Anaesthesia

Safe, Personalised Anaesthesia and Perioperative Care

The Department of Anaesthesia at Sitaram Bhartia Institute of Science and Research provides anaesthesia support for surgeries, procedures, childbirth, emergency care, critical care and pain management.

Anaesthesia plays an important role in making medical and surgical procedures safer, more comfortable and better planned. It is not limited to putting a patient to sleep during surgery. Anaesthesiologists assess the patient before a procedure, plan the most suitable type of anaesthesia, monitor vital functions during the procedure, manage pain, and support recovery after surgery.

Our anaesthesia team works closely with surgeons, obstetricians, gynaecologists, paediatricians, intensivists, physicians, nurses and operation theatre teams to provide patient-centred care before, during and after procedures.

Anaesthesia Services We Provide

Our Anaesthesia services support patients across a wide range of medical, surgical and procedural needs, including:

• Pre-anaesthesia check-up
• General anaesthesia
• Regional anaesthesia
• Spinal anaesthesia
• Epidural anaesthesia
• Local anaesthesia with monitored care
• Sedation for selected procedures
• Labour analgesia
• Post-operative pain management
• Anaesthesia support for emergency procedures
• Anaesthesia support for paediatric procedures
• Anaesthesia support for elderly and high-risk patients
• ICU and critical care support where required
• Airway and breathing support during procedures
• Monitoring during surgery and recovery

Our Anaesthesia Services

Pre-Anaesthesia Check-Up

A pre-anaesthesia check-up helps assess whether a patient is medically fit for surgery, delivery, or a planned procedure.

During the assessment, the anaesthesiologist may review:

• Medical history
• Current medicines
• Allergies
• Previous anaesthesia history
• Existing health conditions such as diabetes, hypertension, asthma, heart disease or thyroid disorders
• Blood reports and investigations
• Airway assessment
• Fasting instructions
• Anaesthesia options
• Risks, precautions and recovery expectations

This assessment helps the team plan anaesthesia safely and reduce avoidable risks.

General Anaesthesia

General anaesthesia is used when a patient needs to remain unconscious and pain-free during surgery or a procedure.

It may be used for:

• Major surgeries
• Laparoscopic procedures
• Emergency surgeries
• Selected paediatric procedures
• Procedures where complete stillness or deeper anaesthesia is required

During general anaesthesia, the anaesthesia team monitors breathing, heart rate, blood pressure, oxygen levels and other vital parameters throughout the procedure.

Regional Anaesthesia

Regional anaesthesia numbs a specific area of the body while the patient may remain awake, lightly sedated, or comfortable during the procedure.

It may include:

• Spinal anaesthesia
• Epidural anaesthesia
• Nerve blocks
• Other region-specific anaesthesia techniques where appropriate

Regional anaesthesia may be used for selected orthopaedic, obstetric, gynaecological, urological, lower abdominal or limb procedures, depending on the patient’s condition and the nature of surgery.

Spinal and Epidural Anaesthesia

Spinal and epidural anaesthesia are commonly used for selected surgeries and childbirth-related procedures.

They may be used for:

• Caesarean birth
• Selected gynaecological procedures
• Lower abdominal procedures
• Lower limb procedures
• Labour pain relief where clinically suitable
• Post-operative pain control in selected cases

The anaesthesiologist explains the procedure, expected effect, benefits, limitations and possible side effects before proceeding.

Labour Analgesia

Labour analgesia helps reduce pain during labour while allowing the mother to participate in the birthing process.

Epidural analgesia may be considered for labour pain relief where clinically appropriate and after assessment by the anaesthesia and obstetric teams.

The decision depends on:

• Stage of labour
• Mother’s health condition
• Pregnancy-related factors
• Blood reports
• Availability and clinical suitability
• Obstetrician and anaesthesiologist assessment

The aim is to provide pain relief while supporting maternal and baby safety.

Monitored Anaesthesia Care and Sedation

Some procedures may require sedation or monitored anaesthesia care rather than full general anaesthesia.

This may be used for selected short procedures, diagnostic procedures, minor surgeries or interventions where patient comfort and monitoring are needed.

During sedation, the anaesthesia team monitors the patient’s breathing, oxygen levels, blood pressure, heart rate and comfort.

Post-Operative Pain Management

Pain control after surgery is an important part of recovery.

The anaesthesia team helps plan post-operative pain relief based on:

• Type of surgery
• Patient’s age and medical condition
• Pain level
• Medicines already being taken
• Recovery goals
• Ability to eat, walk, breathe deeply and rest comfortably

Pain management may include medicines, regional techniques, epidural support or other methods where clinically appropriate.

Anaesthesia for High-Risk Patients

Some patients may need additional evaluation and planning before anaesthesia because of age, chronic illness, pregnancy, heart disease, lung disease, kidney disease, diabetes, obesity or other medical concerns.

The anaesthesia team may coordinate with physicians, surgeons, intensivists and other specialists to optimise care before the procedure.

