Workshop on Ultrasound Guided Regional Blocks, Dhulikhel Hospital: 26 March 2017

Dr Purna Raj Joshi, Consultant Anaesthetist at Pinderfields Hospital in Wakefield writes:

I was invited as the Course Director for the Workshop on Ultrasound Guided Regional Blocks, held at Dhulikhel Hospital in Nepal. The workshop was jointly organized by Health Exchange Nepal (UK), Dhulikhel Hospital, Kathmandu University and Society of Anaesthesiologists of Nepal (SAN) on the occasion of 18th National Conference of SAN. 

20 postgraduate residents and practicing anaesthesiologists from different hospitals of Nepal participated in the workshop. The morning session started with a lecture on Principles of Ultrasound Guided Regional Blocks and demonstrations of ultrasound machine and needling techniques.

Participants were divided at four stations for practical sessions which were equipped with ultrasound machines, Blue Phantom ultrasound regional anaesthesia training blocks and were supervised by faculty members. After familiarisation with the ultrasound machine and learning the needling techniques, participants went through three separate sessions on Upper Limb Blocks, Lower Limb Blocks and Abdominal Wall Blocks. Each session started with a lecture and demonstration on volunteer model and followed by practical sessions at workshop stations. All the participants had ample time for learning needling techniques on Blue Phantom ultrasound training model blocks, hands on practice of sonoanatomy on healthy volunteer models and interactions with faculty members.

The workshop was very successful and all the participants gave high rated feedbacks.

I am very grateful to Dhulikhel Hospital for inviting me as Course Director. I would also like to thank HExN for co-sponsoring the workshop and to my colleagues at Pinderfields Hospital for contributing towards Blue Phantom Fund.

Diabetes Nepal Conference: 1 - 4 March

March 5, 2017

HExN Secretary Dr Satyan Rajbhandari attended this year's Diabetes Nepal Conference. he shares his experience below: 

My trip this time to Nepal was exciting. For the first time we were going to conduct Diabetes conference outside Kathmandu. HExN has helped ‘Diabetes Nepal’ to conduct six annual professional conferences and they were all held in Kathmandu.

As soon as I landed, I realised that Kathmandu was dirty. Some people have named it ‘Dustmandu’. They were digging streets for drinking water supply and left gaping hole. I admired the resilience of Kathmandu people. They do not complain, no matter how bad things are. I started my work and met office bearers of Diabetes Nepal.

Next day I went to the graduation ceremony of paramedics for Nepal Ambulance Service whom HExN has helped. Then I went to Dhulikhel to discuss how to develop ‘Orthotic & Prosthetic Course’ there. Dhulikhel was as beautiful as ever.

Next day I went to Pokhara where I met Marie-France who came back from trekking. She is consultant from Leicester and one of our faculty member for Diabetes Conference. We had first regional diabetes conference in Pokhara on 1st March 2017. It was held in Hotel Barahi and attended by 40 doctors. I was greatly encouraged by participation from senor doctors. We also discussed about conducting future medical conferences there.

We drove back to Kathmandu on 2nd March. We stopped at scenic Bandipur on our way, which was a nice break. On 3rd March we had first ever meeting on ‘Diabetes Educator’ at Maharajgunj Campus. This was aimed at nurses and nutritionists. Around 200 people participated in this.

4th March was our 7th Annual Diabetes Conference held at Hotel Yak & Yeti. Around 150 doctors participated in this. This programme was inaugurated by Mr Satya Mohan Joshi, ‘Man of the Century’ of Nepal. He is 97 and gave his secret to disease free life. His secret was a glass of milk in the morning and a measure of whiskey at night. Dr Deshpande from India, Prof Jude from Manchester, Dr Kong from Leicester and myself from Preston were the international speakers. We had two workshops this time, which was very popular. We agreed to hold another conference again in a year’s time.

My final day was spent with Nepal Television who took my interview on Diabetes, HExN and my life. This was broadcast live.

