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Anaesthesia and Critical Care at PGH Hospital, West Delhi

Most patients never meet the anaesthesia and critical care team during planning, but when a surgery is on the table or a medical emergency hits, this team is the one keeping things stable. PGH has a senior anaesthesia consultant team led by Dr. Vikash Agarwal, an ICU with monitoring around the clock, and a high-dependency unit (HDU) for patients who need close watching without full ICU care.

What we cover

Anaesthesia for surgery.

General, regional, spinal, and epidural anaesthesia for surgical and gynaecological procedures. Pre-anaesthesia consultations to assess fitness, plan the technique, and answer your questions before the surgery.

Painless labour (epidural).

24-hour availability of obstetric epidural for women in labour who want pain relief.

Intensive Care Unit (ICU).

Equipped for ventilator support, advanced monitoring, and care of critically ill patients. The ICU is staffed by intensivists and trained ICU nurses.

High Dependency Unit (HDU).

For patients who need closer monitoring than a regular ward but are not sick enough for the ICU. Often used for the first 24 hours after major surgery.

Pain management.

Acute post-operative pain control, and management of chronic pain for select cases.

Emergency stabilisation.

The anaesthesia team supports emergency room patients who need airway management, ventilation, or rapid resuscitation.

How we work here

The anaesthesia and critical care team supports every other department in the hospital. Before a planned surgery, you meet the anaesthesia consultant in the pre-anaesthesia clinic. They review your medical history, ask about previous surgeries and allergies, and tell you exactly what to expect on the day of surgery.

In the ICU, family communication happens at fixed times every day. We tell you what is happening, what we are doing, and what the next 24 hours might look like. Decisions about ventilator weaning, transfer out of ICU, and end-of-life care are discussed openly.

Cost and insurance

Cashless under Ayushman Bharat, CGHS, ESIC, and 27+ private insurers. ICU and HDU stays are covered under most surgical and medical admission packages.

Frequently asked questions

No, this almost never happens with modern anaesthesia. The anaesthetist monitors you constantly during surgery and adjusts the drugs to keep you asleep and pain-free. Awareness under anaesthesia is extremely rare.

Yes. Spinal and epidural anaesthesia are very commonly used for surgeries below the waist, like C-sections, hernia repair, and joint replacements. They have an excellent safety record. The anaesthetist explains the technique and the small risks before the procedure.

The ICU (intensive care unit) is for patients who need ventilator support or advanced organ support. The HDU (high dependency unit) is for patients who need close monitoring and frequent nursing care but not full ICU support. HDU is one step down from ICU and a useful middle ground after surgery or for medical patients who are stable but need watching.

Fasting before anaesthesia reduces the risk that stomach contents come up into the lungs while you are unconscious. The standard rules are no solid food for 6 hours before surgery and no fluids for 2 hours. The anaesthesia team gives you the exact timing.

We try to accommodate this where possible. Tell the booking team and we will request the same consultant. In emergency or unplanned situations, this may not be possible.

Some pain is expected after most surgeries, but we manage it actively. Modern pain management uses a combination of injections, tablets, and sometimes nerve blocks or epidural infusions. Most patients are comfortable enough to start moving and breathing deeply, which is what matters for recovery.

It depends on the case. After a planned major surgery, many patients spend one night in the ICU or HDU and move to a regular ward the next day. Medical ICU stays are more variable. The ICU team gives the family a daily update.

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