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    Critical Care

    The Critical Care Medicine Department at Apollo Hospitals in Jubilee Hills, Hyderabad, is committed to addressing the urgent needs of patients facing immediate life-threatening health conditions, particularly those affecting vital organ systems. Referred to as the Intensive Care Unit (ICU), this specialised unit provides timely diagnoses and treatments essential for patients in critical condition.

    Our critical care team collaborates with physicians, pulmonologists, cardiologists, neurologists, anesthesiologists, surgeons, and other specialists in the hospital to deliver tailored care for each patient’s specific condition. The critical care units operate 24/7 and encompass a blend of multidisciplinary ICUs, including dedicated units for post cardiac surgery patients, post neurosurgical patients, post-transplant patients, and specialised ICUs for paediatric cases.

    Apollo Hospitals in Jubilee Hills has transformed intensive care medicine in India with its medical proficiency and cutting-edge infrastructure, solidifying its position as the best hospital for critical care in Hyderabad.

    ​​Our Specialities ​

    Within Apollo, our intensive care units can be structured according to the treated conditions or the age group of the admitted patient. Specialised intensive care units cover cardiac, neuro, medical, and surgical cases. In total, our ICUs comprise 163 beds for critically ill patients.

    • Advanced critical care unit
    • Medical intensive care unit I, II
    • Neuro intensive care unit I, II
    • Surgical intensive care unit
    • Tracheostomy unit
    • Cardiac intensive care unit
    • Cardiothoracic intensive care unit
    • Cardiac sciences unit
    • Unit for Extracorporeal therapies.
    • Transplant Intensive care unit
    • Paediatric Intensive care unit
    • EICU

    ​​Treatments and Procedures​

    In our Critical Care Department, we conduct a diverse array of procedures suitable to each patient’s specific condition. Our proficient critical care team is knowledgeable and well-equipped with the necessary resources to perform these procedures effectively.

    • Airway management
    • Cardiopulmonary Resuscitation (CPR)
    • Central venous catheterization, Arterial blood pressure monitoring
    • Chest drainage tube insertion
    • Percutaneous tracheostomy
    • Bronchoscopy
    • Extracorporeal membrane oxygenation (ECMO)
    • Hemodialysis
    • Hemodynamic monitoring
    • Intra-aortic balloon pump therapy
    • Mechanical ventilation
    • Pulmonary artery catheter insertion
    • Thrombolysis
    • Transvenous cardiac pacing
    • Advanced neuromonitoring transcranial doppler

    ​​Advanced Technologies and Facilities

    • ECMO Unit
    • ECCO2R
    • E-CPR
    • RRT
    • Cytokine filters

    Academics

    Our institution is proud to offer a diverse range of training courses aimed at providing comprehensive education and skill development in critical care medicine. Among these courses are the Diplomate of National Board (DrNB), the Indian Diploma in Critical Care Medicine (IDCCM), and the Indian Fellowship in Critical Care Medicine (IFCCM).

    We also supervise and provide educational and training programmes for nurses in the critical care domain.

    What sets our program apart is the caliber of our faculty members, who are renowned experts in their respective fields, possessing extensive experience and specialised knowledge. Our faculty ensures that students receive instruction of the highest quality.

    Our program boasts a 100% pass rate across all batches, showcasing the efficacy of our thorough curriculum, personalised mentorship, and practical training initiatives. Graduates not only gain a comprehensive understanding of critical care principles but also acquire the practical skills and confidence necessary to excel in their careers.

    Research

    Our doctors conduct extensive research and frequently publish articles. Following are the links to some of their most recent publications:

