Anesthesiology & Peri-operative Medicine
Full-Spectrum Anesthesia and Peri-operative Care.
Safely guiding you through surgery with advanced monitoring, regional blocks, and enhanced recovery protocols.
The Anesthesiology & Peri-operative Medicine Service offers 24/7 expertise in airway management and hemodynamics for elective, emergency, and transplant surgeries. Our subspecialty teams (neuro, obstetrics, pediatrics) use advanced techniques such as ultrasound, transesophageal echocardiography (TEE), and goal-directed fluid therapy to optimize surgical outcomes and enhance recovery.
7
consultant anesthesiologists and 11 specialist anesthesiologists10
advanced operating rooms, including intraoperative MRI for neuro surgeriesRemote area anesthesia
services in Endoscopy, Bronchoscopy, Cathlab, MRI suites, Radiation therapy, and Nuclear Medicine24/7
labor analgesia servicesCommon Conditions & Subspecialty Clinics.
- Joint replacements (hip and knee)
- ACL and sports injuries
- Shoulder surgeries
- Major trauma
- Oncological Surgeries
- Transplant anesthesia (live donor and cadaver liver and kidney transplants)
- Major hepatectomy
- Upper- and lower-limb nerve blocks
- Truncal fascial-plane blocks
- Thoracic epidurals
- ACL repairs
- Pelvic trauma
- Patient controlled analgesiea
- Acute pain followup services
- Cleft lip/palate repair
- Orthopedic correction surgeries (Paley Institute and trauma)
- Pediatric liver transplantation
- Surgery for premature babies Including laprotomy, laparoscopy, thoratocomy, cranioutomy.
- Congenital diaphgramatic hernia and tracheoesophageal fistula.
- Epidural or combined spinal-epidural for labor
- General anesthesia for high-risk cesarean deliveries
- High-risk obstetric anesthesia
- Fetal Surgeries
- Craniotomy with intraoperative MRI
- Aneurysm clipping/coiling
- Spine fusion with intraoperative neuromonitoring
- Scoliosis surgeries
- Selective Dorsal Rhizotomy (SDR)
- Pituitary surgery
- Traumatic brain injuries
- Lung resection with one-lung ventilation (DLT/ bronchial blockers)
- Mediastinal mass management
- Thoracoscopic sympathectomy
- Rigid bronchoscopy and jet ventilation
- Minimally invasive GI surgeries, Surgical Oncology
- Hepatopancreatobiliary (HPB) procedures
- Transplant anesthesia (live donor and cadaver liver and kidney transplants)
- Urology, gynecologic, and plastic surgeries
- Robotic surgeries: Advanced Gynecologic Institute, Complex Urology, Esophagectomies, Live Kidney Donor, Colorectal surgeries
- ENT: airway surgeries, Laser procedures, cochlear implants, Head and Neck Cancer
- Maxillofacial: Lefort corrections and trauma
Procedures & Treatments.
Acute pain service rounds twice daily on POD 0–3
Peri-operative multimodal analgesia: IV acetaminophen, COX-2 inhibitors, ketamine infusion
Thoracic epidural and paravertebral catheter for lung and abdominal procedures
Continuous peripheral nerve catheter placement with elastomeric pumps
Ultrasound-guided nerve blocks: brachial plexus, TAP, ESP, rectus-sheath, and adductor-canal blocks
Goal-directed fluid therapy with pulse-pressure variation and esophageal Doppler
Processed EEG (BIS) for depth-of-anesthesia titration
Intra-operative TEE for high-risk cardiac patients
Video-laryngoscopy, fiber-optic awake intubation, and double-lumen tubes
Code Blue & Rapid Sequence Intubation
ICU and ward airway management within 5 minutes
Difficult Airway Response Team
Immediate mobilization with video, fiber-optic, SGA, cricothyroid kit
Enhanced Recovery After Surgery (ERAS)
Opioid-sparing protocols, early feeding, and mobilization
Care Pathway & Coordination.
Pre-operative Assessment Clinic
ASA grading, comorbidity optimization, regional-block consent
Day-of-Surgery Briefing
Surgical and anesthesia safety checklist, antibiotic prophylaxis
Intra-operative Management
Hemodynamic and depth monitoring, temperature control
Post-anesthesia Care Unit (PACU)
Pain assessment, PONV prophylaxis, early mobilization
Acute Pain Service
Daily rounds, catheter dose titration, transition to oral analgesia
Follow-up & ERAS Audit
48-hour and 30-day outcome tracking (pain scores, complications)
Technology & Facilities.
Maquet Anesthesia Workstations
Closed-loop oxygen and anesthetic delivery
3D/4D Ultrasound for Regional Blocks
Higher resolution with needle tracking
Integrated OR Control System
Digitally activated lights, cameras, and PACS pull-up
Patient-controlled Analgesia (PCA) Smart Pumps
Barcode-verified dosing, lock-out safety
Edwards Acumen HPI
Cardiac output monitor
Intraoperative MRI
Available in neuro OR for real-time imaging
