB Student: Dr. Suman A]

  2. Preoperative assessment of gastric content and gastric volume in adult patients coming for elective surgery using bedside ultrasound: a prospective, observational, correlation study. [DNB Student: Dr. Garima Sharma]

  3. Ultrasonic assessment of change in position of the common carotid artery and internal jugular vein after insertion of laryngeal mask airway-classic [DNB Student: Dr. Sharath YG]

  4. Evaluation of fluid absorption in patients undergoing holmium laser enucleation of the prostate. [DNB Student: Dr. Gajanan Babu]

  5. An observational study on the effect of position and clinical manoeuvres on the size of the right internal jugular vein in healthy volunteers using bedside ultrasonography. [DNB Student: Dr. Smruthi S]

Other Research Projects

  1. Comparison of Quadratus Lumborum block, Thoracic paravertebral and Thoracic Epidural for pain relief in patients undergoing donor nephrectomy.

  2. Comparative study of TCI propofol requirements in patients undergoing ERCP with or without Oropharyngeal local anaesthetic spray.

Other Research projects completed in UK

  1. Effects of continuous positive airway pressure and Valsalva manoeuvre on systemic haemodynamics as assessed by the Finometer®- a volunteer study: A study looking at the time scale of changes in haemodynamic parameters on an application of two levels of CPAP 7.5 and 10 mmHg. It also compares the effect of CPAP on haemodynamics with that of Valsalva manoeuvre.

  2. Evaluation of the depth, size and relative position of the internal jugular vein in the neck using ultrasound and to quantify the effect of head-down tilt and Valsalva manoeuvre on the size of vein –a volunteer study. Results from the above two projects were presented in ESA Meeting May-June 2008 at Copenhagen, Denmark and final results are being prepared to write up in peer-reviewed journals.

  3. An observational study of the effects of general anaesthesia on cerebral perfusion pressure and cerebral vascular tone as assessed by transcranial Doppler ultrasonography.

  4. Anaesthesia for paediatric radiotherapy – survey across UK and Ireland. He has completed the survey which covers more than 19 centres to provide the service.

Presentations

  1. GARC 2015, 2016 and 2017, 2018 Coimbatore

  2. AORA -India, 2015, 2016, 2017 and 2018

  3. ISACON NATIONAL- 2016, 2017, 2018

  4. AOA (Association of Obstetric Anaesthetists) National Meeting 2017, 2018.

  5. IAPA 2018, AIIMS, New Delhi,

  6. ISACON - NORTH, 2017, Jamshedpur

  7. SANCON-2014, 2015, 2016, 2017, Bangalore

  8. MAC-2014, Mangalore

  9. KISACON 2014-Dharwad, 2017- Bellary.

Workshop Hosting

  1. Scientific Committee Chairman for AORA-2015 conference

  2. Guest faculty for USG guided Regional Anaesthesia 8 workshops organised by Academy of Regional Anaesthesia (ESRA recognised)

  3. Hosted USG guided regional Anaesthesia workshops CAUSE-2012, CAUSE-2013, CAUSE 2017, CAUSE 2018

  4. USG in Obstetric Anaesthesia Workshop during AOA 2017

  5. Guest faculty at a pre-conference workshop on Ultrasound-guided nerve blocks at SAARC Anaesthesia conference 2012

  6. Hosted Difficult Airway workshop at the ‘Paediatric Intensive Care conference, Nottingham 2007’

  7. Hosted difficult airway gadget station at the Bi-annual Postgraduate meeting at the APGAP Manipal 2001.

Poster presentation

  1. Two posters at PGEXCEL 2018

  2. One poster at AOA national conference 2017

  3. Three posters at ‘Euroanaesthesia 2008’

  4. Evaluation of cardiovascular function during short term application of continuous positive airway pressure and recovery in healthy volunteers as assessed by a Finometer.

  5. The anatomical relationship of the internal jugular vein and the carotid artery.

  6. A prospective audit of timings within the patient journey through theatres.

  7. Oral Presentation: Annual NEMSA meeting 2007: Improving the safety of internal jugular vein cannulation: A survey of practice and knowledge of internal jugular vein cannulation.

