SPECIALITIES

Intensive Care Unit (ICU)

Overview

The Department of Critical Care is a 23 Bedded State of the Art Multi Disciplinary Intensive care Unit(MDICU) equipped with the Latest Hi Tech Equipments capable of providing 24/7 uninterrupted monitoring, diagnostic and therapeutic Care.

Sri RamaKrishna Hospital is the only Hospital in Coimbatore manned 24/7 by Senior Level Consultants Trained from Premier Institutes Like PGIMER, Chandigarh and CMC, Vellore.

The Quality Indicators of patient care in our hospital are at par with International benchmark. Our MDICU boasts of giving the best care for patients with various ailments like Septic Shock, ARDS, Multi Organ Dysfunction, Traumatic Brain Injury, Severe Acute Pancreatitis, Acute Kidney Injury, Acute Liver failure, Polytrauma, Onco Emergencies etc.

Medical Conditions

It is a life threatening condition triggered by an infection in any part of the body. The clinical presentation is usually due to low blood pressure which might include one or more of the following Symptoms like breathing difficulty, altered mental status, decreased urine output, palpitations etc.

The main treatment lies in identifying the source of infection and control it along with starting appropriate antibiotics and IV fluids in a very timely manner. Our ICU along with our supporting departments give the best care and our incidence of mortality is less than International benchmark.

ARDS stands for Acute Respiratory Distress Syndrome and is the end manifestation of a variety of illness like pneumonia, Fat Embolism, TRALI, Sepsis, Pancreatitis etc and presents as severe breathing difficulty will low Level of Oxygen in Blood.

The treatment consists of Oxygen support and Mechanical Ventilator Support. We also treat patients with refractory Hypoxemia with Prone Ventilation and if needed ECMO. We have a good outcome compared to most Hospitals in Coimbatore because of the continuous presence of Senior Doctors in ICU around the clock who keep adjusting the Ventilator parameters as and when required 24/7 according to clinical condition of patient.

MODS stands for Multi Organ Dysfunction and is again the manifestation of a lot of ailments like Sepsis, Pancreatitis, Poly trauma etc.

The outcome of the patient is such condition depends largely on team effort from experts from various Specialties. With 24/7 availability of experts in all major Specialties we give the best care for MODS patients in a timely manner and hence the best chance for survival in an otherwise dismal condition.

Traumatic Brain Injury (TBI) is a nondegenrative, noncongenital insult to the brain from an external mechanical force possibly leading to permanent or temporary impairment of brain function. The external mechanical force causing TBI is usually Road Traffic accident or Accidental Fall from height.

Treatment of TBI consists of maintaining adequate cerebral perfusion pressure by variety of modalities which includes an emergency Surgery, Osmotic diuretics, monitoring of ICP, Optic Nerve Sheath Diameter along with prevention of secondary brain insults like hyperglycemia, hypoxemia, hypotension, hyperthermia etc.

Treatments & Procedures

This is a procedure done to place a triple lumen catheter in one of the larger veins draining directly into the heart like the Internal jugular Vein or Subclavian Vein.

In SRH we do these procedures under Ultrasound Guidance which minimizes the risks of complication like inadvertent arterial puncture or lung puncture.

Bronchoscopy is a procedure where a videoscope is inserted into the breathing pipe of a patient to look inside the lungs and is both a diagnostic and therapeutic procedure.

The facility to do bedside bronchoscopy comes in handy for patients who are highly dependent on ventilator support and who cannot be moved outside. Timely bedside bronchoscopy will be a life saver in patients who have severe hypoxemia secondary to mucus plug/clot obstructing a bronchus. It is also useful to take samples like BAL for difficult to diagnose patients.

This a procedure done for continuous beat to beat monitoring of invasive blood pressure monitoring. A thin catheter is placed in a peripheral artery like Radial, Dorsalis Pedis Artery or Central like Femoral Artery.

Placing an arterial Catheter helps in accurate measurement of Blood pressure and thereby timely alteration of doses of medicine aimed to increase or decrease blood pressure.

This is an invasive procedure where by an electrode is placed inside one of the cardiac chambers to temporarily act as a pacemaker. This is used in patients with complete heart block due to cardiac diseases or poisoning.

In our ICU we place this under USG guidance in bedside for patients who are unstable to be shifted to cath lab.

Providing an artificial support for breathing is called Mechanical Ventilation. It is given for patients with respiratory failure.

In SRH we provide all types of ventilator support like NIV, Invasive Ventilation, portable BiPap and advanced ones like prone ventilation and in very severe cases ECMO too.

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