Anaesthesiology

Our mission at SGT Hospital is to deliver state-of-the art, excellent anaesthesia services, pain management and intensive care in the perioperative setting. The department is committed to place the interests of the patients as its paramount concern. The adoption of newer technology with a human touch has propelled us to reach greater heights. The work of Anaesthesiologist is not just confined to the state of the art Modern OTs but also beyond it. It extends from the Preanaesthesia clinic (PAC) to Post Anaesthesia Care Units (PACU) and 5 bedded Surgical Intensive Care Unit (SICU) where patients are closely followed by our team.

The team also provides expert advice on ventilator and other critical support in ICU and ICCU. The OT complex and Surgical Intensive Care Unit (SICU) are located on 3rd floor of the hospital. The team provides clinical anesthesia services and critical care management of surgical patients 24 hours a day. The surgical specialties to which the department provides anesthesia services are General Surgery, Orthopedics, Obstetrics and Gynecology, E.N.T., Ophthalmic, Pediatric surgery, Urology, Plastic surgery, Gastroenterology, Cardiac surgery, Surgical Oncology and Neurosurgery. We have 2 separate OTs near Casualty for emergency surgical procedures, 2 separate OTs for handling emergency obstetric cases and 3 OTs on 3rd floor in main OT Complex. Besides these, we also provide anesthesia services for psychiatry (ECT) and Radiodiagnosis.

Services and Treatments Offered Specialized Services The department is organised into the following functional sub-units:

1. Cascade pressure stabilisers - A range of multi-bladed units; specially designed to control room air pressures.
2. Air relief pressure stabiliser - Strategically placed and enables differential room pressures to be maintained. Ensures that when doors are opened between clean and dirty areas, there is sufficient airflow to prevent cross-contamination.
3. Scrub stations - Specially designed to ensure that the OT staff adheres to the highest standards of sterility. They are made of stainless steel with both manual and automatic operations.
4. Thermostatically controlled mixing valve - Automatically maintains water temperature, which is not to exceed 46 degrees Celsius.

Anaesthesia outside the OT area - We are now as active outside the operating room, as we were within. We are a predominant resource in the intensive care, pain management, emergency and pre-hospital care departments. What’s evolved, is the ‘peripatetic anaesthesiologist’ – A term applied to anaesthesiologists who provide care in offsite locations.

The demand for anaesthesia care outside the operating room continues to grow, driven by trends in advanced diagnostic techniques and the financial advantages of providing care in out-of-hospital settings. Within the next decade, it is estimated that 20-40 per cent of anaesthetic cases may be performed outside the operating rooms in the West. The figure for India would be around 5-10%. In the future, anaesthesiologists will be spending half their working hours in areas other than the operating room. The sites where we work outside the OT area can be categorised into: -

1. Sites not designed for the administration of anaesthesia - Emergency room for cardioversion, burns dressing rooms, psychiatric wards (ECT).
2. Areas where equipment is fixed - Neuroradiology suite for CT, MRI, and radiotherapy.
3. Specially built operating rooms outside the complex – Day care surgery, IVF OTs.
4. Specialised Diagnostic suites - Endoscopy rooms. Resuscitation and emergency rooms. Pain clinic and pain relief procedures room. B. Modular OTs. A pre-engineered integrated approach to the construction and coordination of operating rooms is adopted.

Operating Rooms - Our operating rooms are of the highest quality and standards. The modules are built of steel with sterile coatings to provide anti-bacterial, anti-algal and anti-fungal features, for a long and safe run. The OTs are designed to have smooth surfaces with no visible joints. The absence of sharp edges prevents any chances of accumulation of stagnant air or build-up of contamination. The inner wall panels are constructed to withstand strong impacts, such as the bombardment of trolleys. The wall-mounted equipment is flush and sealed into the theatre wall by means of a sterile jointing system. There is a provision of a light integrated air system, to reduce airborne bacteria in an operation theatre. The unidirectional vertical laminar flow system delivers clean, filtered and optimum air into the operation area. The system of integral lightning provides an illumination level in excess of 1500-lux at the wound site and electronic step-less dimming down to 3%, without flicker.

All of these factors above, make us one of the best departments in NCR, in one of the top hospitals in NCR.