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Critical Care

Overview

Intensive Care Unit at DR L H Hiranandani Hospital provides highest standard of Clinical Skills and Nursing care across multiple specialties and illnesses with World class ICU infrastructure and advanced amenities under one roof. We strive to constantly upgrade ourselves and in this endeavour have been successful to develop a state of the art, comprehensive, personalized, patient centric, multidisciplinary Intensive Care department with Sound Clinical acumen at the core of patient care. Our strategy to face critical challenges includes a team based approach consisting of Intensivists, Multispecialty doctors, Nutritionists, Physiotherapists, Pharmacologists complemented by excellent Diagnostic Facilities. Improved Outcomes have been achieved through quality initiatives like Goal based Interventions, stringent protocols, Quality Control measures and evidenced based medicine.

Our 28 - bedded fully functional & modern Intensive Care Units are at par with the best in the world. Quality drives us at Dr L H Hiranandani Hospital. Apart from all regular ICU facilities highly advanced Services include –

  • Cardiac Critical Care with Facilities for ECMO,LVAD , RVAD , IABP
  • Nephrology Critical Care with Renal Transplant Program , CRRT facilities , bedside Haemodialysis
  • Neurocritical Care with Stroke Thrombolysis Program, Interventional Neuro radiology DSA with Mechanical Thrombectomy, Status Epilepticus and Super Refractory Status Epilepticus Management, Traumatic Brain injury management, Neurorehabilitation Services.
  • Gastroenterology Care with Acute / Chronic liver failure management.
  • Respiratory Critical Care with Advanced Ventilators / ARDS management with ECMO
  • Infectious Diseases (community or Hospital Acquired) with Sepsis Care Bundles, Advance air filtration system, Isolation facilities, Positive & Negative pressure isolation rooms.

As per our Hospital mission we strive to be the preferred choice for healing and good health by ensuring patient safety and providing health care consistent with clinical, cultural and ethical standards and with a personal touch.

Critical care has emerged as a very important subspecialty, with people living longer and new illnesses emerging. These illnesses are more complex and difficult to treat, and hence the need for dedicated centers with advanced facilities and personnel who excel in this field. The Critical Care Department is a centre of excellence.

About the Department
Our 28 - bedded fully functional & modern Intensive Care Units are at par with the best in the world. Quality drives us at Dr L H Hiranandani Hospital.

The planning, infrastructure and equipment include -

  • Advance air filtration system.
  • Positive & Negative pressure isolation rooms.
  • Advanced ventilators for optimal patient ventilator synchrony.
  • Latest machines such as IABP / Advanced Modular Monitors & Workstations. Monitors with up to 48 hrs memory.
  • Fully computerized drug indenting system.
  • Fully computerized laboratory & radiological systems, so that investigations & imaging can be viewed online in ICU.
  • Eight ICU beds with dialysis facility

ICU / ICCU / PICU Infrastructure

  • This hospital is equipped with state of art modern technology equipment and monitoring facility for providing intensive critical care to the patients. The total intensive care area is ICU 9000 Sq.ft that includes Intensive Care Unit, Intensive Cardiac Care unit and Pediatric intensive care. Total of 28 patients can be accommodated for the Intensive Care. There is provision to connect entire hospital beds for the purpose of monitoring from intensive care unit or nurse station console. There are rooms with air pressure differential for isolation under negative pressure conditions -ve 2.5 pascal. Protective Isolation (immune compromised patients) room with + ve pressure 2.5 pascal, each room size is 130 sq.ft.
  • ICU air conditioning can be set to ensure Outside air Cfm 2000 and Design temp is within 21’Cto 23’C.
  • Operation zone 24x7, Total minimum air changes 6/hr and Minimum outside fresh Air changes 2/hr.
  • In case there is discomforts to occupant’s than entire room air can be exhausted.
  • Air Filtration System is of 2 stages i.e.10 micron Pre filter & 5 micron Microbe filter.
  • Flooring is 2 mm vinyl flooring having antistatic and antibacterial quality, same is specially adopted for smooth transfer of patient beds and it is easy to clean and maintain. Floor is seamless and sealed with coving at skirting with caps to avoid air gap.
  • Entire hospital painting is with water-based PU paint having anti-bacterial antifungal properties; also it is selected with minimal low volatile organic compound and chemical organic compound values.
  • All patient beds are motorized and have battery backup power supply for emergency control.
  • There is battery backup power supply to entire ICU equipment’s and also DG power source is connected through online Auto mains false safe panel for electrical power.
  • In-order to ensure Indoor Air Quality, cleanliness of AC supply, exhaust ducting is ensured, entire ducting in the critical area of the hospital were inspected with the help of latest technology robotic driven high-resolution camera By Professional agency certified by NADCA (National Air duct Association). As safe practice we clean air ducts every two years using robotic pressure and suction system.
  • There is cubical concept with privacy curtains for each patient and ICU has windows natural lighting.
  • There is 24x7 monitoring with dedicated staff nurse for each patient.
  • Doctor can have view of entire ICU patients and can also view all patient parameters from central consol.

