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ABOUT THE DEPARTMENT

Department of Cardiothoracic Anaesthesia of Evercare Hospital Dhaka comprises a team of dynamic fully trained specialists who constantly work towards providing the highest standard of anaesthesia support to patients undergoing a wide variety of cardiothoracic & vascular procedures in our state-of-the-art operation theatre s (OT). Evercare Hospital Dhaka is one of the largest cardiothoracic & vascular surgical centres in Bangladesh, and cardiac anaesthesiologists form a vital part of the multidisciplinary team involved in the management of these complex and challenging surgeries. In addition to supervising anaesthesia care for such patients, cardiac anaesthesiologists are also involved in the management of patients with cardiac conditions when they go in for other surgical procedures. Anaesthesiologists have a wide variety of tools at their disposal and develop an anaesthesia plan tailored to each patient after consulting with the patient and the surgeon.

DEPARTMENT CONSULTANT

Niaz_Ahmed1 Cardiothoracic Anaesthesia Dr. Niaz Ahmed
MBBS, DA (Diploma in Anaesthesiology), MCPS (Anaesthesiology), FCPS (Anaesthesiology)
Coordinator & Senior Consultant – Cardiac Anesthesia and CT ICU
| View Consultant Profile | Make an Appointment |

OUR SERVICES

Our mission is to provide superlative comprehensive anaesthesia care throughout the peri-operative period, ensuring maximum patient safety and comfort. Towards this goal, the latest cutting-edge anaesthesia techniques are employed, such as Trans-Esophageal Echocardiography (TEE) as a monitoring standard. Our cardiac anaesthesiologists supervise heart-lung machine and control the patient’s physiology, as well as all medical problems including chronic and acute conditions, through the use of invasive monitors and pharmacology. We also provide anaesthesia care in non-cardiac surgeries for patients having complex cardiac diseases like valvular heart disease, adult congenital heart disease, congestive heart failure, etc. Our vigilant care does not start or stop with the often-challenging anaesthesia management during the actual surgical procedure. The Department of Cardiothoracic Anaesthesia also works with other experts to optimize the patient pre-operatively, as well as closely monitors the patient in post-operative setting. Our cardiothoracic anaesthesiologists also oversee the hospital’s Cardiothoracic ICU (Critical Care Units). All patients go through Pre-Anaesthesia Check-up (PAC) before administration of any anaesthesia for

PRE-ANAESTHESIA CHECK-UP (PAC)

What is PAC?

Pre-anaesthesia check-up is a pre-condition for safe anaesthesia. Prior to administration of any type of anaesthesia, the patient has to be checked up by an anaesthesiologist. In pre-anaesthesia check-up the following are done:

  • Patient history and physical examination
  • Investigations in laboratory, imaging and others, as necessary
  • Set questionnaire to be answered by patient
  • Explaining to patient and then obtaining informed consent

PRE-ANAESTHESIA CHECK-UP (PAC)

What is PAC?

Pre-anaesthesia check-up is a pre-condition for safe anaesthesia. Prior to administration of any type of anaesthesia, the patient has to be checked up by an anaesthesiologist. In pre-anaesthesia check-up the following are done:

  • Patient history and physical examination
  • Investigations in laboratory, imaging and others, as necessary
  • Set questionnaire to be answered by patient
  • Explaining to patient and then obtaining informed consent

PAC Packages

PAC packages are provided through our Master Health Check (MHC) Clinic. There are four PAC packages customized as per need of different patient type. To avail Pre-Anaesthesia Check-up and for further information on this service, please contact MHC at 02-8431600 and 02-8431661 Ext: 2141.

MHC Services are available from 7:30 am to 4:00 pm, seven days a week. To view all our MHC packages, go to Master Health Check page.

