Critical Care Medicine

About the Specialty

Dedicated to delivering unparalleled medical proficiency with a tender touch, ensuring hope thrives in every heartbeat.

emergency

The Critical Care Medicine Department is a specially set-up department at MGMCH. This department has a team of highly skilled and experienced critical care physicians, surgeons and other healthcare professionals trained to provide advanced and specialized care in critical or life-threatening conditions. These professionals are available on a 24*7 basis to cater to any emergencies.

Providing the best services to our patients is our top priority. Along with a team of skillful doctors, we offer futuristic medical technology including fully-equipped intensive care units, advanced ventilators, monitoring systems, and life-support equipment.

Our team is efficient in rapid diagnosis and quick treatment in critical situations. The Critical Care Medicine Department is responsible for offering essential care to critically ill patients.

The experts in the department closely work with nurses, respiratory therapists, pharmacists, and other healthcare professionals to deliver comprehensive, coordinated care.

HOD Message

HOD Massege

Dear Esteemed Community Members, Students, and Colleagues, I extend warm greetings on behalf of the Critical Care Medicine Department at Mahatma Gandhi Medical College and Hospital (MGMC&H), Jaipur.

Dr. Ashish Jain

Professor & HOD

Department of Critical Care Medicine

As the Head of this dynamic department, I am honored to share our commitment to delivering the highest standards of patient care, education, and cutting-edge research.

  • Patient Care Excellence Our dedicated team is devoted to providing compassionate and unparalleled critical care services. At MGMC&H, we prioritize patient safety, optimal outcomes, and the well-being of each individual under our care. Our commitment to clinical excellence drives us to embrace the latest advancements in critical care, ensuring that our patients receive the best possible treatment.
  • Education and Training To our students and aspiring healthcare professionals, we offer comprehensive educational programs in critical care medicine. Our goal is to nurture a new generation of professionals who excel not only in clinical proficiency but also in compassionate patient care. Continuous training in life support and resuscitation protocols is at the core of our educational initiatives.
  • Cutting-edge Research and Academic Excellence In line with our commitment to academic excellence, we actively engage in groundbreaking research endeavors. Our department is at the forefront of exploring innovative technologies and treatment modalities, contributing to the advancement of critical care practices. We encourage students to actively participate in research, fostering a culture of curiosity and discovery.
  • As we move forward, our department remains steadfast in its dedication to ethical practice, interdisciplinary collaboration, and community engagement. We strive to be a beacon of excellence in critical care, not only within the walls of our institution but also in service to the broader community.

Thank you for your continued trust and support. Together, we can make a meaningful impact on patient outcomes and contribute to the future of healthcare.

Specialty Clinics

General Critical Care Services

We have a team of healthcare professionals who are experts in multi-organ failure management, respiratory distress syndrome, hemodynamic instability, cardiac arrest resuscitation, and other critical care treatments that can save lives in a moment of crisis.

Intensive Care Units (ICUs)

Our team undertakes the responsibility for overseeing various intensive care units, including medical, surgical, cardiac, and neonatal ICUs. Each of these units is tailored to the unique needs of specific patient populations.

Rapid Diagnosis and Management

The healthcare professionals in our department excel in the rapid diagnosis and management of a wide array of critical conditions, ranging from severe infections and organ failure to post-operative recovery.

Post-Operative Critical Care

We have a team available 24*7 for handling immediate post-op monitoring. They assist patients and their families with pain management, surgical complications care and wound care and dressing.

Life-Support Interventions

In case of emergencies our department is equipped with technical support and skilled professionals who can provide and administer life-support measures such as mechanical ventilation, extracorporeal membrane oxygenation (ECMO), and hemodialysis.

Core Competencies

Clinical Expertise

We are dedicated to delivering the best diagnosis and treatment of complex medical and surgical critical care cases. Our department is equipped with advanced monitoring and life support technologies that are efficiently used as per requirement to provide the best medical care.

Interdisciplinary Collaboration

Our team works in close connection with diverse healthcare professionals from medical, surgical, cardiac, and neonatal departments to optimize the accuracy of treatment provided to critically ill patients. We also participate in multidisciplinary rounds and care conferences.

Education and Training

To upgrade the knowledge and skills of our medical staff, residents, and allied health professionals in critical care, we at MGMCH, provide Continuous education promoting the best medical practices. We also provide training in life support and resuscitation protocols.

Quality Improvement

We seriously work on improving the quality of critical care services. For this purpose, regular performance reviews and quality improvement initiatives are done periodically. Our team strictly abides by the evidence-based guidelines that are pre-defined.