 

Facilities/ Services

All hospital rooms are linked to central monitors in ICU, so that any patient in the hospital can be monitored from the nurse station and also the critical care unit.

ICU is located on the second floor and third floors. They are adjacent to the Operation Theatres. There are 28 beds here, spread over 12,000 square feet. The facility has spacious cubicles which can be converted into private areas by drawing curtains. Each bed has a high end, upgradable electronic patient monitoring system. There are also high end life support ventilators available for each bed. All monitors are linked to the central monitor and also there is a nurse call arrangement at every bed.

Each ICU has a clean air concept with two stage air filtration to provide clean air. There are separate rooms to cater for the immuno-compromised patients. The full time Intensivist with a multidisciplinary team of highly experienced health professionals, monitors and directs the care of critically ill patients round the clock, and works in collaboration with other health care professionals necessary for the care of patients critical care units.

Our Team

Full Time Consultant
Name Designation Qualification Availability
Associate Consultant Critical Care

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Full Time Consultant Critical Care

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Associate Consultant

Monday to Saturday :  8 am - 8 pm

Full Time Consultant – Intensive Care
Dr. Aklesh Tandekar Full Time Consultant – Intensive Care M.B.B.S., M.D. (Anaesthesiology),CPS, FCPS, IDCCM, EDIC (European Diploma in Critical Care), FIMSA
Dr. Amit Yashavant Bawkar Full Time Consultant – Intensive Care M.B.B.S., DNB (Anaesthesiology), Neuroanesthesiology & Critical Care Post Doctoral Fellowship, IDCCM
Dr. Arpita Dwivedy Head of Critical Care Unit DA (Anesthesiology), MD (Anesthesiology)

Monday to Saturday :  8 am - 8 pm

Dr. Harshit Rane Associate Consultant Critical Care MBBS, DNB (General Medicine)

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Dr. Priyanka Mehta Associate Consultant – Intensive Care MBBS, MD (Emergency Medicine), IDCCM

FAQ

  • What is critical care medicine?

    Critical care medicine is the healthcare specialty that cares for patients with acute, life-threatening illness or injury. This care is delivered in highly specialized intensive care units (ICUs) and trauma centers.

    Multidisciplinary teams of highly experienced physicians, nurses, respiratory care technicians, pharmacists, dieticians and other allied health professionals provide comprehensive care for these critically ill patients. This team uses their unique expertise, ability to interpret important therapeutic information, access to highly sophisticated equipment, and the services of support personnel to provide care that leads to the best outcome for the patient.

    Patients are rarely admitted directly to the critical care unit. They are usually admitted from the emergency room, operating room or hospital rooms where they are first given care and stabilized. The continuum of critical care begins at the moment of illness or injury and continues throughout the patient's hospitalization, treatment and subsequent recovery

  • What kinds of illness and injury usually require critical care?

    Typical examples of critical illness include heart attack, pneumonia, poisoning, complex or prolonged surgery, surgical complications, premature birth, and stroke. Critical care also includes trauma care - care of the severely injured – from any cause.

  • What is the difference between critical care and emergency medicine?

    Critical care refers exclusively to the treatment of patients who suffer from life-threatening conditions. Emergency room physicians and nurses treat patients who suffer from relatively minor emergencies (sprained ankles, broken arms) to those with major problems including heart attack, knife or gunshot wounds or drug overdoses. In the Emergency Department, physicians and nurses stabilize patients and transfer them to the ICU for further treatment. The long-term management of critically ill and injured patients is provided by critical care professionals in the ICU.

  • What is an intensivist?

    An intensivist is a specialist physician with additional sub-specialty (fellowship) training, or equivalent qualifications, in critical care medicine. An intensivist directs the care of critically ill patients and works in collaboration with other health care professionals necessary for the care of patients in critical care units.

  • What is mechanical ventilation?

    Mechanical ventilation is the method of using machines to help patients breathe when they are unable to breathe sufficiently on their own. Most often, mechanical ventilation is used for a few days or weeks to help a patient breathe during a serious illness. This type of breathing support is usually done in an intensive care unit.