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Critical Care Medicine Department

Updated : 15-09-2021

The Department of Critical Care at DMCH is a recognized tertiary care referral centre draining most parts of Northern India. It is equipped with state of art diagnostic and therapeutic services and aims to provide quality health care, teaching and training by qualified and experienced doctors in a safe and comfortable environment.

The department provides critical care services to critically ill medical, surgical, trauma, neurosurgical, pulmonary, stroke and transplant patients housed in one floor, spread over 36000 sq ft, located on the 4th floor of hospital building with more than 100 ICU beds. Department also provides resuscitation services in emergency, burn ICU and wards as Rapid Response Team and Critical care outreach. All beds are equipped with Multichannel physiological monitoring systems allowing close monitoring of patients both from the bedside and the central nursing station. We are equipped with advanced sophisticated ventilators with latest ventilatory modes and respiratory mechanics analysis facilities. We also have bedside invasive and noninvasive haemodynamic monitoring. We have equipment such as Video laryngoscopes and devices for management of difficult airway, Fiberoptic Bronchoscopy, Ultrasonography, Echocardiography and Renal replacement therapy as HD and CRRT are readily available in the ICU and are used routinely for both diagnostic and therapeutic purposes. Lung, abdominal and vascular ultrasound and Echocardiography for assessment of hemodynamics and volume status of critically ill patients is available at point-of-care. Use of ultrasound for procedure guidance reduces complications and increase patients’ safety. Our ICU is one of the first centers in India to perform maximum number of Percutaneous Tracheostomy (PCT).

Evolution of the Department:

The intensive care unit in Dayanand Medical College started with 6 beds in late 90’s supervised by the Department of Chest, headed by Professor and Head, Dr J Wig. The intensive care unit witnessed a rapid growth and independent units of medical, surgical, neurosurgery, stroke, trauma, chest and pediatric units were established in 2004. The critical team of qualified and experienced doctors from fields of anaesthesia, medicine, surgery and pulmonology were appointed to give round the clock cover to the critically sick patients admitted to these ICU in 2006. The unit matured to attain independent identity as Critical Care Division under Dr Parshotam Lal Gautam in 2009. The ICU was recognized as a center for IDCCM Fellowship under ISCCM in 2010. The Department of Critical Care Medicine was established in July 2014 with Dr Parshotam Lal Gautam as Professor and Head. It was under his leadership that the department was permitted to start super-specialty course of DM in Critical Care Medicine with 2 candidates per year from 2019 onwards.

Consultants and Staff:

·         Dr. Parshotum Lal Gautam (HOD) 

·         Dr. Pramod Sood (Associate Professor)

·         Dr. Gunchan Paul (Associate Professor)

·         Dr. Rubina Khullar (Assistant Professor)

·         Dr. Shruti Sharma (Assistant Professor))

·         Dr. Amnadeep Kaur (Assistant Professor))

Academic & Research

Department was permitted by MCI to start the super-specialty course of DM in Critical Care Medicine with 2 candidates per year from 2019 onwards. Departmental faculty is actively involved in research and delivered lectures at national and international conferences. Department has published 4 chapters, 1 review article, 10 original articles in last one year. There are presently five research projects being done by the department faculty

 

Conferences organized by the Department:

  • International Anaesthesia and Critical Care Review2008” jointly with faculty from Mayo Clinics, Rochester, US November, 2008. This conference was attended by more than 800 delegates. Thirty international faculty members from Mayo Clinics participated actively. This conference preceded by preconference workshop on ultrasound guided procedures and vascular access.
  • CME on ‘Role of TEE in Perioperative Care” on March, 2010
  • FCCS course on 20th -21 March, 2010
  • International Anaesthesia and Critical Care Review2010” jointly with faculty from Mayo Clinics, Rochester, US in September, 2010.
  •  “Certificate Course in Nutrition” in March, 2011 at DMCH, Ludhiana.
  • “Liver Transplant Symposium” jointly with faculty from Mayo Clinics, Rochester, US in February, 2014.
  • FCCS course certified by SCCM, USA, December 2014.
  • "Innovations and Quality improvement in Medicine" in January, 2015
  • VTE-CON @ DMCH on venous thromboembolism in April, 2016
  • CME on Patient Physician relationship, 9th December,2018 at DMCH, Ludhiana.

Services

·         Advanced Airway management

·         Percutaneous tracheostomy

·         Hemodynamic monitoring including minimally invasive CO monitoring techniques

·         Invasive vascular procedure - Central venous line placement ,Arterial line placement, Invasive pulmonary artery catheterization, dialysis catheterization

·         Ultrasonography including lung USG, e-FAST, echocardiography, haemodynamic assessment

·         Renal replacement therapy- Peritoneal dialysis, SLED, CRRT

·         Bronchoscopy for BAL, pulmonary toileting

·         Lumbar puncture and ICP monitoring

·         Abdominal paracentesis

·         Thoracentesis

·         ICD tube placement

·         Thromboelastography

·         Nutritional planning

   
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