Liverpool Fundraising Event Raises £2600.00

February 13, 2017

It was an honour to welcome His Excellency Ambassador Dr Durga Bahadur Subedi and Nepalese MP and philanthropist Dr Arzu Rana Deuba to our Health Exchange Nepal cultural fundraising event in Liverpool this weekend.

The event was supported by the Nepalese Community in Liverpool Group and included a full agenda of traditional dancing and singing accompanied by a buffet of Nepalese and Indian food and raffle and auction.

The earthquakes which hit Nepal in 2015 have had a long-lasting effect beyond the loss of lives and permanent injuries caused to so many. Tourism, a vital source of income for Nepal, has dipped sharply, so all profits from the day go directly to Health Exchange Nepal to help its work of providing clinical and educational support in Nepal, improving the lives of thousands of people each year.


2017 Training Programmes announced

18 February: Clinical Governance Meeting at Civil Hospital, Kathmandu

1 - 4 March: Diabetes Nepal Conference

(1 March in Pokhara for Doctors, 3 March in Kathmandu for Nurses and National Conference in Kathmandu on 4 March)  

26 March: Regional Anaesthesia Course at Dhulikhel Hospital
26 & 27 March: Neonatal Life Support training at Dhulikhel Hospital
April (Date TBC): Recognising Child Abuse workshop at Kanti Hospital
4 May: RCPE / SIMON joint symposium
5 & 6 May: SIMON Conference
October (Date TBC): Respiratory Meeting in Pokhara
October (Date TBC): Neuroradiology Training Course in Kathmandu
November (Date TBC): Laparoscopy Surgery Training in Dhulikhel Hospital


Ultrasound anaesthesia workshop at Kirtipur

November 23, 2016

The two day ultrasound anaesthesia course at Kirtipur, led by Dr Aryal and Dr Brodbeck, included two practical sessions in ICU and Theatres, and an additional ultrasound of lung, heart and abdomen. 

An enthusiastic group of eleven young doctors attended the workshop, most of whom had some ultrasound experience, and the feedback was excellent.

The colorectal course facilitated by Lancashire Teaching Hospital Consultant Patrick Keating included lectures in the morning and a theatre case video linked into the lecture room in the afternoon. 


Anaesthesia Pain and Critical Care Medicine (CURRENT 2016) Refresher Course in Kathmandu

November 15, 2016

Health Exchange Nepal (UK) organised a refresher course in Tribhuvan University Teaching Hospital (TUTH) on 26 August 2016 in Kathmandu, Nepal.

Dr Shambhu Acharya took the responsibility of forming an international faculty and the rest of the faculty members were from TUTH for this meeting. It was an opportunity as well as a challenge to find the experts in the relevant fields who were willing to go to Nepal during a holiday season on a voluntary basis.

Three consultant anaesthetists from Aintree (Dr Shambhu Acharya, Dr Raj Nagaraja and Dr Shetty) and Dr Jagadish Agrawal from Wirral Hospitals and one paediatrician Dr Sujay from United Arab Emirates kindly agreed to be the faculty members to go to Nepal.

A range of topics were included in the course. The international faculty covered the following topics:

  • Anaphylaxis: Dr Shambhu Acharya
  • Complications of regional anaesthesia: Dr Ravish Shetty
  • Pregnancy induced hypertension: Dr Jagadish Agrawal
  • Neonatal resuscitation: Dr N Sujay
  • Critical appraisal of scientific papers: Dr Raj Nagaraja
  • Fluid management in trauma patients: Dr Raj Nagaraja

There were many challenges for our faculty as Nepal lacks many resources and some drugs are not available there and some alternatives were to be found that could be used in Nepal. 

Photo (Left to Right):
Dr Gentle Shrestha, Dr Diptesh Aryal (Co-ordinator for the course in Nepal), Dr Nagaraja, Prof Bimal Kumar Sinha (Acting Dean, Institute of Medicine), Dr Acharya, Prof Marhatta (HoD of Anaesthesia, TUTH), Dr Anil Shrestha