Centre For Critical Care & ICU

Deliver the highest of medical  and nursing care to patients Those who are seriously ill organ failures.

Treatments Offered In ICU

  • Mechanical Ventilation 
  • Intubation
  • Central Venous Catheterization 
  • Cardiopulmonary Resuscitation (CPR)
  • Arterial lines
  • Chest tubes
  • Tracheostomy 
  • Feeding Tubes
  • Mechanical Ventilation

    What is mechanical ventilation?
    Mechanical ventilation is a form of artificial respiration that uses a breathing machine (ventilator) to assist patients with their breathing.

    What are the benefits?
    Mechanical ventilation is used when the lungs are not functioning properly. This breathing support may be used to help get enough oxygen to the body and to remove carbon dioxide.  Sometimes ICU patients need support from a ventilator because they are not awake enough or strong enough to breath safely on their own.

    What are the risks?
    Patients who require a breathing machine are at increased risk to develop infections of the lungs, called pneumonia. Occasionally, patients may develop a collapsed lung from the pressure used to push the air into the lungs. Both of these complications require treatment.

    Intubation

    What is an intubation?
    The most common use of this term in the ICU refers to placing a breathing tube into a patient’s windpipe (endotracheal intubation).

    What are the benefits?
    Endotracheal intubation is necessary if the patient requires mechanical ventilation. Patients in a coma may require intubation to protect their lungs from aspiration (secretions going into the lungs). Other patients may require help getting enough oxygen into their bloodstream.

    What are the risks?
    In critically ill patients, placing the tube can be difficult, and may result in dangerous alterations in breathing or blood pressure. The mouth, teeth, and upper airway can be damaged while the tube is being placed, as can the vocal cords. This occurs very rarely.

    Central Venous Catheterization

    What is a central venous catheter?
    A central venous catheter is a special IV line that is inserted into a large vein in the body. They can be inserted into the shoulder, neck, or groin.

    What are the benefits?
    These special IVs are used when the patient needs a reliable IV that can last many days, or needs special medications that cannot be given through the smaller arm veins.

    What are the risks?
    Bleeding and infection are the main complications associated with central catheters, although they are rare. A collapsed lung is a very rare complication, if this occurs a tube may be required to re-expand the lung.

    Cardiopulmonary Resuscitation (CPR)

    What is cardiopulmonary resuscitation (CPR)?
    CPR is the combination of life saving measures performed to restart lung and heart function in a patient who has stopped breathing and/or whose heart has stopped beating. This is called a cardiac arrest. Measures may include pushing down on the chest (chest compressions), attempting to restore the heart rhythm to normal (with an electric shock), administration of medications and artificial respiration using a face mask or breathing tube.

    What are the benefits?
    In the event of cardiac arrest, the patient is likely to die.  If the problem that caused the cardiac arrest can be identified and fixed,  successful CPR is the only chance for survival.  Unfortunately CPR is not often successful.

    What are the risks?
    Most patients who suffer cardiac arrest will die even if they receive CPR. Some patients may survive but will suffer serious injury to the brain and other organs from lack of blood flow. A minority of patients will survive without injury.

    Arterial lines

    What is an arterial line?
    An arterial line is a catheter that is inserted into a artery, as opposed to a vein (as is the case for IVs). They may be inserted into the wrist or groin.

    What are the benefits?
    The arterial line provides a way to constantly measure a patient’s blood pressure and may be essential to treat the patient safely. Arterial lines may be useful in patients with very high or low blood pressures. The arterial line also provides access for frequent blood sampling, as blood can be withdrawn from the patient through the catheter.

    What are the risks?
    The major complications associated with the arterial line are bleeding and infection.  On very rare occasions the catheter may injury the artery it is inserted into.

    Chest tubes

    What is a chest tube?
    A chest tube is a hollow tube placed between the ribs into the small space between lung and the chest wall (called the pleural space). The chest tube provides a way to drain air, blood, or infection from the pleural space.

    What are the benefits?
    A chest tube is used when the patient has air or fluid in the pleural space that needs to be removed. Often this is necessary to drain blood or infection from around the lung, or to re-expand a collapsed lung.

    What are the risks?
    The potential complications associated with the use of a chest tube include bleeding, infection and poor positioning of the tube itself. After placing a chest tube the doctor will check a chest x-ray to assure that the tube is in the correct position.

    Tracheostomy

    What is a tracheostomy tube?
    A tracheostomy tube is a small tube placed directly into a patient’s windpipe through the neck. It replaces the breathing tube that is inserted through the mouth. The surgical procedure of inserting a tracheostomy tube is called a tracheotomy.

    What are the benefits?
    A tracheostomy tube may be needed for ICU patients requiring long-term mechanical ventilation. The decision to perform a tracheostomy on a particular patient depends upon the circumstances surrounding that patient and most often follows use of breathing tube inserted through the mouth.

