Critical Care

Critical care medicine is the multidisciplinary healthcare specialty that cares for patients with acute, life-threatening illness or injury. Critical care medicine is now a recognized Super Specialty by the Medical Council of India (MCI) and the practitioners are called “Intensivists”. 

Intensivists provide dedicated and continuous care to critically ill patients who require advanced monitoring and care in the Intensive Care Unit setting. These specialists, who have special training in the care of critically ill patients work closely with all other specialists in the hospital. 

The Intensive Care Unit (ICU) is now an essential area of patient care in tertiary care hospitals. 

Critical illness is a condition where life cannot be sustained without invasive therapeutic interventions. Patients with critical illnesses are admitted to the ICU for treatment. 

Located on the second floor we have a Medical and Surgical ICU comprising of 26 beds and a High Dependency Unit (HDU) of 15 beds. Our ICUs have a very high nurse to patient ratio, supported with continuous invasive monitoring, in addition to the use of mechanical and pharmacological life sustaining therapies (mechanical ventilation, vasopressors, continuous dialysis). 

Any disease, if aggravated can lead to critical illness. Therefore, in a number of cases, the survival depends on the speed and accuracy of the therapy besides the severity of the illness. 

Special areas of service include: 

• Management of shock and cardiopulmonary resuscitation
• Respiratory failure
• Multisystem organ failure (including renal and hepatic)
• Sepsis (infection)
• Central nervous system crises
• Cardiac failure

Treatments and procedures performed in the department of Critical Care Medicine include the following 

• Different methods of airway management
• Percutaneous tracheostomy
• Ventilator support
• Central venous line placement
• Arterial line placement
• Invasive pulmonary artery hemodynamic monitoring
• Continuous pulse oximetry
• Continuous cardiac monitoring
• Hemodynamic monitoring
• Synchronized cardioversion
• Temporary pacemaker insertion and maintenance
• Continuous vasoactive and antiarrhythmic drug infusions
• Thrombolytic infusion
• Haemodialysis
• Peritoneal dialysis
• Bronchoscopy
• TPN
• Pain relief
• Venous phlebotomy
• Arterial blood sampling
• Bladder catheterization
• Nasogastric tube placement
• Nasojejunal tube placement
• PEG o Lumbar puncture
• Abdominal paracentesis
• Thoracentesis
• ICD tube placement
• Nutritional planning
• Resuscitation services in all the departments round the clock
• Emergency services round the clock

Doctors & Consultants

Dr. Vandana Makarand Joshi

Consultant

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