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Critical Care Medicine

The Division of Critical Care Medicine at Aashka Hospital runs a 65 bedded intensive care unit (ICU) which includes CCU, MICU, SICU,PICU & NICU. All medical/surgical cases needing intensive care are admitted here. These include endocrinology, gastroenterology, internal medicine, nephrology, neurology, oncology, pulmonology, pediatrics, rheumatology, skin & infectious diseases. Some surgical patients are also admitted here including general surgery, gynecology, neurosurgery, orthopedics, and trauma. The total number of patients admitted annually is approximately 3000.

All beds have individual multi-parameter patient monitors that have ECG, invasive pressures that include blood pressure, CVP, ICP, PAP etc., respiratory monitoring, temperature with features for storing data over a 24 hour period. The various mechanical ventilators that are available have all modes including SIMV, PRVC, PS, etc. Ventilators also provide ventilator waveforms and loops that help the intensivist in better titration and fine tuning of ventilatory management. Other ventilators like noninvasive ventilators and transport ventilators are also available.

Other facilities that are available at the bedside includes various diagnostic procedures like ultrasound, ECG, ECHO, X-ray, EEG, ABG and various therapeutic procedures like Hemodialysis, plamapheresis, fibreoptic bronchoscopy, percutaneous tracheostomy, minitracheostomy, ultrasound guided paracentesis and other therapeutic procedures, USG guided arterial and central venous cannulation etc. The special features of staffing include one:one nurse patient ratio.

At Aashka Hospital, the entire spectrum of critical care services is provided by doctors who are present 24 hours a day, 365 days a year, which is on par with international standards. We have developed our own evidence-based protocols for the Indian scenario to provide high quality care for critically ill patients.

These doctors are also responsible for the Rapid Response Team (RRT) in our hospital. We respond to a patient with early signs of deterioration or non-intensive care patients to prevent cardiac and respiratory arrest. Our RRT includes CCM doctor and a nurse along with a respiratory therapist. We have also set our own Rapid Response Calling System Criteria. The RRT forms the backbone support system of every department during emergencies.

The Critical Care Department of Aashka Hospital has a multidisciplinary programme that emphasizes a team-based approach to care and manages a variety of cases in various specialties which are admitted in the Cardiac ICU, Surgical ICU and Medical ICU lead by a team of experienced and dedicated professionals.

Critical Care Nursing staff are a highly skilled and motivated group who are the backbone of the CCM team that delivers the best possible bedside care to our patients. They are also very concerned with our patients’ comfort and privacy, and are attentive to our patients’ families, who frequently need information and guidance.

We, the CCM team understands the patient’s illness and family’s concerns; hence we interacts with the family members in our dedicated video counseling room along with a grief counselor on a daily basis.

Patients from across the country are transported via ground ambulance services (ICU ON WHEELS) which are fully equipped with life support systems, ventilators, and monitors; a trained doctor and technician accompanies the patient during transportation.

 

Critical Care Unit

Each bed is equipped with state of the art Multipara monitors.

  • Bipap Ventilators
  • Air mattress and D.V.T. Prophylaxis Flowtron compressors
  • Portable x-rays, ultrasound & 2DECHO is available in ICU and facilitates quick bedside diagnosis
  • Cardiac ICU and Recovery Room work closely with Cardiac and Consultants.
  • Rapid thrombolysis, primary angioplasty, Intra-aortic balloon pump, temporary cardiac emergency care is administered.
  • State of art post-operative cardiothoracic care is given to both infants & adults. Written ICU policies-
  • Monitoring of key quality indicators –
  • Stringent infection control protocols-multidisciplinary rounds.
  • Ongoing nurse and junior doctors training.
  • Close interaction with families through regular conferences ensures world class intensive care treatment.