Dr. Alka Mandke

Alka Mandke is an exceptionally experienced Cardiac Anaesthesiologist with 49 years of dedicated clinical practice, currently serving as the Honorary Head of the Anaesthesia Department and Consultant Cardiac Anaesthetist at Kokilaben Dhirubhai Ambani Hospital in Andheri West, Mumbai.

Demonstrating immense clinical expertise, she specialises in advanced blood conservation techniques, painless cardiac surgeries, and fast-tracking protocols in cardiac anaesthesia.

Her highly authoritative knowledge in maintaining optimal patient stability during complex open-heart surgeries ensures extremely safe surgical environments, forming a reliable foundation for rapid post-operative recovery.

Building on an outstanding academic foundation, Dr Mandke secured the 1st rank in both her MD and Diploma in Anaesthesiology from B. J. Medical College, Pune, and holds a prestigious FIACTA fellowship.

She actively consults in English, Hindi, and Marathi, ensuring clear and compassionate communication with her patients, while simultaneously leading numerous highly impactful healthcare and social welfare initiatives across Maharashtra.

Specialty Areas and Treatments

Dr Alka Mandke provides advanced anaesthetic care, focusing on precise physiological monitoring, fast-track recovery, and complex intraoperative management.

Cardiac Anaesthesia and Monitoring

Dr Mandke offers highly precise anaesthetic management for critical heart procedures, managing conditions such as complex coronary artery disease, valvular heart defects, and severe cardiac arrhythmias.

• Advanced Intraoperative Cardiac Monitoring: Precise placement of highly specialised invasive lines to safely monitor continuous blood pressure and haemodynamics during open-heart surgery.
• Safe Anaesthetic Induction: Careful administration of targeted anaesthetic agents tailored for cardiac patients to safely maintain maximum cardiovascular stability throughout complex interventions.

Fast-Tracking in Cardiac Surgery

Dr Mandke provides comprehensive protocols to accelerate patient healing, managing conditions such as severe post-operative recovery delays, prolonged mechanical ventilation, and ICU complications.

• Fast-Track Cardiac Anaesthesia: Highly advanced use of newer volatile anaesthetic agents, like Desflurane, to safely ensure rapid awakening and minimal residual sedation after major heart surgery.
• Early Extubation Protocols: Precise, evidence-based clinical management designed to safely remove the patient's breathing tube significantly earlier, reducing the risk of respiratory infections.

Blood Conservation Strategies

Dr Mandke expertly manages critical surgical bleeding risks, treating conditions such as high bleeding risk during open-heart surgery, severe intraoperative haemorrhage, and anaemia.

• Advanced Blood Conservation Techniques: Highly skilled perioperative strategies utilised to safely minimise blood loss during Off-Pump Coronary Artery Bypass (OPCAB) surgery and avoid unnecessary transfusions.
• Cell Salvage and Autotransfusion: Precise collection and filtering of the patient's own lost blood during surgery to safely reinfuse it, significantly reducing the reliance on donor blood.

Pain Management and Critical Care

Dr Mandke offers rapid, advanced pain management solutions for cardiac patients, treating conditions such as severe post-surgical thoracic pain, acute cardiovascular instability, and complex post-operative pain.

• Specialised Post-Operative Analgesia: Minimally invasive, highly targeted delivery of pain-relieving medications to safely completely block severe pain and ensure a comfortable recovery in the ICU.
• Advanced Intensive Care Management: Precise physiological stabilization of highly vulnerable cardiac patients recovering from complex bypass or valve surgeries to safely ensure optimal healing.

Credentials and Academic Foundation

Showcasing her dedication to continuous medical education and academic excellence, Dr Alka Mandke possesses an exceptionally robust academic background:

• MBBS from B. J. Medical College and Sassoon General Hospitals, Pune
• MD in Anaesthesiology (1st Rank) from B. J. Medical College and Sassoon General Hospitals, Pune
• Diploma in Anaesthesiology (DA) (1st Rank) from B. J. Medical College and Sassoon General Hospitals, Pune
• FIACTA (Fellowship of the Indian Association of Cardiovascular and Thoracic Anaesthesiologists)

Professional Memberships

Dr Mandke holds active affiliations and leadership roles with several highly prestigious medical organisations:

