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Anaesthesiology Department

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About
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In the 1950s, Malaysian doctors travelled to the United Kingdom and Ireland to obtain training and to sit for the FFARCS and FFARCSI examinations. Anaesthetic training started in Malaya, at the University of Malaya, with the establishment of an academic Department of Anaesthesiology in 1965. A professional link was also established with the Faculty of Anaesthetists of the Royal Australasian College of Surgeons when fellowhip examinations, first the primary and subsequently the finals, were conducted in Kuala Lumpur from the 1970s to 1985.

In June 1987 the Faculty of Medicine of the University of Malaya introduced the Master of Anaesthesiology degree course. The first candidates to complete the course graduated in June 1991. This course has been fully supported by the Ministry of Health through scholarships or paid leave granted to applicants for the whole duration of each course. This support has enabled many doctors in Ministry of Health hospitals to acquire formal specialist training in anaesthesiology, with a resultant increase in the number of practicing anaesthesiologists in the country.

In December 1988 the Part I, Master of Anaesthesiology Examination was conducted jointly with the Faculty of Medicine of the University Kebangsaan Malaysia. This was the first major step by the two universities to establish a conjoint Master of Anaesthesiology. The conjoint examinations are now fully established for the two universities and future, linkages with the other national universities will be developed. The four year course, leading to the degree of Master of Anaesthesiology.

 
History
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The Department of Anaesthesia and Intensive Care started functioning on June 1st 1965 with Dr A Ganendran as the head of the department. He was appointed as the first Professor of Anaesthesia in Malaysia. Professor Ganendran received his anaesthetic training in Liverpool under Professor T C Gray, a famous pioneer in modern anaesthesia and, in turn, many anaesthetic academic trainees from University Hospital trained at Liverpool. Amongst these trainees were Dr Liew Pak Shim and Associate Professor Peter Kam Chin Aik. Professor Ganendran was a cardiac anaesthetist with a special interest in intensive care and parenteral nutrition. He studied the clinical and biochemical aspects of malathion poisoning in patients admitted into the Intensive Care Unit, for which he gained an MD from Bristol University.

The University Hospital was the first hospital in Malaysia and Singapore to have Total Parenteral Nutrition (TPN). The Intensive Care Unit The first Intensive Care Unit in Malaysia was set up on January 18th 1969 at the University Hospital with Professor Ganendran as its head. He pioneered the treatment of organophosphorus poisoning and the Intensive Care Unit became a centre of referral for organophosphorus poisoning and the Department, developing techniques of measuring serum and red blood cell cholinesterase. Professor A E Delilkan was appointed to the chair of Anaesthesia after Professor Ganendran emigrated to Australia. Professor Delilkan pioneered the treatment of cerebral protection in patients with head injury in the Intensive Care and campaigned tirelessly within the Faculty and among the public to promote understanding of Brain Death leading to its eventual acceptance in the community. Professor AE Delilkan retired in 2000 after many years of dedicated teaching. In recognition of his contribution the University of Malaya awarded Professor Delilkan the title of Professor of Excellence. Obstetric analgesia and anaesthesia and Pain management. The University Hospital established Malaysia’s first obstetric analgesia and anesthesia with epidural, spinal and general anesthesia in 1989 under Dr. Chan Yoo Kuen. The University Hospital established Malaysia’s first acute and chronic pain management service under Professor Delilkan and Professor Ramani Vijayan.

 
Staff
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Associate Prof. Dr. Ina Ismarti Shariffuddin

Head of Department

 
Academic Programme
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In 1975, Professor Ganendran obtained for the University Hospital the recognition as a teaching hospital for the Faculty of Anaesthetists of the Royal Australasian College of Surgeons. It was the first Malaysian hospital recognised for this training, and it was an international acknowledgment of the high standard of care and training in the department. In June 1987, the Master of Anaesthesiology degree programme was started by the University of Malaya. This is a four year Master of Anaesthesiology course and The course provides for basic specialist training in anaesthesia and also provides subspecialty anaesthetic training. The aim is to enable the degree holder to carry out all the duties of the consultant in the specialty of anaesthesiology in any hospital in Malaysia. The course programme was developed by Professor Delilkan.

In June 1987 the Faculty of Medicine of the University of Malaya introduced the Master of Anaesthesiology degree course. The first candidates to complete the course graduated in June 1991. This course has been fully supported by the Ministry of Health through scholarships or paid leave granted to applicants for the whole duration of each course. This support has enabled many doctors in Ministry of Health hospitals to acquire formal specialist training in anaesthesiology, with a resultant increase in the number of practicing anaesthesiologists in the country.

In December 1988 the Part I, Master of Anaesthesiology Examination was conducted jointly with the Faculty of Medicine of the University Kebangsaan Malaysia. This was the first major step by the two universities to establish a conjoint Master of Anaesthesiology. The conjoint examinations are now fully established for the two universities and future, linkages with the other national universities will be developed. The four year course, leading to the degree of Master of Anaesthesiology, provides:

a) Specialist training in anaesthesia, pain medicine, resuscitation and intensive care,

b) Subspecialty training in anaesthesiology,

c) Exposure to research methodology.

The aim of the degree programme is to enable the anaesthesiologist to practice independently in anaesthesia in a Malaysian hospital as well as to inculcate a lifelong commitment to excellence and learning.

 
Research
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Services
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A 24-hour acute pain service (APS) for the relief of pain in the post surgical patient is available with a consultant and a trained nurse. The management of post operative pain is multi modal and there are up- to- date pain control techniques available for the patients.

Obstetric anaesthesia and analgesia is a subspecialty service run by the Department with three consultants and a team of 4 doctors in anaesthetic training. A 24-hour epidural analgesia service for the pregnant mother in labour is available.

Obstetric anaesthesia and analgesia is a subspecialty service run by the Department with three consultants and a team of 4 doctors in anaesthetic training. A 24-hour epidural analgesia service for the pregnant mother in labour is available.

Obstetric anaesthesia and analgesia is a subspecialty service run by the Department with three consultants and a team of 4 doctors in anaesthetic training. A 24-hour epidural analgesia service for the pregnant mother in labour is available.

The Department provides clinical anaesthetic services in various surgical disciplines.

 
Future Plan
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Department of Anaesthesia and Intensive Care

The Department is committed to provide excellent service for the University Malaya Medical Centre. With this in mind, the Department will develop in the following directions:

  1. The Intensive Care Unit will be expanded to a 30 bedded facility to provide for the increasing number of patients who require critical care support with increased capabilities for organ support and monitoring.
  2. Day Surgery have been provided in 2002. It will significantly improve the efficiency of the anaesthetic services to the UMMC.
  3. Clinical Information Systems in Anaesthesia and Intensive Care will be installed and this will improve patient recording and information retrieval.
  4. Anaesthetic facilities for transplantation will cater for liver and pancreatic transplantation in addition to renal transplantation. A surgical anaesthetic and medical team will train in Birmingham,UK.
  5. Proposal for the implementation of an Advanced Warning System (AWAS) and the development of a rapid response team.
  6. Proposal for a Joint Centre for Pain Management and Rehabilitation in UMMC.
Last Updated: 09/07/2019