Research and Innovation

Clinical Research directed towards the advancement of critical care knowledge is highly promoted within the team. We aim to adopt innovative technologies and treatment modalities that improvise the treatment procedures.

Ethical Practice

Ethical principles form the very foundation of the medical profession. Our skilled team strictly adheres to ethical principles while providing patient care. This includes autonomy and confidentiality in all matters. In situations of end-of-life care issues, proper awareness and management is assured by our team.

Emergency Preparedness

Our healthcare team, along with frontline medical technologies, is proficient in tackling critical medical emergencies and mass casualties. As a part of being prepared for all emergencies, our team participates in disaster preparedness and response planning.

Communication Skills

We believe that clear, transparent communication with patients and their families brings out better treatment outcomes. Our team members are trained to effectively communicate with empathy in critical situations. We also keep a close check in documenting patient care activities and measures.

Leadership and Administration

At MGMCH, the Critical Care Medicine Team is led by experts in critical care. These experts work on systematic management of critical situations along with coordination of staffing, scheduling, and resource allocation. Our experts have active involvement in departmental administration and policy development.

Cultural Competence

Our team respects the diverse cultural backgrounds and beliefs that our patients follow. When providing patient-centred care, our team ensures to acknowledge this diversity.

 

critical care

Achievements

  • First 6 bedded ECMO Centre in Rajasthan.
  • The center has treated more than 10000 COVID-19 patients during the COVID-19 Pandemic and has been awarded by the Government of Rajasthan as the best Critical Care Centre in 2020
  • Awarded by Rajasthan Government as the Best Critical Care Centre in Rajasthan

The Centre specializes in delivering the utmost care and comfort to the patients suffering from major health problems such as:

  • Respiratory failure
  • Major trauma
  • Severe burns
  • Organ transplants
  • Kidney failure
  • Sepsis and septic shock
  • Stroke
  • The Centre specializes in life support modality that is ECMO (Extracorporeal membrane Oxygenation) and ECMO retrieval services.
critical care
critical care

The Department of Critical Care Medicine also emphasizes academia and the constant growth of knowledge and development. It provides regular training in Critical Care for Doctors & Nurses from various other centers across the State.

It is the 1st University in Rajasthan to obtain accreditation for DM Critical Care. The department has also trained many Doctors and Nurses through various other Critical Care Courses with a high success rate.

The doctors are actively involved with publications in numerous Indexed Journals & Chapters in Critical Care Books. They have been invited as Guest Faculty at various National & Zonal Conferences & Workshops apart from the many presentations at various levels.

The amalgamation of protocolized care and best clinical practices along with high-end state-of-the-art technology and advancement keeps the Unit at its best in terms of quality patient care and makes it one of the best Critical Care Units in the region.

Aims and Objectives

  • Clinical Excellence:

    Aspire to deliver superior critical care services, prioritizing clinical excellence to achieve optimal patient outcomes and safety.

  • Education and Training:

    Provide comprehensive educational programs to medical staff, residents, and allied health professionals, ensuring continuous training in life support and resuscitation protocols.

  • Research and Innovation:

    Conduct and contribute to clinical research, fostering innovation and the integration of cutting-edge technologies to advance critical care practices.

  • Interdisciplinary Collaboration:

    Cultivate effective communication and collaboration with other medical specialties, aiming to optimize patient care through multidisciplinary approaches.

  • Quality Improvement:

    Implement evidence based guidelines and best practices, regularly reviewing and improving clinical processes to enhance the overall quality of critical care services.

  • Ethical Practice:

    Uphold the highest ethical standards in patient care, respecting autonomy, confidentiality, and informed decision making, particularly in end of life situations.

  • Emergency Preparedness:

    Develop and maintain proficiency in managing medical emergencies and mass casualties, actively participating in disaster preparedness and response planning.

  • Communication Skills:

    Ensure effective and empathetic communication with patients and their families during critical situations, coupled with timely and accurate documentation of patient care activities.

  • Leadership and Administration:

    Demonstrate leadership within critical care teams, optimizing staffing, scheduling, and resource allocation, while contributing to departmental administration, policy development, and strategic planning.

  • Community Engagement:

    Engage with the community through educational outreach programs and awareness campaigns, collaborating with local healthcare providers to enhance the overall quality of critical care services in the region.

