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Anaesthesiology
The Department of Anaesthesiology at IHR provides anesthesia services to all surgical specialties like general surgery, laparoscopic surgery, paediatrics, and gynecology. Pre-anesthesia check-up prior to any surgery is mandatory in order to decide on which modality of anesthesia is suitable for each patient. The department includes skilled and experienced anesthesiologists who are also qualified in pain medicine including labor analgesia.
The department is well equipped with high-end anaesthesia workstations and uses the most advanced, safe and patient-focused techniques when delivering anaesthetic care. We are constantly evaluating our processes by adopting new technology with a human touch to meet the needs of all types of patients and for surgeries which extend for long hours.
The team of Anesthesia specialists provides superlative care with the help of new and efficient technologies and techniques to ensure complete patient safety, comfort, and satisfaction - before, during, and after the operative procedure. Our Anesthetic techniques cover the entire range of available procedures for better outcomes. The department's timely and efficient care is engineered in ways to focus on the individual needs of the patient.
Pre-anaesthetic checkup
Once your surgeon advises surgery, you will be asked to undergo pre-anesthetic evaluation or pre-anesthesia check-up (PAC). The anesthetist will do your PAC and will enquire about your past and existing medical conditions if any and perform a general physical examination. He will check your vital signs and document your medical problems, the treatment which you are currently on, and enquire about allergies. It is important to share your past and present medical history, medication if any with your anesthetist.
If any of the medical problems require evaluation or optimization of the treatment you will be advised to go to the concerned specialist in the hospital. You will also be advised basic laboratory and radiological investigation if they have not been done already. These will be relevant to the kind of surgery you are being planned for.
The plan for anesthesia will be discussed with you and the surgery scheduled along with the coexisting medical conditions. The sole aim is your safety and comfort during the surgery. This plan will also take care of your postoperative pain management options. You will be advised about the risk stratification for the surgery you are being planned for and about the informed consent form.
Labor Analgesia
At IHR, Painless delivery can be achieved using a form of regional anaesthesia that provides pain relief during natural labour. This has helped many women experience a positive natural birth. Epidural anaesthesia is administered through an injection on the lower back of the mother. The drug takes about 10-15 minutes to take effect. This is a good option for women with a lower pain bearing capacity, who would otherwise opt for a C-section.
Women are given an option to take an epidural during labour if they feel they are not able to bear the pain, are exhausted from pushing, or in case of any emergencies that may require an urgent C-section. By alleviating pain, it allows the mother to focus on the delivery. It is an aid for relaxation and can prevent exhaustion and irritation experienced by most women during childbirth, thereby reducing the risk of developing post-partum complications. It also helps the baby descend easily by relaxing the pelvic and vaginal muscles.
How is the epidural anaesthesia administered?
You may be required to sit still with your back arched while you are given the epidural. The doctor will catheterize your lower back by inserting a thin tube into the lower part of your spinal cord. The needle is removed, and the catheter is taped into place so that the epidural anaesthesia can be administered during labor. The epidural is administered once you are in active labour and works by numbing your pelvic region and everything below it while you remain conscious.
