Institute of Anaesthesiology & Critical Care

Institute of Anaesthesiology & Critical Care

Pre Anaesthesia Clinic

Our perioperative care starts with PAC (Central assessment Room ). Patients coming for preoperative fitness for surgery are being holistically assessed and completely optimised as per RGGGH PAC Protocol before going for surgery. Nearly 1900 patients are thoroughly assessed per month.

Post Anaesthesia Care Unit

PACU was started in the year 2005 to take care of the surgical patients undergoing major surgery with blood loss/fluid shifts, faciomaxillary procedures and post-surgical patients with anaesthetic complications. It had 8 beds and upgraded to 10 beds in 2010 and has 8 ventilators. It is functioning round the clock under the supervision of qualified anaesthesiologists with help of anaesthesia postgraduates.

Pain Clinic Services

Chronic pain incapacitates more than 30% of general population. So chronic interventional pain management helps not only in relieving pain but improves the quality of life.

Pain clinic services are provided to the patients for over three decades as an OP procedure, but it is formally inaugurated 2 years back and rechristened as Chronic Pain Management Centre (CPMC). We do interventional pain management procedures both ultrasound and fluoroscopic guided. We cater both to palliative cancer patients and chronic pain like LBA. Procedures that are done in CPMC are

  • USG/Fluoroscopic guided celiac plexus neurolysis
  • USG/Fluoroscopic guided hypogastric plexus neurolysis
  • Stellate ganglion block
  • Caudal and transforaminal Epidural
  • Specific Nerve root block
  • Facetal injections
  • Trigeminal block
  • Greater occipital nerve block(GON)
  • Sacroiliac joint block
  • TAP, continuous sciatic & femoral nerve block etc

We have separate admission rights and OT suite with 8-10 tables per month for interventional pain management.

Organ Retrieval from Brain Dead And Cadaver Organ Transplant Procedures

The first cadaver transplant was done on 26-10-2009.As the patient is declared as brain dead, patient is taken over anaesthesiologist in the PACU and optimized for organ retrieval After the second apnoea test was performed on brain dead, viable organs are harvested and sent to various institution according to priority list in coordination with transplant coordinator harvested kidney which is allotted to MMC is immediately transplanted to the specie recipient. We are the pioneers in organ retrieval and cadaver transplant in India. Till now we have done around 100 cases.

Liquid Oxygen Supply

It was started July 2012. The inauguration of liquid oxygen has eased the problem cylinder shortage and provided us 24 X 7 X 365 days of uninterrupted oxygen supply for nee patients. Initially central oxygen and suction connections were started only for critical care units. Later because of the availability of liquid oxygen it was extended to all most all the wards. Because of this service any patient who is hypoxemic will be immediately taken care of in the ward itself.