Year : 2020  |  Volume : 23  |  Issue : 3  |  Page : 374--375

Comment on: Anesthesiologists and job satisfaction in cardiac cath lab: Do we need guidelines?


Surender Deora1, Pradeep Kumar Bhatia2,  
1 Department of Cardiology, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India
2 Department of Anaesthesiology and Critical Care, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India

Correspondence Address:
Surender Deora
Room No 3131, Administrative Block, All India Institute of Medical Sciences, Basni II, Jodhpur - 342 005, Rajasthan
India




How to cite this article:
Deora S, Bhatia PK. Comment on: Anesthesiologists and job satisfaction in cardiac cath lab: Do we need guidelines?.Ann Card Anaesth 2020;23:374-375


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Deora S, Bhatia PK. Comment on: Anesthesiologists and job satisfaction in cardiac cath lab: Do we need guidelines?. Ann Card Anaesth [serial online] 2020 [cited 2020 Nov 28 ];23:374-375
Available from: https://www.annals.in/text.asp?2020/23/3/374/290059


Full Text



The Editor,

We have read with the great interest the article recently published by Annachhatre et al. titled “Anesthesiologists and Job Satisfaction in Cardiac Cath Lab: Do We Need Guidelines?”.[1] We have a few observations which we would like to share with the authors and readers of the journal.

  1. We agree that the stress level among the cardiac anaesthetist is high and they are relatively underpaid and undervalued. Their role is not only limited to giving anaesthesia but also postoperative critical care especially in advanced interventional cardiology where they are core members of “Heart Team”. In India, if we look at the payment structure in other fields also, there is a discrepancy especially in the private sector and is not regulated as it is in the government sector. We suggest the societies like Indian association of cardiovascular and thoracic anaesthesia should take a lead and formulate the manual for fee structure.
  2. The number of procedures and the complexity is increasing day by day specially with introduction of transcatheter aortic valve replacement (TAVR) and complex high-risk indicated procedure (CHIP) programmes. But if we look at the trained human resource, we will find a huge gap between cardiology and cardiac anaesthesia. According to the information available at medical council of India website, the number of seats for DM cardiac anaesthesia is 49 only as compared to 406 for DM cardiology and 194 for MCh cardiothoracic and vascular surgery. This makes the excess burden on the available resources as and thus the stress.
  3. Another important measure to decrease the stress level is to create separate cadre of Cardiac Anaesthesia Assistant similar to the Cardiac Cath lab technicians as discussed by the authors. This will also give impetus to the skill development programme by Government of India. The most important benefit is that the technician may be directly recruited for Cath Lab, which helps in building repo with the operator as the availability of the same cardiac anaesthetist may not always be possible.
  4. Job satisfaction is one of the most important aspects in professional life. Apart from having good salary or payment, there is a need to have good professional conduct in Cath lab and cardiac operation theatres. There is a need of enhanced communication between cardiologist, cardiac surgeon, and cardiac anaesthesiologist not only during the procedure but also socially. It helps in making life better with low stress level which ultimately reflects in better patient care.
  5. All procedures done according to the guidelines help in improved patient care and also prevents from unnecessary medico legal suits. It is the responsibility of the concerned societies to make guideline or practicing manual for their members and other concerned practioners.
  6. We would also like to have attention of the authors regarding the number of Cath labs in India which in the manuscript have been mentioned only 172 units. The data from the National Interventional Council shows 705 centres were active in 2018 and is increasing with each passing year.[2]


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Conflicts of interest

There are no conflicts of interest.

References

1Annachhatre AS, Janbure N, Gaddam N, Shinde D, Annachhatre S. Anesthesiologists and job satisfaction in cardiac cath lab: Do we need guidelines? Ann Card Anaesth 2020;23:116-21.
2Arramraju SK, Koganti S, Janapati R, Emma Reddy SK, Mandala GR. The report on the Indian coronary intervention data for the year 2017-National interventional council. Indian Heart J 2019;71:146-8.