The following are our Pre-Anaesthesia Check-up (PAC) Packages:
(Note: All packages include history, physical examination and others)

| Regular Paediatric Package 1 | Price: BDT 1,700 |

  • Hb
  • BT
  • CT

| Regular Paediatric Package 2 | Price: BDT 2,000 |

  • Hb
  • BT
  • CT
  • Blood Grouping & Rh Typing

| Regular Adult Package | Price: BDT 7,000 |

  • CBC
  • ESR
  • Blood Sugar (Fasting, 2 hours post prandial)
  • Serum Creatinine
  • Blood Grouping & Rh Typing
  • X-Ray Chest (P/A View)
  • ECG
  • HBs Ag – Rapid
  • HVC
  • HIV – Rapid
  • Consultation
  • Urine R/M/E

| Special Adult Package | BDT 13,000 |

  • CBC
  • ESR
  • Blood Sugar (Fasting, 2 hours post prandial)
  • Liver Function
  • Blood Urea
  • Serum Creatinine
  • Serum Electrolytes
  • Coagulation Profile
  • Blood Grouping & Rh Typing
  • HBs Ag – Rapid
  • HVC- Rapid
  • HIV – Rapid
  • X-Ray Chest (P/A View)
  • PFT
  • ECG
  • 2D ECHO
  • Two Consultations
  • Urine R/M/E

Goals of PAC

  • To know physical status of patient
  • To plan drugs and equipments to be used
  • To select required laboratory investigation
  • To plan pre-medication
  • To plan anaesthetic techniques
  • To minimize anaesthesia risk
  • To aid in patient preparation
  • To plan perioperative management
  • To improve patient outcome and reduce morbidity

WHAT ARE THE TYPES OF ANAESTHESIA USED?

The main types of anaesthesia are local, regional, and general.

  • Local anaesthesia numbs the part of your body where you will have the surgery. It is for simple procedures such as sewing up a cut or removing a skin growth.
  • Regional anaesthesia can be used for more extensive procedures than local anaesthesia. Two major types of regional anaesthesia are spinal and epidural.
    • Spinal anaesthesia is given with the anaesthetic through a needle in your spine. The drug takes effect quickly and blocks pain in the lower body. It may be used for many operations below the navel, such as rectal, bladder, and prostate operations, as well as operations on the legs.
    • Epidural anaesthesia may be used for many of the same procedures for which spinal anaesthesia is used. It is also given with a needle in the back. The dose is adjusted so that the nerves that transmit pain are blocked, but you keep the ability to move. In some cases a thin tube, or catheter, may be placed at the site of injection to treat pain for several days after surgery.

General anaesthesia

    relaxes your muscles, puts you to sleep, and prevents you from feeling pain. It will also prevent you from remembering the operation. The anaesthetic may be given intravenously (IV) or as a gas inhaled through a breathing mask or tube plus intravenous medicines.

HOW DO YOU PREPARE FOR ANAESTHESIA?

Preparation for anaesthesia varies depending on the kind of procedure you are having. Follow the instructions your Consultant gives you. Make sure your Consultant knows what medicines you take and about any allergies or health problems you have. An anaesthesiologist may talk with you. He or she may recommend the type of anaesthetic that may work best for you and the procedure you are having. Anaesthesiologists often ask for further investigations and/or consultation(s) from other specialists depending on the type of surgery and associated medical conditions.

WHAT HAPPENS DURING THE PROCEDURE?

  • Local anaesthesia is usually given by injecting a specific part of your body with a medicine that numbs the nerves. It can sometimes be given as nose drops or spray.
  • You may be given a sedative with a local or regional anaesthetic to relax you and reduce anxiety. The sedative may cause you to fall asleep. Spinal anaesthetic is injected through a small needle into the fluid-filled space surrounding your spinal cord. Epidural anaesthetic is injected just outside the sac that contains your spinal fluid.
  • If you are having general anaesthesia, drugs may be given through a mask covering your nose and mouth. Sometimes, insertion of a breathing tube through your throat may become necessary for a number of surgical procedures after anaesthesia is induced. In order to do this, a special kind of drug called “muscle relaxant” is used in addition to anaesthetic agents. The tube helps you to get adequate oxygen and other gaseous anaesthetic agents down to your lungs for maintaining safe anaesthesia. The tube will be removed before you wake up after the surgery.

