Treatments & Procedures
Pre-operative check-up (PAC)
Entering the hospital for a surgical procedure is stressful for patients and their families. The (PAC) Facility is dedicated to meeting the concerns of our pre-operative patients. We have dedicated PAC Facilities for both adult and pediatric patients. At the Pre-admission Center, the anesthesiologist reviews what testing is necessary for the patient. The Department has guidelines for testing and collaborates with Diagnostic Imaging and Laboratory Medicine to reduce the costs of unnecessary tests.
Many patients requiring anesthesia are evaluated in the PAC Facility prior to the day of surgery by residents under the supervision of Anesthesiology faculty. The PAC Facility is an important component of our residency program. Residents are encouraged to communicate with referring surgeons and patients' primary care physicians so they can participate fully in the pre-operative care of patients.
Perioperative & Adult Section
The Section of Peri-operative and Adult Anesthesia is responsible for the medical care of patients with general surgical problems, as well as patients undergoing certain subspecialty surgical procedures:
Thoracic and Peripheral Vascular Surgery
Orthopedics Joint replacement and Spine surgery
Transplant-Liver , kidney, heart
Pediatric Surgery including Neonatal Surgery,
Obstetric and Gynaec surgery,
Ophthalmic surgery etc.
The Department of Anesthesiology has a long tradition of excellence in the clinical care of cardiac surgical patients. Today, KIMS Hospital is a busy pediatric and adult cardiac surgery center, delivering cardiac anesthesiology services for over 1000 patients annually. Cardiac Anesthesia Service is designed to produce clinicians capable of providing state-of-the-art anesthesia for patients with cardiothoracic and vascular disease. We are well equipped to provide peri-operative support by intra-aortic balloon counterpulsation along with transesophageal echocardiography, implantable/assist devices and implantation, heart-lung machines, high-end anesthesia work stations and sophisticated ventilators.
Our team of anesthetists provide their services to thoracic surgical procedures such as video-assisted and robotic-assisted lung resections, minimally invasive esophagectomies, tracheal resections, and open or endovascular repairs of aortic aneurysms, coronary bypass surgery, valvular surgery, repair of congenital heart defects. Management of patients in the Cardiothoracic Intensive Care Unit is done by the same team of cardiac anesthetists. This 20 bed unit is staffed exclusively by members of the Department of Anesthesiology.
The Neuroanesthesia service offers advanced subspecialty clinical training while establishing a foundation for research and academic excellence. A neuroanesthesia team is responsible for the anesthetic care of patients undergoing neurosurgical procedures, including craniotomies for brain tumors, aneurysms and arteriovenous malformations, carotid endarterectomies, posterior fossa surgeries, epilepsy surgeries, complex spinal surgery, and stereotactic and interventional neurovascular techniques. Neuroanesthesia locations include multiple MRI-equipped operating rooms plus advanced neurovascular interventional suites.
We are committed to providing round-the-clock coverage of the labor and delivery floor. We also offer consultative services and management for high-risk obstetric patients.
Regional blockade for post-operative analgesia, the use of ultrasound for regional block and epidural placement are some of the clinical interests/pursuits of our faculty.
Orthopedic & Regional Anesthesia
Patients undergoing orthopedic surgery as well as an elderly population suffering from severe co-existing cardiovascular or pulmonary diseases. In addition to requiring familiarity with regional anesthetic procedures, such as spinal, epiduralanesthisia and major nerve blocks, the orthopedic anesthesiologist are also be familiar with other anesthetic techniques, such as fiberoptic intubation for complex airway problems or patient positioning to avoid intraoperative nerve injury.
Regional anesthesia has experienced significant growth in a variety of surgical areas including: orthopedics, vascular and gynecology. The increased use of periperal nerve blockade such as such as central neuraxial (spinal and epidural) anesthesia, upper extremity blocks (axillary, supraclavicular or interscalene approaches to the brachial plexus), lower extremity blocks (femoral/sciatic, popliteal ankle), and peripheral nerve blocks (median, ulnar, radial, peroneal) is partly due to the development of ultrasound-guided placement techniques, the utilization of indwelling catheters for continuous local anesthetic infiltration, and improved clinical efficacy. The Department of Anesthesiology has a group of dedicated faculty known as the "Regional Anesthesia/Acute Pain Medicine Team" that supervises and educates anesthesiology residents during a formal clinical rotation in regional anesthesia.
The surgical organ transplantation team at KIMS Hospital is among the busiest groups in the hospital, with a kidney program that has a best-in-the-nation survival rate of 100 percent for patients six months after surgery. A specialized team of faculty in the Department of Anesthesiology works closely with the transplant unit to provide care to pediatric and adult cardiac, liver and renal transplant recipients.
Day care anesthesia services
These services are routinely necessary for patients undergoing procedures or tests in the electrophysiology and catheterization labs, interventional radiology, neuroradiology, and gastroenterology departments, as well as in the MRI and CT scan suites, among others.
Daycare anesthesia outside the operating room needs special considerations. Among the many issues that are carefully considered:
A comprehensive analysis of each location is made with regard to required modifications to enable adequate accommodation of necessary anesthesia equipment including emergency backup systems.
Equipment sets specifically tailored for a particular laboratory procedure, exam or test are prepackaged in advance.
A strict patient selection criteria, including thorough preoperative evaluation and screening is followed.
Adequate anesthesia and nursing/ancillary staff are always on hand throughout anesthesia and recovery.
Specific recovery care protocols are established taking into consideration the type of anesthesia, the type of procedure, and the special needs of the patient.
Reporting protocols are put into place for the ongoing improvement of methods as well as documenting and preventing adverse events.
Critical Care Anesthesia Services
This dedicated group of physicians provides care for patients in the Surgical Intensive Care Unit (40 beds), Cardio-Thoracic Intensive Care Unit (20 beds) as well as the Neuro-Sciences Intensive Care Unit (14 beds) and Medical Intensive Care Unit (42 beds). Together these units admit over 5,000 patients each year and provide care for patients with complex surgical procedures, trauma, transplantations (heart, liver, kidney and pancreas), ventricular assistance device implantations, CABG, and major vascular and thoracic surgery as well as thoracic-abdominal aneurysm repair. In the Medical Intensive Care Unit care is delivered to a wide spectrum of medicine patients including those with sepsis, pneumonia and stroke. There is a strong emphasis on the use of multi-disciplinary teams in the care of these critically ill patients. Most importantly, the use of the "team approach" in patient care is stressed.
Our specialty areas include: Psychiatry, Neurology, Pediatrics, Cardiology, Geriatric, Endocrinology, General Medicine, and Obesity