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Anaesthesiology - Procedures

Procedures

1. General and Regional Anaesthesia

Our anaesthesia team provides tailored general and regional anaesthesia for a wide range of surgical procedures.

  • General anaesthesia involves rendering the patient completely unconscious using intravenous agents or inhalational gases. It is primarily used for major surgeries such as cardiac, neurosurgical, gastrointestinal, and complex orthopedic procedures. The depth and duration of anaesthesia are continuously monitored to maintain hemodynamic stability and ensure a pain-free surgical experience.
  • Regional anaesthesia, including spinal, epidural, and peripheral nerve blocks, numbs only the targeted region of the body. These techniques are preferred for surgeries on the lower abdomen, pelvis, and limbs. Regional anaesthesia results in less postoperative nausea, faster recovery, and improved pain management, especially in patients with medical comorbidities.

2. Spinal and Epidural Anaesthesia

These neuraxial techniques are frequently used in orthopedic, urologic, gynecologic, and obstetric surgeries.

  • Spinal anaesthesia involves a single injection of anaesthetic directly into the cerebrospinal fluid, producing rapid and profound anaesthesia in the lower body.
  • Epidural anaesthesia uses a catheter placed in the epidural space to provide continuous or intermittent dosing, making it ideal for long-duration surgeries and labor analgesia. Both techniques ensure excellent pain control and are associated with fewer systemic side effects compared to general anaesthesia.

3. Ultrasound-Guided Peripheral Nerve Blocks

With the help of high-resolution ultrasound technology, our anaesthesiologists can visualize nerves and surrounding anatomy in real time to deliver local anaesthetics with pinpoint accuracy. This technique improves the effectiveness of nerve blocks and significantly reduces the risk of complications. Peripheral nerve blocks are commonly used in limb surgeries, such as shoulder dislocations, forearm fracture fixation, knee replacements, and foot surgeries. The blocks also reduce the need for opioids postoperatively and enhance early rehabilitation.

4. Monitored Anaesthesia Care (MAC) and Conscious Sedation

MAC is a tailored approach for patients undergoing minor surgeries or diagnostic procedures who do not require full anaesthesia.

  • The patient remains responsive but relaxed and free from pain during the procedure, thanks to a combination of sedatives and analgesics administered intravenously.
  • Commonly used for endoscopic, ENT, and minor vascular procedures, MAC requires vigilant monitoring of vital parameters to ensure patient safety. This method is particularly useful in elderly or high-risk patients where general anaesthesia may pose added risks.

5. Preoperative Evaluation, Intraoperative Monitoring & Postoperative Recovery

Before surgery, every patient undergoes a comprehensive pre-anaesthetic evaluation to assess fitness for anaesthesia. This includes checking medical history, allergies, physical examination, and lab investigations.

  • Intraoperatively, we use advanced monitoring tools—such as ECG, pulse oximetry, capnography, invasive blood pressure monitoring, and BIS (Bispectral Index Monitoring)—to ensure safety and stability during surgery.
  • Postoperatively, patients are shifted to a well-equipped Post Anaesthesia Care Unit (PACU) for close observation and pain management until full recovery.

6. Anaesthesia for Daycare, Ambulatory and High-Risk Surgeries

Our team is adept at managing anaesthesia for outpatient surgeries where patients are discharged the same day, as well as for complex high-risk procedures.

  • We use short-acting agents and minimally invasive techniques to facilitate rapid recovery for daycare cases.
  • For high-risk patients with cardiac, renal, or respiratory comorbidities, we tailor anaesthesia plans in coordination with other specialists, using multi-parameter monitoring and advanced life support measures to ensure safety throughout the perioperative period.

7. Obstetric Anaesthesia and Labour Analgesia

We offer safe and effective pain relief options for expectant mothers during childbirth.

  • Epidural analgesia is the most effective method for labor pain relief, allowing the mother to remain awake and active during delivery while significantly reducing discomfort.
  • In cases requiring cesarean delivery, spinal or combined spinal-epidural anaesthesia ensures a safe and pain-free surgical experience with minimal risks to both mother and baby. Our team is trained to handle high-risk pregnancies and emergency obstetric situations with the utmost care.

8. Chronic Pain Management & Interventional Pain Procedures

Beyond perioperative pain, our department provides long-term solutions for patients suffering from chronic pain.

  • We evaluate and manage conditions like cancer-related pain, trigeminal neuralgia, herniated discs, failed back syndrome, osteoarthritis, and neuropathic pain.
  • Treatments include nerve blocks, epidural injections, trigger point therapy, radiofrequency ablation, and image-guided procedures.
  • Our goal is to improve patients’ quality of life and reduce dependence on long-term pain medications.

9. Anaesthesia Support in Critical Care & Emergency Settings

Our anaesthesiologists play a vital role in the Intensive Care Unit (ICU) and emergency rooms by managing airway emergencies, sedation for ventilated patients, and hemodynamic stabilization.

  • They provide round-the-clock support for critically ill patients, oversee conscious sedation for bedside procedures, and ensure seamless coordination between surgical and ICU teams for emergency cases.

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