Neuro-anesthesia

The best possible quality of anesthesia services is delivered by a highly trained team of neuro-anesthesiologists to these critically ill patients requiring such complex elective and emergency surgeries which are very demanding procedures. Neuro-anesthetic services provided for emergency procedures include both the traumatic (intracranial and spine) and nontraumatic life-saving intracranial and spinal cord saving procedures. 

Out of hour’s emergent cases, in and outside the OR, are managed by the on-call anesthesia team lead by the on-call consultant. The neuro-anesthesia team has developed evidence-based guidelines and protocol which are on par with international standards. This helps the on-call team to work according to protocols & guidelines to provide uniform and standard care. These services are consultant-led with academic programs for both residents and fellows. The scope of work ranges from simple to complex procedures. Cases include intracranial aneurysms, AV malformations, and posterior fossa surgery in the sitting position, endoscopic ventricular procedures, and vascular procedures such as Moya-Moya disease. On average, the operating suite at HGH provides anesthesia for more than 200 elective and 225 emergency craniotomies annually. In addition to the craniotomies, the neurosurgical team also performs on average, 110 emergency and 125 elective spine procedures annually. Recently neurophysiologists have joined the intra-operative team to provide services for advanced real-time intra-operative neurological monitoring. The Interventional Neuroradiology provides a 24-hour service for emergency stroke management, elective aneurysm coiling, and AVM embolization. For these procedures, the neuro-anesthesiology provides services during the working hours and the on-call team provides anesthesia services out of working hours. On average neuro-intervention suite performs more than 175 diagnostic cerebral and spinal angiograms, in addition to about 250 therapeutic interventional procedures.