Treatments

Treatments commonly associated with Critical Care Medicine, please note that specific treatments at Mahatma Gandhi Medical College and Hospital (MGMHC) in Jaipur may vary based on the patient's condition and the medical team's recommendations. Here's a mapped outline

  • Respiratory Support
    1. Mechanical Ventilation
    2. Non-Invasive Ventilation (BiPAP, CPAP)
    3. High Flow Nasal Cannula (HFNC)
  • Hemodynamic Support
    1. Vasopressors
    2. Inotropic Agents
    3. Fluid Resuscitation
  • Cardiovascular Interventions
    1. Cardiac Monitoring
    2. Intra-Aortic Balloon Pump (IABP)
    3. Central Venous Catheterization
  • Renal Support
    1. Continuous Renal Replacement Therapy (CRRT)
    2. Intermittent Hemodialysis
    3. Diuretic Therapy
  • Neurological Interventions
    1. Intracranial Pressure (ICP) Monitoring
    2. Sedation and Analgesia
    3. Therapeutic Hypothermia
  • Metabolic Support
    1. Nutritional Therapy (Enteral or Parenteral)
    2. Glucose Control
    3. Electrolyte Management
  • Infection Control
    1. Broad-spectrum Antibiotics
    2. Antifungal Agents
    3. Antiviral Therapy
  • Gastrointestinal Support
    1. Enteral Feeding
    2. Proton Pump Inhibitors (PPIs)
    3. Bowel Decompression
  • Wound and Skin Care
    1. Pressure Ulcer Prevention
    2. Surgical Wound Care
    3. Skin Integrity Monitoring
  • Rehabilitation and Mobility
    1. Early Mobilization
    2. Physical and Occupational Therapy
    3. Speech Therapy (if required)
  • Psychosocial Support
    1. Psychological Counseling
    2. Family Meetings and Support
    3. Palliative Care Consultation
  • Diagnostic and Monitoring Modalities
    1. Continuous Electrocardiogram (ECG) Monitoring
    2. Arterial and Central Venous Pressure Monitoring
    3. Bedside Ultrasound
  • Ethical Decision-Making and End-of-Life Care
    1. Advance Care Planning
    2. Palliative Care Consultation
    3. Ethics Committee Consultation
  • Note The specific treatments provided at MGMC&H, Jaipur, would be tailored to individual patient needs, and this overview serves as a general guideline. Consultation with the healthcare team at the hospital is essential for accurate and personalized treatment plans.

Procedures

While the specific procedures conducted in the Critical Care Medicine Department at Mahatma Gandhi Medical College and Hospital (MGMC&H) in Jaipur may vary based on individual patient conditions, the following is a mapped outline of common procedures

  • Airway Management
    1. Endotracheal Intubation
    2. Non-Invasive Ventilation (BiPAP, CPAP)
    3. Tracheostomy Insertion
  • Mechanical Ventilation
    1. Initiation and Management of Mechanical Ventilation
    2. Ventilator Weaning Protocols
  • Vascular Access
    1. Central Venous Catheterization
    2. Arterial Line Insertion
    3. Pulmonary Artery Catheterization (Swan-Ganz)
  • Hemodynamic Monitoring
    1. Bedside Monitoring (Blood Pressure, Central Venous Pressure, Pulmonary Artery Pressure)
    2. Use of Invasive and Non-Invasive Monitoring Devices
  • Renal Replacement Therapy
    1. Continuous Renal Replacement Therapy (CRRT)
    2. Intermittent Hemodialysis
    3. Peritoneal Dialysis
  • Neurological Procedures
    1. Intracranial Pressure (ICP) Monitoring
    2. Lumbar Puncture
    3. Ventriculostomy Placement
  • Cardiovascular Interventions
    1. Intra-Aortic Balloon Pump (IABP) Insertion
    2. Temporary Pacemaker Insertion
    3. Cardioversion and Defibrillation
  • Nutritional Support
    1. Nasogastric Tube Insertion
    2. Percutaneous Endoscopic Gastrostomy (PEG) Tube Placement
    3. Parenteral Nutrition
  • Wound Management
    1. Wound Debridement
    2. Dressing Changes
    3. Surgical Wound Exploration
  • Diagnostic Imaging Procedures
    1. Bedside Ultrasound (Focused Assessment with Sonography in Trauma - FAST)
    2. Portable X-rays
    3. CT Scans (as required)
  • Coagulation Management
    1. Central Line-Associated Bloodstream Infection (CLABSI) Prevention
    2. Blood and Blood Product Transfusion
    3. Thrombolytic Therapy
  • Ethical Decision-Making and End-of-Life Care:
    1. Advanced Care Planning
    2. Palliative Procedures
    3. Communication of Do-Not-Resuscitate (DNR) Orders
  • Psychosocial Support
    1. Psychological Counseling
    2. Family Meetings and Support
    3. Ethical Committee Consultation
  • Rehabilitation and Mobility
    1. Early Mobilization Protocols
    2. Physical and Occupational Therapy Consultation
  • Note: The above procedures serve as a general guideline, and the actual procedures conducted at MGMCH, Jaipur, would be based on the patient's condition and the clinical judgment of the healthcare team. Always consult with the hospital's medical staff for accurate and personalized information.

