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Neuro Anaesthesiology Department at Neuro Foundation Hospital 

Welcome to the Neuro Anaesthesiology Department at Neuro Foundation Hospital. Our department is dedicated to providing specialized anesthesia care for neurosurgical procedures, utilizing advanced techniques to ensure optimal surgical outcomes and patient safety. We focus on a comprehensive, patient-centered approach to perioperative care, encompassing pre-operative assessment, intra-operative management, and post-operative recovery.

Comprehensive Preoperative Care

Our department is committed to delivering exceptional care throughout every phase of the surgical process.

  • Pre-Operative Assessment and Optimization:
    • Medical History Review: Thorough evaluation of the patient’s overall health to identify any underlying conditions or risk factors that could impact anesthesia.
    • Neurological Evaluation: Detailed assessment of neurological function and stability to tailor anesthesia plans effectively.
    • Anesthesia Planning: Customizing anesthesia techniques based on the patient’s health, the type of surgery, and the specific requirements of the procedure. This may include choosing the appropriate anesthesia type (general, regional, or local) and planning for any special needs.
  • Intra-Operative Monitoring and Management:
    • Advanced Monitoring: Continuous monitoring of vital signs such as blood pressure, heart rate, oxygen saturation, and neurological status. This helps to ensure the patient’s safety and adjust anesthesia as needed.
    • Real-Time Adjustments: Immediate modification of anesthesia levels and techniques in response to changes in the patient’s condition or surgical environment. This includes adjusting the depth of anesthesia and managing any intra-operative complications.
    • Collaboration with Surgeons: Close coordination with neurosurgeons and the surgical team to maintain optimal conditions for the procedure. This includes managing patient positioning, controlling blood loss, and ensuring adequate anesthesia.
  • Post-Operative Care:
    • Pain Management: Implementation of effective pain control strategies, including medications and regional anesthesia techniques, to minimize discomfort and support recovery.
    • ICU Support: For patients requiring intensive monitoring and care, our ICU team provides specialized support, including continuous monitoring and management of any complications.
    • Recovery Monitoring: Regular assessment of recovery progress to detect and address any post-operative issues promptly. This includes monitoring for potential side effects of anesthesia and ensuring a smooth transition from surgery to recovery.

Specialized Area of Expertise

Our department is equipped with specialized skills to handle a variety of complex conditions and procedures, ensuring expert care for all patients.

  • Anaesthesia for Complex Neurosurgical Procedures:
    • Supratentorial Surgeries: Managing procedures involving the brain’s upper regions, such as tumor resections or functional surgeries.
    • Posterior Fossa Surgeries: Addressing surgeries involving the brainstem and cerebellum, requiring precise anesthesia management to avoid complications.
    • Cerebral Aneurysm Surgery: Performing delicate operations on brain aneurysms with careful anesthesia control to minimize risk.
    • Brain Arteriovenous Malformation Resections: Treating abnormal blood vessel connections in the brain, requiring expert anesthesia to manage bleeding and ensure patient safety.
  • Awake Craniotomy Techniques:
    • Brain Mapping: Utilizing awake craniotomy to map brain functions in real-time, allowing neurosurgeons to avoid critical areas and preserve essential functions.
    • Patient Interaction: Engaging patients during surgery to monitor brain functions and adjust the surgical approach as needed, enhancing the precision of the procedure.
  • Paediatric Neurosurgical Anaesthesia:
    • Age-Specific Techniques: Adapting anesthesia methods to the physiological and developmental needs of pediatric patients, ensuring safety and efficacy.
    • Family Support: Providing clear communication and support to families throughout the surgical process, addressing their concerns and keeping them informed.
  • Management of Traumatic Brain Injury and Neurological Conditions During Pregnancy:
    • Traumatic Brain Injury: Offering specialized anesthesia care for patients with brain injuries, focusing on stability and safety.
    • Pregnancy Considerations: Managing the complexities of anesthesia for pregnant patients with neurological conditions, ensuring both maternal and fetal safety.

Integrative & Compassionate Care

Our approach to neuro anaesthesiology combines cutting-edge technology with compassionate care, aiming to enhance patient outcomes and comfort.

  • Advanced Techniques: Utilization of the latest advancements in anesthesia technology and techniques to provide the best possible care.
  • Patient-Centered Approach: Creating individualized care plans tailored to each patient’s unique needs, preferences, and medical conditions.
  • Multidisciplinary Collaboration: Working collaboratively with neurosurgeons, intensivists, and other specialists to provide comprehensive and coordinated care.

Discover Excellence in Neuro Anaesthesiology

Experience the highest standards of care with our Neuro Anaesthesiology Department at Neuro Foundation Hospital. Our expert team is dedicated to optimizing surgical outcomes, ensuring patient safety, and providing exceptional support throughout the surgical journey. For more information or to schedule a consultation, please contact us. We are here to support you with the utmost care and expertise.

Neuro Anaesthesia is a fast moving field / Specialty.
Prior to the advent of NeuroAnaesthesiology as a distinct and unique specialty Neurosurgery was compounded by high rates of morbidity and mortality.
A Neuro Anaesthesiologist with better understanding of the structure and function of brain and spinal cord and likely changes that occur in response to blood clots, tumours, infections in these areas has improved the outcome of surgery quite significantly.

Services Offered

Peri-Operative Care

  • Pre-Operative assessment.
  • Intra-Operative Care.
  • Post-Operative Care.
The role of Neuro Anaesthesiologist starts before surgery by assessing and optimizing the patient’s co-morbid conditions like diabetes, hypertension, heart, lung and kidney ailments along with the presenting neurological illnesses. It continues into the operating room where the patient’s vital parameters are monitored and maintained and optimal surgical conditions are provided for the surgeons.

