Center Of Excellence

Center for Peri Operative Medicine

About Anesthesiology, Pain Management & Critical Care

The Department of Anesthesiology and Pain Management at Nepal Mediciti Hospital encompasses of team of expert anesthesiologists who will deliver state-of- the-art anesthesia and pain management services for various surgical procedures. Once scheduled for an operative procedure, the patient will follow standard perioperative anesthesia pathways to ensure patient safety and better outcomes. The anesthesia team is committed to outstanding clinical care and patient satisfaction. Depth of anesthesia monitoring during surgical procedures will be an integral part of patient management. Ultrasound guidance is the standard of care for all “conventionally blind procedures” like regional blocks and vascular access. The services provided by the department also include painless delivery, intensive care, cardiothoracic anesthesia, neuro-anesthesia, pediatric anesthesia and more. Anesthesia services will be available for endoscopic, radiological, cath lab procedures and other intervention at remote locations.

The Department of Critical Care of Nepal Mediciti Hospital comprises skilled and experienced intensivists, doctors, nurses and allied staff competent to deliver state-of- the-art critical care services in Nepal. The department has vision to lead performance management in critical care medicine in Nepal. We will pursue to translate innovative and quality approaches to critical care delivery in Nepal. Fostering best practices will be a priority and we will also benchmark internationally with other critical care systems. There will be constant efforts to monitor and measure performance which ultimately will strengthen critical care services. Besides regular services the department will be prepared for disaster events through surge management planning and regular surge exercises. The department is backed by high end ECMO which is used in cardiac surgery and in patients recovering from heart failure or lung failure. NMC is proud to have Sorin’s fifth-generation modular heart-lung machine which sets new standards for functionality, flexibility and quality.

About Anesthesiology, Pain Management & Critical Care Key Procedures

The working culture of the department will revolve around the following values:

- Patient Focus                                                                                          

- Patient Safety

- Credibility and Accountability                                                                   

- Collaboration

- Performance Improvement                                                                       

- Outcome Oriented

- Evidence Based Practice                                                                         

- Innovation

- Training                                                         

Family Support Key Components:

- Post-Critical Care follow-up clinic                                         

- End-of-Life Care                                             

- Organ donation and Transplant critical care services

- Skilled doctors & team in intensive care will provide comprehensive critical care services round the clock

- Implementation of specific Admission, Discharge and Triage (ADT) policies.

- Integration of Protocolized Care with Precision Medicine in care of individual patient

- Multidisciplinary approach of patient management

- Management of severe infections, sepsis, trauma, brain injury, shock with multi-organ failure, ARDS

- Advanced mechanical ventilator support and respiratory care

- 1:1 patient to nurse ratio services for ICU patients

- Availability of Early Warning System (EWS) and Rapid Response Team (RRT) services round the clock

- Infection control and Antibiotic Stewardship program

- Advance and extracorporeal life support, ECMO, Intra-aortic Balloon Pump (IABP), Renal

   Replacement Therapy (RRT), Advanced Hemodynamic Monitoring, Targeted Temperature Management

- Point of Care diagnostic and therapeutic facilities like Critical Care Ultrasound and Echocardiography

- Dedicated physiotherapy and rehabilitation care

- Dedicated supporting team of nurses, physiotherapists, nutritionists, pharmacists, occupational therapists

- Seamless continuum of care to High Dependency Unit (HDU) and post-acute care in collaboration with

  different clinical and non-clinical departments.

- Timely and efficient In-hospital and Out-of- hospital transfer of critically ill patients in collaboration

   with EMS team



Dr. Lava N Joshi


Dr. Lava N Joshi is the Head of Department of Critical Care & Non Invasive Cardiology at Nepal Mediciti. He has done his MD (Cardiology) from Dhaka University. He was formerly associated with O....

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Dr. Apurb Sharma


Dr. Apurba Sharma is the Head of Department of Anesthesia at Nepal Mediciti. He has done his MD (Anesthesia) from BP Koirala Institute of Health and Science, Dharan, Kathmandu Nepal. Hospital. He w....

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Dr. Diptesh Aryal


Dr. Diptesh Aryal is the Intensivist and ICU Coordinator at Nepal Mediciti. He has done his MD (Anesthesia) from Tribhuvan University, Institute of Medicine and has done his Clinical Fellowship tra....

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