Facilities

The Critical Care Medicine Department at Mahatma Gandhi Medical College and Hospital (MGMC&H) in Jaipur is equipped with state-of-the-art facilities to provide comprehensive and advanced care to critically ill patients. The facilities within the department contribute to the delivery of high-quality medical services, ensuring optimal patient outcomes. Here is an overview of the facilities available:

Intensive Care Units (ICUs)

  • Well-equipped Medical Intensive Care Unit (MICU) and Surgical Intensive Care Unit (SICU).
  • Specialized units for various critical conditions, allowing focused and tailored care.

Advanced Monitoring Systems

  • Cutting-edge monitoring devices for continuous assessment of vital signs, including cardiac monitoring, invasive and non-invasive hemodynamic monitoring, and neurological monitoring.

Mechanical Ventilation Services

  • Advanced mechanical ventilators for respiratory support.
  • Trained and skilled staff for the management of patients requiring ventilatory assistance.

Renal Replacement Therapy

  • Facilities for Continuous Renal Replacement Therapy (CRRT) and intermittent hemodialysis.
  • Comprehensive care for patients with acute kidney injury and renal support needs.

Cardiovascular Support

  • Intra-Aortic Balloon Pump (IABP) for patients requiring circulatory support.
  • Advanced monitoring and interventions for managing cardiac emergencies.

Diagnostic and Imaging Services

  • Bedside ultrasound for rapid assessments.
  • Coordination with diagnostic imaging departments for X-rays, CT scans, and other imaging needs.

Vascular Access Services

  • Expertise in central venous catheterization, arterial line insertion, and other vascular access procedures.
  • Use of ultrasound guidance for precision in vascular procedures.

Nutritional Support

  • Facilities for enteral and parenteral nutrition.
  • Specialized nutritional support for critically ill patients.

Wound Management

  • Dedicated facilities for wound care, debridement, and dressing changes.
  • Collaboration with surgical teams for comprehensive wound management.

Pharmacy Support

  • On-site pharmacy services for prompt medication management.
  • Availability of a wide range of critical care medications.

Ethical Decision-Making Support

  • Access to Ethics Committees for consultations on ethical dilemmas and end-of-life care decisions.
  • Advance care planning services for patients and families.

Rehabilitation and Palliative Care

  • Collaborative efforts with rehabilitation services for early mobilization and therapy.
  • Palliative care services for patients requiring comfort-focused care.

Education and Training Facilities

  • Lecture halls and training rooms for educational programs and continuous medical education.
  • Simulation labs for hands-on training and skill development.

Community Engagement and Outreach

  • Programs for community education on critical care issues and prevention.
  • Collaboration with local healthcare providers for improved community health.

Our Associated Doctors

FAQs

Critical Care Medicine is a medical specialty focused on the management and treatment of patients with life-threatening illnesses or injuries. It involves providing intensive care and support to patients in critical conditions.

Critical care is often necessary for patients with severe injuries, acute medical conditions (such as sepsis or respiratory failure), major surgeries, or those recovering from traumatic events.

Critical Care Specialists, also known as intensivists, are medical doctors with specialized training in critical care medicine. They lead interdisciplinary teams to provide comprehensive care to critically ill patients.

The Critical Care Department typically offers a range of services, including the management of ventilators, advanced monitoring, hemodynamic support, and treatment for various critical conditions.

Emergency Medicine focuses on initial assessment and stabilization of patients in acute conditions, while Critical Care Medicine involves ongoing, comprehensive care for patients with severe or life-threatening illnesses.

The Critical Care Team plays a crucial role in coordinating and delivering specialized care to critically ill patients. This includes monitoring vital signs, administering medications, and responding to changes in the patient's condition.

Patient admission to the Critical Care Unit is often based on the severity of their condition. Referrals may come from the Emergency Department, operating rooms, or other hospital departments.

Patient admission to the Critical Care Unit is often based on the severity of their condition. Referrals may come from the Emergency Department, operating rooms, or other hospital departments.

Visitation policies in the Critical Care Unit may vary. Typically, restrictions exist to ensure patient safety, but exceptions may be made for family members under certain circumstances.

The Critical Care Department may engage in research to advance medical knowledge and improve patient outcomes. This could include clinical trials, outcome studies, and other research projects.

Patients usually access Critical Care Services through the emergency department, surgical procedures, or as referrals from other medical specialties.

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