Anesthesiology

Mechanical Ventilation:

This involves the use of a ventilator to assist or control a patient’s breathing when they are unable to do so adequately on their own.

Arterial Line Placement:

A thin tube (catheter) is inserted into an artery to monitor blood pressure continuously and collect blood samples.

Central Venous Catheter (CVC) Insertion:

A catheter is placed into a large vein, typically in the neck, chest, or groin, to administer medications, fluids, or monitor central venous pressure (CVP).

Pulmonary Artery Catheter (Swan-Ganz Catheter) Insertion:

This specialized catheter is used to measure cardiac output, pulmonary artery pressure, and other hemodynamic parameters.

Dialysis:

ICU patients with kidney failure or severe electrolyte imbalances may require hemodialysis or continuous renal replacement therapy (CRRT).

Bronchoscopy:

A flexible tube with a camera is used to examine the airways and lungs, remove obstructions, or collect samples for testing.

Thoracentesis:

This procedure involves draining fluid or air from the space between the lung and chest wall (pleural cavity).

Chest Tube Insertion:

A chest tube is placed to drain excess fluid, blood, or air from the chest cavity, often after surgery or trauma.

Tracheostomy:

A surgical opening is created in the trachea (windpipe) to provide a stable airway for patients who need prolonged mechanical ventilation.

Electrocardiogram (ECG or EKG):

Continuous monitoring of the heart’s electrical activity to detect arrhythmias and ischemia.

Transfusions:

Administration of blood or blood products, such as packed red blood cells or platelets, to treat anemia or bleeding disorders.

Bronchial Hygiene Therapy:

Techniques like chest physiotherapy or nebulized medications are used to help clear airway secretions in patients with lung conditions.

Intravenous (IV) Medication Administration:

Administration of a wide range of medications directly into the bloodstream.

Nutritional Support:

Feeding tubes or intravenous nutrition may be used to provide essential nutrients to patients unable to eat normally.

Continuous Electroencephalography (EEG):

Monitoring of brain electrical activity, often used to assess patients with seizures or altered mental status.

Wound Care:

Treatment and dressing changes for surgical wounds or pressure ulcers to prevent infection and promote healing.

Continuous Glucose Monitoring:

Monitoring and management of blood glucose levels in diabetic patients or those experiencing stress-induced hyperglycemia.

Hemodynamic Monitoring:

Continuous assessment of blood pressure, heart rate, cardiac output, and other cardiovascular parameters.

Ultrasound:

Used for various diagnostic and procedural purposes, including vascular access and imaging.

Respiratory Conditions:

• Acute Respiratory Distress Syndrome (ARDS)
• Pneumonia
• Chronic Obstructive Pulmonary Disease (COPD) exacerbations
• Severe asthma exacerbations
• Pulmonary embolism

Cardiovascular Conditions:

• Myocardial Infarction (Heart Attack)
• Congestive Heart Failure (CHF) exacerbations
• Arrhythmias (e.g., atrial fibrillation, ventricular tachycardia)
• Cardiogenic shock
• Hypertensive emergencies

Neurological Conditions:

• Stroke (Ischemic or Hemorrhagic)
• Traumatic Brain Injury (TBI)
• Seizures
• Neuromuscular disorders (e.g., Guillain-Barré syndrome)
• Encephalitis and Meningitis

Infectious Diseases:

• Sepsis and Septic Shock
• Bacterial infections (e.g., severe bacterial pneumonia, cellulitis)
• Viral infections (e.g., COVID-19, severe influenza)
• Fungal infections (e.g., invasive candidiasis, aspergillosis)

Renal and Metabolic Disorders:

•  Acute Kidney Injury (AKI)
• Diabetic ketoacidosis (DKA)
• Severe electrolyte imbalances (e.g., hyperkalemia, hyponatremia)
• Metabolic acidosis

Gastrointestinal Conditions:

• Gastrointestinal bleeding
• Acute pancreatitis
• Liver failure (e.g., acute liver failure)
• Bowel obstructions

Trauma and Surgical Complications:

• Multiple Trauma
• Postoperative complications (e.g., postoperative bleeding, anastomotic leaks)
• Burns

Hematological Disorders:

• Disseminated intravascular coagulation (DIC)
• Thrombotic microangiopathies (e.g., thrombotic thrombocytopenic purpura)
• Severe anemia or bleeding disorders

Oncological Emergencies:

• Complications of cancer treatment (e.g.,
• chemotherapy-induced neutropenic fever)
• Tumor lysis syndrome

Autoimmune and Inflammatory Disorders:

• Systemic lupus erythematosus (SLE) with organ involvement
• Rheumatoid arthritis with respiratory or cardiac complications
• Acute severe inflammatory bowel disease

Others:

• Organ transplant complications
• Toxic ingestions and overdoses
• Hemorrhagic disorders (e.g., intracranial hemorrhage)
• Severe anaphylactic reactions

OPD

Preanaesthetic clinic between 9am to 3pm.
Pain clinic OPD between 9am to 3pm on Monday, Wednesday and Fridays.

IPD

PROCEDURES DONE

• General Anaesthesia
• Spinal Anaesthesia
• Continuous epidural Anaesthesia
• Ultra sound guided regional Anaesthesia
• Image guided pain procedures

SPECIAL / EVENING / DAYCARE CLINICS

CRITICAL CARE

Management of critically ill patients in surgical ICU, neurosurgical ICU and high dependency units.

EXTENSION ACTIVITIES

Training of undergraduates, post graduates, interns, allied health sciences students, nursing staff and lay people regarding Basic Life Support and Advanced Cardiac Life Support

Ongoing

• Effect of peroperative intravenous lidocaine on post operative analgesia in adult patients undergoing elective laparoscopic cholecystectomy.
  Dr Anup N R, Dr C.L Gurudatt, Dr Yashaswini
• Intrathecal chloroprocaine 1% for short gynaecological procedures- An observational study.
  Dr Sarika M Shetty, Dr Vyshnavi S, Dr C.L Gurudatt
• General Anaesthesia in combination with spinal anaesthesia for elective Total Abdominal Hysterectomy – A prospective double blind controlled study.
  Dr Archana S, Dr Ashwini N, Dr C.L Gurudatt
• Effect of paravertebral block for multiple rib fractures as analgesic technique – A controlled study.
  Dr Pratibha R Matche