    1.  Knowledge And Compliance About Sepsis Care Bundle And Its Impact On In-Patient’s Outcome With Sepsis: A Prospective Observational Study by Dr Sudeep Sirga, Dr K Hima Bindu published in IOSR (January 01, 2023)
      https://www.iosrjournals.org/iosr-jnhs/papers/vol12-issue1/Ser-2/K1201026569.pdf
    2.  Knowledge And Awareness About Nursing Interventions To Reduce Peripherally Inserted Central Catheter Occlusion For Cancer Patients: A Prospective Observational Study by Dr K Hima Bindu, Dr Sudeep Sirga published in IOSR (March 05, 2023)
      https://www.iosrjournals.org/iosr-jnhs/papers/vol12-issue1/Ser-6/E1201061925.pdf
    3. Invasive Fungal Infections in A Tertiary ICU in Hyderabad by Sudeep Sirga, K Hima Bindu, Ratnamani MS, Jamadanda Prathiba, Nagaraju Gorla, Chandana Lakkoju, Sai Druthi Pasupuleti and Subbareddy Kesavarapu published in Acta Scientific (August 31, 2023)
      https://www.actascientific.com/ASMS/ASMS-07-1674.php
    4. Severe Cotrimoxazole-induced Hypoglycemia in a Patient with Pneumocystis jirovecii Pneumonia: A Case Report by Swarna D Kuragayala1 , Samantha Sathyakumar2 , Hima B Kotamarthy3 published in IJCCR (March 15, 2024)
      https://www.ijccr.org/doi/IJCCR/pdf/10.5005/jp-journals-11006-0093
    5. Tele-ICU Management of a Trauma Patient at a Peripheral Center by Dr Sai Praveen haranath, Dr K Hima Bindu, Dr Sri Ramya Ganti, Dr DS Srinivas published in THMT (March 27, 2024)
      https://telehealthandmedicinetoday.com/index.php/journal/article/view/472
    6. Cyanide Toxicity!! Colour of Blood Says It All by Dr Niranjan Panigrahi, Dr Sai Praveen Haranath, Dr Sudeep Sirga published in IJCCM (March, 2019)
      https://pubmed.ncbi.nlm.nih.gov/31097895/
    7. Simulated Hemoptysis – Difficulties in Diagnosis by Dr Sai Praveen Haranath published in Arch Bronconeumol (Engl Ed). (April-2020)
      https://pubmed.ncbi.nlm.nih.gov/31761492/
    8.  COVID-19: The Vital Sign by Dr Sai Praveen Haranath published in J Midlife Health (Oct-Dec 2020)
      https://pubmed.ncbi.nlm.nih.gov/31761492/
    9.  eNeuroIntensive Care in India: The Need of the Hour. Neurol India. by Haranath SP, Ganapathy K, Kesavarapu SR, Kuragayala SD published in eNeuroIntensive Care in India (2021 March-April)
      https://pubmed.ncbi.nlm.nih.gov/33904432/
    10. Variation in therapeutic strategies for the management of severe COVID-19 in India: A nationwide cross-sectional survey by Dr K Subba Reddy published in Int J Clin Pract (Jun-21)
      https://pesquisa.bvsalud.org/global-literature-on-novel-coronavirus-2019-ncov/resource/pt/covidwho-1281995
    11.  Infection Prevention and Control for ICU during COVID-19 Pandemic: Position Paper of the Indian Society of Critical Care Medicine by Dr KS Reddy, Dr K Swarna Deepak published in IJCCM (Nov-2020).
      https://pubmed.ncbi.nlm.nih.gov/33354052/
    12.  Intraventricular Bleed Secondary to Intraventricular Antibiotics: A Case Report by Dr KS Reddy published in IJCCM (Oct-19) https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6842834/
    13.  Multicentered prospective investigator initiated study to evaluate the clinical outcomes with extracorporeal cytokine adsorption device (CytoSorb®) in patients with sepsis and septic shock by Dr Rajib Paul, Dr Aleem MA published in WJCCM (Jan-21)
      https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7805252/
    14.  Tacrolimus induced diffuse pontine hyperintensity in status epilepticus: a rare entity by Dr Niranjan Panigrahi (Nov-20).
      https://acnr.co.uk/case-report/tacrolimus-induced-diffuse-pontine-hyperintensity-in-status-epilepticus/
    15. Clinical profile and Outcome of patients who had Cardiopulmonary arrest in Non ICU settings – A Retrospective Analysis in a Tertiary care hospital by Dr KS Deepak (Jul-05).
    16. Telemedicine to Expand Access to Critical Care Around the World Critical Care Clinics.

    Textbook Chapters

    1.  Intermittent Mandatory ventilation and Synchronised Intermittent Mandatory Ventilation -Textbook of Mechanical Ventilation by Dr Deepak, Dr Lakshmi Narayana.
    2.  Biomarkers in sepsis: What to expect in future? – Critical Care Update by Dr Deepak, Dr Lakshmi Narayana.
    3.  Early diagnosis of Negative Nitrogen Balance in Critical Care – Critical Care Update by Dr Deepak, Dr Lakshmi Narayana.

