ICU & Pain Management

Intensive Care Management

l.C.U. is managed by Dr. Abhishek AND DR.Aankush kashyap leading the team of anaesthesiologists giving 24 hours cover to the critically ill patients. He has vast experience in critical care management  We are equipped with 8 bedded main ICU, 8 bedded CICU. All beds in ICU have state of art multipara monitoring and ventilators for respiratory support. There is 24 hours coverage of ICU by intensivists. Patient to nurse ratio in ICU is 2:1 and on ventilator 1:1

Critical Care Medicine (CCM) is a specialty that involves the management of patients with life threatening, frequently complex medical and surgical illnesses in a specialized Intensive Care Unit (ICU) or similar facility. A modern ICU represents the pinnacle of any hospital’s approach to highly technological & sophisticated in-patient care. The CCM physician, also called an Intensivist in some parts of the world, has expertise in the evaluation and management of these critically ill patients.

These critically ill patients may have dysfunction or failure of one or more organ systems, including the cardiac failure, pulmonary failure, neurologic failure, liver failure, kidney or gastrointestinal system failure. In the ICU procedures used to support and identify the cause of the critical illness include endotracheal intubation, central venous catheterization, arterial cannulation, pulmonary artery catheterization, bronchoscopy, lumbar puncture, thoracocentesis, paracentesis, chest tube thoracostomy and percutaneous tracheostomy. Specialists from anesthesia, general medicine, pulmonology and surgery can undergo further training in critical care medicine to become a CCM physician.
The department of Critical Care and Emergency Medicine at JOSHI hospital provides critical care services on 8+8 beds in  medical/surgical critical care units And also provides resuscitation services in Floor beds and Emergency Rooms.

The ICU is staffed in a nurse to patient ratio of 1:1. All these ICU nurses are given introductory training in critical care nursing and undergo regular teaching programs conducted or arranged by the Deptt. of Critical Care & Emergency Medicine, to promote critical nursing care skills and knowledge throughout their stay in the ICU.
Patient warming system- Snuggle warm SW 3000, Hot line fluid warmer ABG and electrolyte analyzer Resuscitation & airway Teaching Learning Simulators- CPR trainer Resusci Anne, Laerdal Intubation trainer, Central & peripheral Vascular access trainer Airway devices- Laryngoscopes, tube changers, LMA, Proseal, Fastrach, Combitube, Trachlight, cricothyroidotomy sets, Percutaneous tracheostomy sets.

Procedures and Treatments:

  • - Resuscitation and outreach services for ward and emergency room round the clock
  • - Advanced Airway management and lma combitube
  • - Invasive vascular procedure – Central venous line placement, Arterial line placemen, Temporary pacemaker placement
  • - Hemodynamic monitoring including minimally invasive CO monitoring techniques flowtrac
  • - Synchronized cardio version
  • - Continuous vasoactive and antiarrhythmic drug infusions
  • - Thrombolytic infusion
  • - Peritoneal dialysis
  • - Ultrasonography
  • - TPN
  • - Pain relief
  • - Arterial blood sampling
  • - Nasogastric tube placement
  • - Nasojejunal tube placement
  • - PEG
  • - Lumbar puncture
  • - Abdominal paracentesis
  • - Thoracentesis
  • - ICD tube placement
  • - Nutritional planning