Neuroanesthesia and Neurocritical Care

Overview

Aster RV Hospital is among the top hospitals for neurosciences with the latest infrastructure providing the best possible care in South India. One wing of neurosciences is the department of neuroanesthesia and neurocritical care. This department comprises of specialists who have received advanced and rigorous training in the anesthetic techniques tailored to provide high-quality care to neurological (e.g., stroke, infections of the nervous system, neuromuscular disorders) as well as neurosurgical (e.g. head injury, brain tumors, spine injuries, and spine disorders, etc.) patients. They work with the aim of making the patient's hospital stay comfortable, at the same time ensuring that the patient outcome is optimal. 

To achieve this goal, we have incorporated the latest techniques and technologies in our routine OT and ICU practice. Anesthesia for neurosurgery has progressed from the basic requirement of making a patient unconscious for neurosurgery. It now incorporates tailoring the anesthetic technique based on the individual needs of the patient, be it either related to his general condition or related to a complex neurological diagnosis.

Awake brain surgery is one such specialized technique. Here, the patient remains conscious throughout the surgery but anesthesia is provided such that the patient doesn’t feel any pain or discomfort during surgery. As surgery is performed in critical areas related to a patient's ability to speak or to move his arms and legs, we keep continuously communicating with and receiving feedback from, the patient to ensure he doesn’t suffer any neurological deterioration.

Another way of ensuring the patient’s neurological condition is continuously monitored during surgery is Intra-Operative Neuro-Monitoring (IONM). Here, using various complex monitoring modalities like electroencephalography (EEG), evoked potentials (EP), etc., the functioning of the brain is continuously monitored in an unconscious patient, in OT and ICU as well as during interventional radiological procedures, similar to monitoring the ECG to get an idea about the heart’s functioning. This makes sure the patient’s brain doesn’t suffer any further injury during his treatment in the hospital.

With these and other special services, we strive to remain true to our motto, “We’ll Treat You Well”.

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