In the Post-Operative ward patient’s pain, fluids and electrolytes balance are being taken care of.
Patient may need admission in ICU and artificial ventilation in selected cases.

Resuscitation if actually ill patients in Emergency Room

patient’s oxygenation and CO2 removal are optimized after securing airways with tubes and ventilation. Vital parameters like heart rate and blood pressure are optimized by administering appropriate fluids and drugs.

Anaesthesia for SupratentorialMasses and Posterior Fossa Surgery

Anaesthesia for supratentorial tumors requires an understanding of the pathophysiology of localized or generalized rising intracranial pressure (ICP), the regulation and maintenance of intracerebral perfusion and to avoid secondary systemic insults to the brain.
The main intra operative goals in anaesthesia for posterior fossa masses are to facilitate surgical access, minimize nervous tissue trauma and maintain respiratory and cardiovascular stability.

Anaesthesia for Cerebral Aneurysm Surgery

Successful anaesthetic management of patients with cerebral aneurysm requires a thorough understanding of the natural history, pathophysiology and surgical requirements of the procedures. Contribution of Neuro Anaesthesia (or Anaesthetist) to the improved results of surgical treatment of cerebral aneurysm cannot be overemphasized.

Anaesthesia for Surgical resection of Brain Arteriovenous Malformation

Surgical management of brain AVM (Arterio Venous Malformation) is one of the most challenging in Neuro Surgery despite the relative rarity of the disease. Perioperative and anesthetic management is optimal when the anesthetist has familiarity with strategic goals of therapy and some familiarity with AVM pathophysiology.

Anaesthesia for Cerebro Vascular Disease like Carotid Endarterectomy

Carotid Endarterectomy (CEA) remains the gold standard and the most commonly performed surgical procedure for the prevention of stroke. This is a challenging procedure from the anaesthesiologist’s perspective because many of the patients are elderly and have significant co-existing disease involving other organ systems.

Anaesthesia for Epilepsy Surgery

Patient’s with seizures refractory to medical management are appropriate candidates for seizure surgery. Anaesthetic selection is key to successful intraoperative mapping of the epileptic foci or identification of eloquent tissue during resection of epileptogenic tissue. Good communication among the Anesthesiologist, Surgeon and Neurophysiologist is critical in achieving patient safety and a successful procedure. Medically uncontrolled epilepsy patients should undergo surgical treatment.

Awake Craniotomy

Awake craniotomy is performed when tissue resection requires mapping of eloquent cortical tissue located in close proximity to the area to be resected. It avoids anesthetic related interference with intraoperative brain mapping.
Awake craniotomy remains one of the more challenging techniques of anesthesia and the anesthetic techniques for “awake “ craniotomy is more aptly described as variable – depth general anesthesia with periods of wakefulness.

Anaesthesia for Paediatric Neuro Surgical Diseases

Technical advances in Neuro Surgery have dramatically improved the outcome in pediatric patients with surgical lesions of the central nervous system. The perioperative management of pediatric neurosurgical patient’s presents many challenges to Neurosurgeons, Anaesthesiologists and Intensivists. Many condition are unique to small children. A basic understanding of age- dependent variables and of the interaction of anaesthetic and surgical procedures is essential in minimizing perioperative morbidity and mortality at all stages of care.

Anaesthesia for Neurological diseases of spine and spinal cord

Spine surgery has made remarkable advancements since recent times. Complex operations are being performed one spine diseases once thought incurable.
The anesthetist approach to patients scheduled for spine surgery should consider potential airway difficulties. Patient positioning anesthetic choices, blood replacement, hemodynamic goals and postoperative airway concern and pain management.

Anaesthesia for patients with Traumatic Brain Injury

In traumatic brain injury (TBI) special emphasis on the treatment and prevention of secondary brain injury through systemic and neurologic monitoring and rapid intervention is needed.
Treatment of TBI focuses primary on prevention and treatment of secondary injury.

Anaesthesia for Neuro Surgery in the Pregnant Patients

Neurologic disorders requiring surgical intervention during pregnancy are surprisingly common. The anesthetic management of these patients came be complicated by the significant maternal physiologic chantes that occur during pregnancy.

These changes may require alterations in anesthetic management that wound be considered inappropriate for a non pregnant patient with the same neurological condition.

Anaesthetic management for Interventional Neuroradiology

The anesthetic concern of particular importance for interventional neuroradiology procedures are

(a) Maintaining the patient’s immobility during the procedure to facilitate imaging

(b) enabling rapid recovery from anesthesia at the end of the operation to facilitate neurologic examination

(c) Managing sudden unexpected procedure specific complication during the procedure such as hemorrhage or vascular occlusion.

Meet our General Physician

Dr. G. Sekar, MD

Senior Anesthetist and Interventionist

Dr. M. Mohammed Irfan

Anesthetist and Interventionist

Dr. K. Suresh Babu

Anesthetist and Interventionist

Basic FAQs

Neuro anaesthesiology specializes in providing anesthesia and pain management for patients undergoing neurological surgeries.
We use advanced monitoring and safety protocols to ensure patient well-being throughout the procedure.
We use general anesthesia, regional anesthesia, and conscious sedation, depending on the procedure.
You will need to fast for a specified period before your procedure. Detailed instructions will be provided.
The neuro anaesthesiologist manages anesthesia, monitors vital signs, and ensures patient stability during surgery.
Post-operative pain is managed with medications, nerve blocks, and other pain relief strategies.
While generally safe, anesthesia carries risks, which are minimized through careful assessment and monitoring.
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Anesthesia Management

  • Anesthesia Management
  • Neuro Anesthesia
  • Pain Control
  • Sedation Techniques
  • Intraoperative Care
  • Anesthesia Safety
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