    Academic Events Conducted

    1. Neurocritical Care Update In July-23
    2.  Workshop In South Zone Critical Care Conference, Fundamentals Of Critical Care In Nov-23
    3. Napcon Conference, Ventilator Workshop In Nov-23

    Prizes Achieved

    1. Dr Sahitya, Dr Tejasree, Dr Keerthana Won First Prize In Quiz In The South Zone Critical Care Conference – Nov-23
    2. Dr Sahitya, Dr Tejasree Won Second Prize In Quiz In A National ECMO Conference – Jan-24
    3. Dr K Hima Bindu Won Second Prize In Poster In Telemedicon Goa – Nov-23
    4. Dr Deepak, Dr Sahitya Won First Prize In Quiz Nutrition In Quiz – Dec-23

    Nursing capabilities and allied supporting staff

    Our nursing team comprises dedicated professionals who are not only highly qualified and extensively trained but are also available around the clock to meet the needs of our patients. With their expertise and commitment to excellence, they ensure that our patients receive the highest standard of care at any hour of the day or night.

    Our supporting team with skilled professionals, which includes pharmacists, physiotherapists, medical social workers and dieticians, stands ready to serve our patients 24/7. Their collaborative efforts ensure that patients receive continuous and exceptional care without interruption. Whether it is addressing medication needs, providing physical therapy, or offering dietary guidance, our staff work together seamlessly to meet the diverse needs of our patients and uphold the highest standards of quality in healthcare delivery.

    Patient Testimonials

    FAQ's

    Critical care is a highly specialised medical discipline focused on overseeing individuals with life-threatening conditions within intensive care units (ICUs). The Critical Care Unit at Apollo Hospitals, Jubilee Hills, Hyderabad, encompasses meticulous monitoring and targeted interventions designed to stabilise essential bodily functions. We strive to achieve best outcomes for patients confronting severe illnesses, injuries, or complications arising from surgical procedures.

    An intensivist is a highly trained physician specialising in critical care medicine. Their role includes overseeing the medical management of critically ill patients in the ICU, making crucial decisions, and coordinating the efforts of the entire healthcare team. Apollo Hospitals in Jubilee Hills, Hyderabad, have a highly qualified team of critical care clinicians who are efficient at handling all types of emergencies.

    Admission to the ICU is determined by the severity of a patient's condition and their need for intensive monitoring and specialised medical interventions. Criteria for admission include factors such as unstable vital signs, respiratory distress, or organ failure.

    We at Apollo Hospitals, Jubilee Hills, Hyderabad, believe that family involvement is extremely crucial in critical care settings. Regular communication, updates on the patient's condition, and discussions about treatment plans help families navigate the emotional challenges associated with having a loved one in the ICU.

    While critical care interventions are essential, they aren't without their risks. If any complications do arise from any interventions, our critical care medical team will be ready to carefully assess and manage them. In these situations, open communication with patients and their families is prioritised so that potential adverse outcomes are averted

    Critical care and emergency care serve distinct purposes. Emergency care addresses immediate life-threatening situations, providing initial stabilisation and rapid interventions. In contrast, critical care involves ongoing management in the ICU, offering a higher level of monitoring, specialised interventions, and comprehensive support for patients with severe or complex conditions.

    A Code Blue is an emergency situation in the ICU, signalling a patient in cardiac or respiratory arrest. This prompts a rapid and coordinated response from the medical team to initiate life-saving measures, including cardiopulmonary resuscitation (CPR) and advanced interventions aimed at restoring the patient's cardiac or respiratory function.

    A ventilator is a medical device that assists people with breathing difficulties. The ventilator delivers a controlled amount of air (with oxygen) to the patient's lungs, supporting the exchange of oxygen and carbon dioxide. This life-supporting intervention is vital for patients with respiratory failure, severe illness, or those undergoing certain medical procedures where assistance with breathing is essential.

    An ICU-acquired infection, also known as nosocomial infection, refers to an infection that a patient develops while receiving treatment in an intensive care unit (ICU). These infections are not present or are in the early stages of development at the time of admission to the ICU. Factors such as compromised immune systems, invasive medical procedures, prolonged hospital stays, and the use of medical devices contribute to the risk of acquiring infections in the ICU. Common types include ventilator-associated pneumonia, bloodstream infections, and urinary tract infections. We pride ourselves in maintaining the strictest infection control measures which reduces the possibility of such infections.

    We have specialised recovery programs at Apollo Hospitals in Jubilee Hills, Hyderabad, with the goal to address the physical, emotional, and cognitive challenges faced by ICU survivors. We support a holistic recovery, helping individuals regain optimal functioning and transition smoothly back to their regular lives.
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