During the whole procedure, your heart rate, blood pressure, oxygenation and state of breathing are continuously monitored so that any abnormal deviation can be remedied immediately. However, during recovery from anaesthesia, a very temporary disorientation and dry mouth may be present until the effect of the drugs wears off.

WHAT HAPPENS AFTER THE PROCEDURE?

Each procedure or type of surgery requires different follow-up. Check with your Consultant about what you need to do.

WHAT ARE THE BENEFITS OF ANAESTHESIA?

Anaesthesia helps to relieve pain and to create numbness or a state of unconsciousness during surgery.

WHAT ARE THE RISKS OF ANAESTHESIA?

Risks from local and regional anaesthesia:

  • You may feel some minor discomfort because the anaesthetic may not numb the area enough.
  • You may have an allergic reaction to the anaesthetic, causing fever, nausea, vomiting, swelling, hives, or trouble breathing.
  • Although very rare (according to global record), you may have long-term damage to the nerve
  • You may experience difficulty in breathing because sometimes local anaesthetic agents affect some nerves of breathing

All these conditions have internationally accepted management plan.

Risks from general anaesthesia:

  • After the anaesthesia, you may have nausea and vomiting, sore throat, dry mouth, and muscle pain.
  • You may feel tightnes in the chest, especially if you have a heart or chest condition preoperatively
  • You may have irregular heartbeat, along with confusion, on rare occasions
  • You may have pain in the area of surgical procedure

These are temporary problems; Post Anaesthetic Care Unit staffs are aware of these conditions and are trained to manage them accordingly with the help of relevant physicians. Discuss with your Consultant any concerns you may have regarding anaesthesia.

IMPORTANT POINTS ABOUT TESTS/PROCEDURES/SURGERIES, YOUR REPORTS & BILLING ENQUIRIES

    • Tests/Investigations:
      • To schedule a test/investigation, please call the relevant OPD front desks.
      • Your lab investigation samples are to be deposited in the Sample Collection Room located in the hospital’s atrium, which is open on working days (Saturday-Thursday) from 7.00 am to 10:00 pm, and on Fridays and holidays from 7.00 am to 3.00 pm.
      • Your investigation reports can be collected from Report Delivery Room by showing the receipt of payment. The hospital shall not be responsible for reports not collected within 30 days after the tests were done. Report Delivery Room is also located in the hospital’s atrium, and is open on working days (Saturday-Thursday) from 8.00 am to 8.30 pm, and on Fridays and holidays from 9.00 am to 5.00 pm.
      • You will not be able to collect your investigation reports without your receipt of payment. If you have lost your receipt, you may collect a duplicate copy from our Billing Executives (Corporate Desk, Atrium – level 1).
      • You can request duplicate copy of your investigation reports from the Report Delivery Room, inclusive of BDT 100 additional charge.
    • Procedures & Surgeries:
      • If you are interested in undergoing a procedure or surgery, please see our relevant Consultant first.
      • To search for a Consultant, go to Find Consultant page and for appointments, go to Make Appointment page.
    • In-patient Reports
      • A Discharge Summaryis provided to a patient upon his/her discharge from the hospital. A discharge summary is a summary of the events during hospitalization of the patient. It outlines the patient’s chief complaint, the diagnostic findings, the therapy administered and the patient’s response to it, and recommendations on discharge.
      • To request for detailed in-patient medical reports or to make an insurance claim, refer to our Medical Report page.
  • For queries on charges, contact our Billing Department (Corporate Desk, Atrium – level 1) or call/e-mail our Billing Executives:
Mr. Taslimur Rahman:
Manager – Billing
Phone : +88-02-8431661-5; Ext-1353
(From 9 am to 5 pm –Except Holidays)
E-mail: taslimur.rahman@evercarebd.com

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