    What are the risks?
    The potential complications associated with the insertion of a tracheostomy tube are bleeding and infection, although both are rare.

    Feeding Tubes

    What is a feeding tube?
    Due to illness or injury, some ICU patients cannot eat in the usual fashion. Therefore, nutrition is often given to patients through feeding tubes or intravenously. Where possible, the preferred way to provide nutrition to ICU patients is through the feeding tube, which can be inserted into the nose, mouth, or directly into the stomach though the skin.

    What are the benefits?
    Adequate nutrition is essential to the healing process. In patients who cannot eat normally, a feeding tube is the best way to receive nutrition.

    What are the risks?
    In general, the risks are very low. The feeding tube may become displaced, or the process of feeding may result in electrolyte imbalances. Insertion of the feeding tube can cause bleeding or infection, although this is rare. The doctor, dietician, pharmacist, and nursing staff will closely monitor patients receiving feedings.

Below is the list of equipments that are required in ICU.

 

  • Defibrillator
  • ECG Machine
  • Laryngoscope
  • Multiparameter monitor
  • Pulse Oximeter
  • Transport Ventilator(pneumatic)
  • Ventilator (Basic)
  • Advanced Ventilator  
  • Infusion Pump
  • Syringe Pump
  • Ophthalmoscope
  • Stethoscope
  • B.P APPARATUS
  • Reverse Osmosis plant (Portable)
  • Electronic Weighing Machine
  • Continuous renal replacement therapy
  • Colour Doppler  for general purpose
  • Intra Aortic Balloon Pump
  • Non Invasive Cardiac Monitor
  • Portable X Ray Machine
  • DVT Pumps/leg compression device
  • Nebulizer
  • Patient warming System Air Warmer
  • Pacemaker
  • Feed Pump
  • Blood Warmer
  • Et Co2  Monitor
  • Transport Monitor
  • Dialysis Machine
  • Patient Controlled Anesthesia Pumps
  • Mini Doppler
  • Suction Machine
  • Central Monitor
  • Bipap/cpap
  • Air bed
  • Patient bed motorized
  • X ray viewer box
  • Cervical collar
  • Ambu bag mask set
  • Electronic needle destroyer
  • Flash autoclave
  • Oxygen flow meter
  • Suction unit
  • Bedpan washer
  • Medical Furniture
  • ICU pendants

Pediatric Care

  • The pediatric intensive care unit (ICU) provides tertiary level care and has a capacity of 12 beds. The unit imparts care to critically ill children between 1 month to 15 years of age who need ventilator support, multiple inotropic support, acute peritoneal dialysis etc., in addition to children with pre and post cardiac catheterization as well as pre and post pediatric surgery patients who need close hemodynamic monitoring.
  • The unit is equipped with state-of-the-art equipment such as modern ventilators and multichannel monitors and includes invasive and non-invasive pressure monitoring besides basic vital parameters. Ventilators can carry out invasive and non-invasive ventilation in critically ill children.
  • The unit is managed round the clock by dedicated and skilled pediatric nurses, resident doctors, and clinical associates/junior consultants. These personnel work in close association and under proper guidance of the consultant pediatric in-charge.
  • Senior members of staff counsel parents/relatives of critically ill children about their condition, likely outcome, long-term prognosis etc. which helps in maintaining transparency.

Adult Care

The adult critical care services are spread over a number of intensive care units (ICUs) that are dedicated to provide compassionate intensive care to seriously ill patients. The well-staffed ICU are located on 1st FLOOR at Y.S.K Hospital where specially trained ICU staff ensures that all patients get the best medical care in a comfortable and cordial environment.

All ICU are well-equipped with the most advanced technologies to treat patients suffering from a dysfunction of vital organs caused by acute conditions like infections, heart attack, stroke, renal failure, trauma, poisoning, drug overdose, and burns.

THE ICU & CRITICAL CARE DEPARTMENT IS LARGEST IN AURANGABAD ! 

It is divided into separate areas for ease of patient monitoring . 

NEURO ICU- For Patients suffering from Brain & spine related problems like seizures, Paralysis, stroke , head injury , etc. 

 CARDIAC ICU, – For Patients suffering from heart problems like heart attack , arrhythmias , heart transplant. 

PAEDIATRIC ICU – For Paediatric problems like infections, malaria, dengue, seizures  etc

NEONATAL ICU – For Newborn problems like Neonatal jaundice, preterm babies, respiratory distress, congenital problems, meningitis

SURGICAL ICU – Post operative patients appendicitis, bariatric surgery, trauma, abdominal and other major cancer surgeries etc 

 MEDICAL ICU , – for respiratory failure, diabetics, metabolic acidosis, blood problems , etc 

OBSTETRIC ICU – for complication in pregnancy viz., abruption placentae, Pregnancy induces hypertension, diabetes , PPH, Uterine rupture etc. 

  • Dr Richa Rajput
  • Dr Prashant Walse
  • Dr Sandip Bodhke