• Indian Society of Anaesthesiologists (ISA)
• Dr Ambardekar Society of Anaesthesiology (ASA)
• Indian Association of Cardio Thoracic Surgeons (IACTS) (Since 1986)
• Society of Cardiac Anaesthesiologists, USA (SCA) (Since 1994)
• Indian Association of Cardio Thoracic Anaesthesiologists (IACTA) (Since 1997)
• Editorial Board, Annals of Cardiac Anaesthesia (1998 to 2012)
• Executive Council of IACTA (1999 to 2001)
• National Advisory Board for Anaesthesia Update

Leadership and Social Contributions

Beyond her exceptional clinical practice, Dr Alka Mandke has deeply contributed to healthcare infrastructure and social welfare, carrying forward the visionary legacy of her late husband, renowned cardiac surgeon Dr Nitu Mandke. Her monumental contributions include:

• Leadership Roles: Serving as the CEO of Dr. Mandke's Memorial Cardiovascular Services Centre (2005) and acting as the Director and Trustee of the Mandke Foundation and Malti Vasant Heart Trust.
• Social Initiatives: Serving as the Chairperson of Keshavsrushti in Uttan–Bhayander (a massive NGO involving an international school, Gaushala, and Vanaushadhi Kendra). She also supports nearly 50 different NGOs and serves on the advisory board of the NGO Federation in Pune.
• Literary Work: Authoring the highly acclaimed book 'Hridayasth' (2004) as a tribute to her late husband, which was translated into English, Hindi, and Gujarati due to massive public demand.
• Preserving a Legacy: Since 2004, she has annually organised large-scale social programmes in Pune. She also arranges 16 Dr Nitu Mandke Orations yearly at the Nitu Mandke Convention Centre (KDAH), 6 memorial lectures at IMA West Suburban, and 2 at IMA Pune. In honour of these contributions, the Indian Medical Association branches in Pune and Indapur were renamed to Dr. Nitu Mandke IMA in 2017.

Past Experience

With forty-nine years of highly focused clinical experience, Dr Mandke has successfully managed the critical anaesthetic requirements of thousands of complex cardiac surgeries. Her professional journey includes serving as an expert specialist at premier tertiary care hospitals:

• Consultant (Cardiac Anaesthesia): Lilavati Hospital and Research Centre, Bandra.
• Consultant (Cardiac Anaesthesia): P.D. Hinduja National Hospital, Mumbai.

Current Hospital Affiliations

She currently provides expert cardiac anaesthetic care and advanced intensive care management at the following location in Mumbai:

• Kokilaben Dhirubhai Ambani Hospital and Medical Research Institute, Andheri West, Mumbai. (Honorary Head of Department, Anaesthesia and Consultant, Cardiac Anaesthesia)

Awards and Recognitions

Dr Alka Mandke is widely recognised for her clinical excellence, literary success, and vast social contributions. Her professional achievements include:

• Maharashtra Bhushan Award by Maharashtra Kala Niketan in Mumbai.
• Life Time Achievement Award by the Indian Association of Cardio Thoracic Anaesthesiologists (IACTA) in Kolkata (2019).
• Yashaswini Puraskar on World Health Day.
• Utkrushta Saahitya Puraskar in Solapur for her renowned book Hridayasth.
• Aashirwad Award at the Sahitya Kala Mahotsav in Mumbai.
• Felicitation by Dainik Sakal (2003) for her continued social work and commitment to completing the hospital envisioned by the Mandke Foundation.

Medical Research and Publications

Dr Mandke maintains a strong commitment to academic advancement in the field of Cardiac Anaesthesia. She has presented over 40 papers in national and international conferences, participated as a panellist or moderator in 13 conferences, and chaired over 25 sessions globally.

She has also conducted 10 international workshops in locations like Muscat, Syria, and Darussalam.

Her highly cited publications include:

• "Newer volatile anesthetic agents in cardiac anesthesia: Review of literature."
• "Comparative study of perioperative infusion of diltiazem and nicorandil on myocardial protection during OPCAB surgery."
• "Fast Tracking in OPCAB Surgery: An Indian Perspective."
• "Comparison of three methods of blood conservation in expected bleeders in OPCAB (off pump coronary artery bypass surgery)."
• "Fast Tracking in Cardiac Anaesthesia: Clinical outcomes and techniques."

Book an Appointment with Dr Alka Mandke, Anaesthesiologist

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