 |
DEPARTMENT
OF ANAESTHESIOLOGY & INTENSIVE CARE
|
 |
|
|
|
| The
Department of Anaesthesiology and Intensive Care
is focused on providing safe anesthesia which is
a prerequisite for getting the best results from
aggressive surgery carried out to cure cancers. |
| Comprehensive
preoperative assessment, patient optimization before
anesthesia and surgery, careful administration and
monitoring of anesthesia and high quality postoperative
care go a long way in minimizing the risk of major
surgery. |
| Following
are the services offered by the Department. |
| |
Anaesthesia: General, regional and combined
general and regional |
| |
Post-operative pain management |
| |
Pain management for cancer pain |
| |
Intensive care services in ICU for post-operative
care of major surgeries, and for other critically
ill patients including both non-invasive and
invasive ventilatory support |
|
 |
|
HISTORY |
 |
|
|
The Department of Anaesthesia and Intensive Care
started with the essential basic equipment since
the beginning of the hospital. Gradually the department
has been upgraded in terms of monitoring under anesthesia
and post operative care in ICU. Presently, we have
a respiratory gas monitoring, comprehensive monitors
for invasive and non invasive blood pressure, CVP,
temperature, SPO2, multi-channel ECG monitoring
with self detection of arrhythmia facility. We have
invasive and non invasive mode of ventilatory support
facilities in intensive care unit. |
| The
Dept. of Anesthesiology at Dharamshila Cancer Hospital
And Research Centre has performed itself very creditably
by successfully administering anesthesia for all
variety of cancer surgeries in a large number of
patients and achieving very good results. Extensive
use of modern monitoring equipment during the intra-operative
and post-operative period is carried out as a routine
for early detection of any problems and their management
before they cause irreversible damage. |
|
|
AVAILABLE
TECHNOLOGY |
|
|
Seven OT operative complex
with spacious operation theatres
|
|
Modern anesthesia machine with ventilators
|
|
Comprehensive multi-channel monitors including respiratory
gas and spirometry monitoring |
|
Laminar air flow with HEPA filters in operation
theatres |
|
Facilities for fiberoptic guided intubation for
difficult airways |
|
BIPAP machines for non-invasive ventilation
|
|
ICU ventilators for invasive ventilation
|
|
Comprehensive multi-channel monitors in intensive
care unit |
|
Blood gas monitoring facilities |
|
|
PATIENT INFORMATION |
|
|
| The
administration of anesthesia has become safer in
the present era with the advent of modern anesthesia
machine, advanced monitoring facilities, newer drugs
and with the concept of pre-anesthesia counseling
during pre-anesthetic checkup prior to surgery.
|
|
What are the different anesthetic techniques
available? |
|
Anesthesia techniques can be broadly divided into |
| a)
General Anesthesia - Drugs are given either intravenously
or via inhalational method |
|
b) Regional Anesthesia - |
| |
Subarachnoid block (spinal anesthesia) - Anaesthetic
drugs are administered in subarachnoid space
with the help of a fine spinal needle Insertion
in the space between the two vertebrae of
backbone. |
| |
Epidural anesthesia - Anesthetic drugs are
administered in epidural space instead of
subarachnoid space. The block can be prolonged
by adding top-up doses via a catheter inserted
in the epidural space. |
| |
Combined spinal and epidural anaesthesia:
Anaesthesia drugs are admistered in
subarachrioid space followed by drug in
epidural space (through single needle prick in
the space between two vertebrac of backbone)
for increasing duration of anaesthesia. |
|
|
Both the above techniques are routinely used for
lower abdomen or lower limb surgeries. |
| c)
Combined regional and general anesthesia - advantages
of both the techniques are combined in a single
setting. |
| d)
Regional nerve blocks - especially for limb surgeries.
|
|
What are the current approaches in pain management? |
|
Significant advancement has taken place in the management
of postoperative pain and intractable cancer / non
cancer pain. The newer modalities of pain management
carried out at our centre are as follows. |
| |
Pre-emptive
analgesia |
| |
Continuous
intravenous infusion of analgesics with or
without patient controlled analgesia (PCA)
technique. · |
| |
Epidural
infusion / boluses of analgesics with / without
PCA technique.· |
| |
Transdermal
(skin) narcotic patches.· |
| |
Oral
Morphine Tablets (WHO Protocols) |
|
|
|
|
|
|
|
