Critical-Care

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, pulmonary, neurologic, liver, kidney or gastrointestinal systems. 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 Amandeep hospital provides critical care services on 13 beds in three medical/surgical critical care units and 6 beds in a High Dependency Unit (HDU) 3 beds septic icu , 3 beds burn icu 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.

Consultants and Staff:

  • Dr. Pankaj Soni (ICU INCHARGE)
  • Dr. Ravi Kant Sharma (Infection control monitoring Co-ordinator )
  • Dr. Sunil Dutt (hdu incharge)
  • Dr. Monica Sarad (septic icu incharge)
  • Dr. Harpreet Thind (Teaching co-coordinator)
  • Dr. Mrituanjay Tiwari (Quality and Safety Co-ordinator)
  • Dr. Bhawana (Nursing Training Co-ordinator)

Casualty Medical Officers (CMOs):

  • Dr. Mandeep Singh
  • Dr. Lalit Kumar
  • Dr. Sukhjeet Singh

Equipment

1. Ventilatory Support

Ventilator is a machine that supports breathing. Ventilators are used for:

  • Get O2 into the lungs
  • Remove CO2 from the body

Ventilator in ICU

  • Drager (3)
  • Maquet (4)

2. Monitors

Patient Monitors

  • Philips VM8
  • DASH 2000(3)
  • Philips MP20(2)
  • L & T star 50 n(2)
  • L & T planet 50 n
  • Philips VM 4(2)
  • Sapcelabs(2)
  • Defibrillators (Philips)

Hemodynamic Monitoring Non invasive

Invasive:

CVP and DBP
Vigileo, Flotrac
IAP

3. Advanced Diagnostics:

USG/ ECHO

4. Others:

Infusion syringe pumps-

  • 2 Pump L & T SP104
  • 2 Pump SK 500 I
  • 2 Pump SK 500 III

Enteral feeding pumps- Compact

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
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