Publications

  1. Administration of drugs during Anaesthesia ‘Stoelting’s Pharmacology and Physiology in Anaesthesiology’, 5th Edition, 2014.

  2. Pharmacokinetics and pharmacodynamics of anaesthetic drugs in paediatrics in Understanding Paediatric Anaesthesia. 3rd Edition Subramanyam Mahankali, Rebecca Jacob.

  3. Editorial: Interventional Radiology: A Disruptive Innovation, transforming the management of post-partum haemorrhage. Journal of obstetric anaesthesia and critical care. Year: 2017 Volume: 7 | Issue: 2 | Page: 65-68

Study articles

  1. Preoperative assessment of gastric contents and volume using bedside ultrasound in adult patients: A prospective, observational, correlation study. Sharma G, Jacob R, Mahankali S, Ravindra M N Indian J Anaesth 2018;62:753-8

  2. Gastric ultrasound as a point of care tool. Sharma G, Jacob R, Mahankali S.  Indian journal of anaesthesia 63(2):162-163

  3. A comparison of a continuous noninvasive arterial pressure (CNAP) monitors with an Invasive arterial blood pressure monitor in the cardiac surgical ICU. Annals of cardiac anaesthesia, AM Jagadeesh, Naveen G Singh, Subramanyam Mahankali Volume 15: 3, Jul-Sept 2012

  4. Usefulness of Pre-emptive Peribulbar Block in paediatric vitreoretinal surgery: A prospective study. Regional Anaesthesia and Pain Medicine.Jan-Feb2003, vol 28,no. 1Authors: Rajeshwari Subramaniam, Subramanyam MS, Vimi Rewari, RP Singh.

  5. Oral Ketamine or Midazolam or Low Dose combination for Premedication in children. Anaesthesia and Intensive Care 2004; 32:246-249 Authors: V Darlong, D Shinde, MS Subramanyam, R Sunder, A Naik

  6. The anatomical relationship of the internal jugular vein and the carotid artery. Mahankali, Subramanyam & Kathirgamanathan, A & Hardman, Jonathan. (2008).. European Journal of Anaesthesiology. 25. 233. 10.1097/00003643-200805001-00753

  7. A Comparison of intravenous ketoprofen versus pethidine for perioperative analgesia and post-operative nausea and vomiting in paediatric vitreoretinal surgery. Journal of postgraduate medicine 2003; 49 (2): 123-126 Authors: Subramaniam R, Ghai B, Khetarpal M, Subramanyam M.S.

Case Reports

  1. Spontaneous Pneumothorax in Pregnancy: A Challenge for Anaesthesiologist. RM Pinto, Subramanyam Mahankali, BS Prasanna, MM Ramkumar Journal of obstetric anaesthesia and critical care. Year: 2017 Volume: 7 | Issue: 2 | Page: 106-109.

  2. Life threatening external iliac artery injury following total hip replacement. Mahesh Kumar Arora, Anuj Bhatia, Ganga Prasad, Subramanyam Mahankali. April 2002 Canadian Journal of Anaesthesia 49(3):323-4

Other Publications

  1. Sequence of Learning Neuraxial Blocks: A Survey of Trainees and Consultants Subramanyam Mahankali, J. Mamatha, D. Levy Sep 2008 Regional Anesthesia and Pain Medicine.

  2. Prospective audit of timings within the patient journey through theatre: 1AP3-9. Iain Keith Moppett, Subramanyam Mahankali, R. Griffith.  May 2008 European Journal of Anaesthesiology.

  3. Evaluation of cardiovascular function during short term application of continuous positive airway pressure and recovery in healthy volunteers as assessed by a Finometer®: 3AP4-7. Subramanyam Mahankali, Iain Keith Moppett, R. Mahajan May 2008 European Journal of Anaesthesiology.

  4. The anatomical relationship of the internal jugular vein and the carotid artery. Subramanyam Mahankali, A. Kathirgamanathan, Jonathan G Hardman. May 2008 European Journal of Anaesthesiology.

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