Expanding Horizons of Indian Society of Neuroanesthesiology and Critical Care (ISNACC)

Ponniah Vanamoorthy, MD, DNB
Secretary, ISNACC
Senior Consultant and Head, Neuroanesthesiology and Neurocritical Care
Gleneagles Global Health City, Chennai, Tamil Nadu, India

Shashi Srivastava, MD
President, ISNACC
Professor, Department of Anaesthesiology, SGPGI, Lucknow, India

Ponniah Vanamoorthy, MD, DNP

Ponniah Vanamoorthy, MD, DNB

Shashi Srivastava, MD
Shashi Srivastava, MD

Indian Society of Neuroanaesthesiology and Critical Care (ISNACC), since its inception in 1999, has now over 600 members to accomplish its mission of achieving the highest standards of practice and safety in neuroanaesthesiology and neurocritical care. Apart from the Annual Meetings, there are several CMEs, workshops and Neuro-Emergency life support courses happening in India under the aegis of ISNACC. The participation in these meetings is overwhelming and more such meetings are scheduled for future. ‘AIIMS Neurological Life Support (ANLS) Course’ conducted at AIIMS, New Delhi; ‘ISNACC- MSA Joint Refresher Course in Neuroanaesthesiology and Neurocritical Care,’ held at Yangon, Myanmar; ‘Cerebral Physiology and Its Clinical Applications,’ conducted at Christian Medical College, Vellore, Tamil Nadu; ‘Neurocritical Care Update & Neuro Monitoring Workshop,’ conducted at Dehradun, Uttarakhand; ‘Neuroanaesthesia and Neurocritical Care Update,’ conducted at SGPGI, Lucknow, Uttar Pradesh; ‘Neurocritical Care and Neuro Monitoring Workshop,’ conducted at Chennai, Tamil Nadu, were some of the activities that have happened during last few months (2018). ISNACC supports conduct of CMEs on neuroanaesthesiology at remote places with financial support. These activities help with dissipating the knowledge even to the remote corners of our country.

International Collaborations
International collaborations were always encouraged by ISNACC and to this effect, from this year onwards, the ‘Joint Travel Grant,’ which will be provided by both SNACC and ISNACC to attend the Annual Meetings of SNACC, is a new step forward. This will benefit especially the student community (Residents). The ‘SNACC Panel’ at the Annual Meetings of ISNACC, initiated six years back, has been a great step forward in the progression of neurosciences in India with exchange of scientific ideas. ISNACC, in collaboration with other anaesthesiology societies, is promoting the practice of neuroanesthesiology by conducting refresher courses and CME in neighbouring countries like Myanmar.

ISNACC is also affiliated with the Neuro Anaesthesia and Neuro Critical Care Society of Great Britain and Ireland (NACCSGBI) and is a Global Partner of Neurocritical Care Society (NCS) for the last three years. It is an active part of Asian Society for Neuroanesthesia and Critical Care (ASNACC) and held its biennial meeting in 2011 in New Delhi.

Academic Contribution and Training
The younger generation of neuroanaesthesiologists, with completion of structured, accredited programs, are assuming lead positions in the practice of this subspecialty in various neurosciences units across the country, before which there were no subspecialized practices in many centers. With respect to training and education, ISNACC, for its part, has trained more than 60 post-doctoral fellows across the country at various institutions, and more centers are accredited for fellowship programs, even at tier two cities. Currently 11 centers across the country have been accredited for the conduct of one-year ISNACC Post-Doctoral Fellowship (PDF) programs in neuroanaesthesiology and neurocritical care. There is a growing demand for such programs with increase in the number of neurosciences units across the country. Apart from the ISNACC PDF program, the three-year DM programs in Neuroanaesthesiology and Critical Care at AIIMS, New Delhi, SCTIMST, Thiruvananthapuram, NIMHANS, Bengaluru, and PGIMER, Chandigarh, have produced many trained neuroanaesthesiologists who have assumed posts at various academic and research centers in India and abroad. Recently, the subspecialty received a big boost by the introduction of a formal training program by the National Board of Examinations for a period of three years; it has been awarded to nine centers in India. This will be an accredited program and a recognized degree to practice neuroanaesthesiology and neurocritical care in India. This program was proposed by the ISNACC and became a reality as a result of the untiring efforts of its senior members. Meanwhile, a unique and prospective model of neuroanaesthesiology and neurocritical care services that makes a complete neurosciences intensive care unit is being promoted for improved patient outcomes. Most of the neuroanaesthesiologists are also neurointensivists who lead neurocritical units at different hospitals. With the creation of such units, neuro-emergency services are centered around neuroanaesthesiology and neurointensivists, who can assume potential lead roles in neuro-emergency facilities in different hospitals across India.

Acute Neuro Care (ANC) is a program envisaged by ISNACC to promote the care of acutely ill neurological patients in a timely manner with respect to their diverse practicing scenarios and resource limitations. The main aim of this program is to encourage first responders to approach neuro-emergencies in a focused manner and avoid time delay in getting appropriate care.

Classroom is an educational initiative promoted by ISNACC to exchange ideas and encourage young faculty into teaching. It has the potential to bridge the gap in diversity of care and promote the exchange of ideas in a closed room wherever you are in the world.

Journal of Neuroanaesthesiology and Critical Care (JNACC) is the official journal of the ISNACC and is growing under the leadership of Professor Parmod K. Bithal and team. JNACC has completed five years of publication while making a mark in the academic and research arena of neuroanesthesia and neurocritical care. ISNACC provides its information through various social networking sites other than its very popular website (; including a Facebook page ( and Twitter accounts (@ISNACCINDIA; @classroom).

The Future
The Annual Meetings of ISNACC are organized regularly since its inception. The upcoming meetings are scheduled to be held at Gurugram, Haryana (2019) and Chennai, Tamil Nadu (2020). The current scenario of neuroanaesthesiology in India looks promising with more and more dedicated neurosciences centers coming up and the demand is being fulfilled by the structured training programs.

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