This is especially important for:

• Elderly patients
• Patients with multiple medical conditions
• Emergency surgery patients
• Pregnant women with medical concerns
• Paediatric patients
• Patients requiring ICU support
• Patients undergoing major surgery
• Anaesthesia for Children

Children need age-appropriate anaesthesia care, careful monitoring and family-centred communication.

Anaesthesia support for children may include:

• Pre-procedure assessment
• Explanation for parents
• Anaesthesia planning based on age and procedure
• Monitoring during surgery
• Pain relief after procedure
• Coordination with paediatricians, surgeons, NICU or PICU teams where required

The aim is to keep the child safe, comfortable and well monitored throughout the procedure and recovery.

Anaesthesia Support Across Specialities

The Anaesthesia department supports several clinical and surgical departments, including:

• Obstetrics and Gynaecology
• Maternity Programme
• General Surgery
• OrthopaedicsUrology
• ENT
• Ophthalmology
• Plastic Surgery
• Paediatrics
• Paediatric Surgery
• Gastroenterology procedures
• ICU and Critical Care
• Emergency services
• Imaging or diagnostic procedures where sedation support is required

This coordination helps patients receive safe, planned and procedure-specific anaesthesia care.

Our Approach to Anaesthesia Care

At Sitaram Bhartia, anaesthesia care is planned around patient safety, clinical need and comfort.

Our approach includes:

• Detailed pre-anaesthesia assessment
• Personalised anaesthesia planning
• Review of medical history, medicines and investigations
• Clear explanation of anaesthesia options
• Careful monitoring during procedures
• Pain management planning
• Coordination with surgical and medical teams
• Recovery room monitoring
• Support for high-risk patients
• Family counselling where appropriate
• Focus on safe recovery after the procedure

The type of anaesthesia is recommended after assessing the patient, the planned procedure, medical condition, risks and expected recovery.

What to Expect Before Anaesthesia

Before surgery or a procedure, the anaesthesiologist may ask about:

• Existing medical conditions
• Previous surgeries
• Previous anaesthesia experience
• Allergies
• Current medicines
• Blood thinners or supplements
• Fasting status
• Loose teeth, dentures or airway concerns
• Recent fever, cough, infection or breathing difficulty
• Pregnancy status, where relevant
• Reports and investigations

Patients may also receive instructions about fasting, medicines to continue or stop, arrival time, consent and post-procedure care.

What Happens During Anaesthesia?

During the procedure, the anaesthesia team monitors important body functions such as:

• Heart rate
• Blood pressure
• Oxygen levels
• Breathing
• Temperature
• Pain response
• Level of consciousness where relevant
• Fluid and medicine requirements

The anaesthesia plan is adjusted according to the patient’s condition and surgical requirement.

Recovery After Anaesthesia

After the procedure, patients are monitored in the recovery area until they are stable.

Recovery care may include:

• Monitoring of vital signs
• Pain relief
• Nausea or vomiting management
• Breathing support if required
• Observation after sedation or general anaesthesia
• Instructions before discharge or transfer to ward
• Follow-up by the anaesthesia or surgical team where required

Recovery time depends on the type of anaesthesia, procedure, patient’s health and clinical condition.

When Should You Meet an Anaesthesiologist?

You may need to meet an anaesthesiologist if:

• You are scheduled for surgery
• You are planned for a procedure requiring sedation or anaesthesia
• You are pregnant and want to discuss labour pain relief
• You are scheduled for caesarean birth
• You have had a previous anaesthesia-related concern
• You have multiple medical conditions before surgery
• You take blood thinners or long-term medicines
• You have heart, lung, kidney, thyroid or diabetes-related concerns
• You have allergies or airway-related concerns
• You need pain management after surgery
• You are advised a pre-anaesthesia check-up

Why Choose Sitaram Bhartia for Anaesthesia?

Patient-Centred Anaesthesia Planning

Every patient is assessed individually before anaesthesia. The plan is based on the procedure, medical condition, age, comfort, safety and expected recovery.

Experienced Anaesthesia Support

The anaesthesia team supports a wide range of surgical, obstetric, paediatric, emergency and critical care procedures.

Focus on Safety and Monitoring

Patients are carefully monitored before, during and after procedures to support safe anaesthesia care and recovery.

Pain Management Support

The department helps plan pain relief during and after procedures so that patients can recover more comfortably.

Coordination with Clinical Teams

Anaesthesiologists work closely with surgeons, obstetricians, physicians, paediatricians, intensivists, nurses and operation theatre teams.

Support for High-Risk Patients

Patients with chronic illnesses, advanced age, pregnancy-related concerns or complex medical conditions receive careful assessment and coordinated planning.

Labour Pain Relief Support

Where clinically suitable, anaesthesia support may be available for labour analgesia and caesarean birth.

Care Across Age Groups

Anaesthesia support is planned for adults, children, pregnant women and senior citizens according to their medical needs.

Clear Communication

The team explains anaesthesia options, preparation, risks, recovery expectations and post-procedure instructions to help patients and families make informed decisions.