Medical Director

Chandan Institute of Critical Care & Anaesthesiology

Dr. Mohammad Farrukh Ansari

MD (Anaesthesiology), Critical care medicine, High risk anaesthesia, Paediatric anaesthesia, USG guided regional anaesthesia

Anaesthesiology

Anaesthesia is a state of temporary induced loss of sensation or awareness.

Three broad categories of Anaesthesia exists:

General anesthesia suppresses central nervous system activity and results in unconsciousness and total lack of sensation.

Sedation suppresses the central nervous system to a lesser degree, inhibiting both anxiety and creation of long-term memories without resulting in unconsciousness.

Regional anesthesia and local anesthesia, which block transmission of nerve impulses between a targeted part of the body and the central nervous system. A patient under regional or local anesthesia remains conscious.

Two broad classes exist:

  • Peripheral blockade inhibits sensory perception in an isolated part of the body, such as numbing a tooth for dental work or administering a nerve block to inhibit sensation in an entire limb.
  • Central, or neuraxial, blockade administers the anesthetic in the region of the central nervous system itself, suppressing incoming sensation from outside the area of the block. Examples include epidural anaesthesia and spinal anaesthesia.

Anaesthetic Machine has vaporizers, ventilators, an anesthetic breathing circuit, waste gas scavenging system and pressure gauges. The purpose of the anesthetic machine is to provide anesthetic gas at a constant pressure, oxygen for breathing and to remove carbon dioxide or other waste anesthetic gases. Intravenous anesthetic is delivered either by bolus doses or an infusion pump. There are also many smaller instruments used in airway management and monitoring the patient.

Modular Operation Theatres

Chandan Hospital has 4 large spacious Modular Operation Theatres.Operating rooms are spacious, easy to clean, and well-lit, typically with overhead surgical lights, and have viewing screens and monitors.

Operating room equipment:

The operating table in the center of the room can be raised, lowered, and tilted in any direction. The operating room lights are over the table to provide bright light, without shadows, during surgery. The anesthesia machine is at the head of the operating table. This machine has tubes that connect to the patient to assist him or her in breathing during surgery, and built-in monitors that help control the mixture of gases in the breathing circuit.

The anesthesia cart is next to the anesthesia machine. It contains the medications, equipment, and other supplies that the anesthesiologist may need.

Intensive Care Unit

Intensive care unit (ICU) at Chandan Hospital is a special department of the hospital that provides intensive treatment medicine.

Intensive care units cater to patients with severe and life-threatening illnesses and injuries, which require constant, close monitoring and support from specialist equipment and medications in order to ensure normal bodily functions. They are staffed by highly trained doctors and nurses who are specialized in caring for critically ill patients. Common conditions that are treated within ICUs include acute (or adult) respiratory distress syndrome (ARDS), trauma, multiple organ failure and sepsis.

Patients may be transferred directly to an intensive care unit from an emergency department if required, or from a ward if they rapidly deteriorate, or immediately after surgery if the surgery is very invasive and the patient is at high risk of complications. 15% of hospital beds are intensive-care beds.

1. Intensive Cardiac Care Unit (ICCU): It caters to patients specifically with congenital heart defects or life-threatening acute conditions such as cardiac arrest.

2. High dependency Unit (HDU): Transitional high dependency unit (HDU) for patients who require close observation, treatment and nursing care that cannot be provided on a general ward, but whose care is not at a critical enough level to warrant an ICU bed.

3. Surgical Intensive Care Unit (SICU): A specialized service that provides inpatient care for critically ill patients on surgical services.

4. Mobile Intensive Care Unit (MICU): Chandan has a specialized ambulance with the requisite staff and equipment to provide on-scene Advanced Life Support resuscitation and intensive care during transport.

5. Neurological Intensive Care Unit (Neuro ICU): Patients here are treated for aneurysms, brain tumors, stroke, rattlesnake bites and post-surgical patients who have undergone various neurological surgeries and require hourly neurological exams.

6. Trauma Intensive Care Unit (Trauma ICU): Dedicated Trauma Emergency Department equipped with a team of surgeons, nurses, respiratory therapists, and radiological staff.

7. Post-anesthesia Care Unit (PACU): Also known as the post-operative recovery unit, the PACU provides immediate post-op observation and stabilization of patients following surgical operations and anesthesia. Patients are usually held in such facilities for a limited amount of time.