An objective for the care (Najuk-dekh-rekh) consisting of interpretive action and interaction factors that involve communication, opinions and experiences. The sensitive empaths.

Critical Care Medicine (CCM) is a specialty that involves the management of patients with life threatening, frequently complex medical and surgical illnesses in a specialized Intensive Care Unit (ICU) or similar facility.

These critically ill patients may have dysfunction or failure of one or more organ systems, including the cardiac, pulmonary, neurologic, liver, kidney or gastrointestinal systems.


This critical care unit was started with 8 beds in 2012 as a specialty division under the department of anesthesia.

Since then the department has come a long way in getting recognized as an independent superspeciality department.


The department of critical care medicine was officially inaugurated on 12 July 2018 by our Honorable Vice Chancellor (KIIT UNIVERSITY) in presence of our respected medical superintendent and other dignitaries.


3 ICU


Total beds covered 24+23+21 =68


This department also provides extended critical care services to the neurosurgical ICU and cardiac ICU and the Emergency department.

Functions :

Round the clock physical coverage by qualified intensivists

Attend calls in emergency dept.

Attend peripheral calls in wards

Regular teaching of icu nursing staff ( 3 times a week )

Regular teaching of critical care fellows ( 2 times a week )

CRITICAL CARE SERVICES :

Cardiopulmonary Resuscitation

Intubation

HFNC

Mechanical Ventilation

• A. Invasive ventilation


• B. Non Invasive ventilation


• C. Prone position ventilation


• D. Lung protective ventilation

Arterial blood gas analysis

Central line insertion (usg guided)

Vascular access for haemodialysis (usg guided)

Percutaneous tracheostomy (usg guided)

Utrasound guided procedures ( Paracentesis, Thoracocentesis, Pericardiocentesis ,Abdominal screening E.FAST, Echo screening)

Lumbar Puncture

Intercostals drain placement

Monitored anaesthetic care for all invasive purposes

Patient counselling twice a day

Enteral and paraenteral nutrition

Plasmapheresis

Cytokine filtration

Advance airway management

Bronchoscopy for intubation and lavage

Intra abdominal pressure monitoring

Extra Corporeal Membrane Oxygenation ( ECMO )

Advanced Airway Management :

Bronchoscopy assisted

Cook’s airway exchange catheter cum elastic bougie assisted

Laryngeal mask assisted airway

McCoy laryngeal manoeuvres

Cricothyrotomy

Advanced Ventilator Monitoring and Management :

Inverse ratio

PRVC

IPPV

Recruitment manoeuvres

Prone ventilation

Advanced Hemodynamical Monitoring :

CVP monitoring

IBP MONITORING

SBP variation

Caval index

CO monitoring (trans thoracic VTi)

Equipments Available :

• PHILIPS MONITOR MULTICHANNEL	• BED WITH INVASIVE ARTERIAL BP MONITORING
• VENTILATORS (MAQUET, DRAGER, HAMILTON, PB )	• TRANSPORT VENTILATOR
• MRI COMPATIBLE VENTILATOR	• BIPAP
• TRANSPORT MONITOR	• CENTRAL MONITOR
• PRESSURE MONITORING BAG	• ABG MACHINE
• SONOSITE ( BEDSIDE USG/ECHO )	• 12 LEAD ECG MACHINE
• DEFIBRILLATOR	• CBG MACHINE
• HD MACHINE	• PORTABLE X-RAY MACHINE WITH LCD DISPLAY
• MANEQUIN FOR ACLS & BLS / TRAINING	• SYRINGE PUMPS
• AIR MATRESS	• INTERMITTENT- PNEUMATIC COMPRESSION DEVICE
• PATIENT TRANSPORT STRETCHER	• CRASH CART
• VIDEO LARYNGOSCOPE	• BRONCHOSCOPE

Doctors :

1.	Associate Professor & HOD	1
2.	Assistant Professor	4
3.	Consultant	3
4.	Associate Consultant	3
5.	Junior Consultant	1
6.	Medical officer	2
7.	Senior Resident cum fellows	2
8.	Junior Resident	11

Faculty List

Sl.No	Photo	Name of The Doctor	Designation	Qualifications
1.		Dr. Anita Mohanty	Consultant	MD PULMONARY MEDICINE ( SCB ) FNB CCM ( Ruby Hall Clinic, Pune )
2.		Dr. Sujit Kumar Pradhan	Associate Professor & HOD	MD ANAESTHESIOLOGY ( BHU ) PDCC , CCM ( BHU )FNB, CCM ( FORTIS ESCORT, NDLS )
.3		Dr. Prashant Ranjan Behera	Assistant Professor	MD ANASTHESIOLOGY (KEM MUMBAI) FNB,CCM(FORTIS ESCORT, NDLS )
4.		Dr. Saurav Sutradhar	Assistant Professor	MD ANAESTHESIOLOGY IDCCM ( SGRH, NDLS )
5.		Dr. Sasank Sekhar Mallick	Consultant	DNB ANESTHESIOLOGY ( MUMBAI ) IDCCM ( TATA MAIN HOSPITA L )
6.		Dr. Devi Prasad Dash	Assistant Professor	FNB CCM ( MaxSuperspeciality Hospital, NDLS )
7.		Dr. Sunil Kumar Jena	Assistant Professor	MD ANAESTHESIOLOGY ( SCB ) DM CCM ( SGPGI )
8.		Dr. Sansaya Mahapatra	Associate Consultant	MBBS,DNB ANESTHESIOLOGY,IDCCM,MNAMC
9.		Dr. Avinash Barpanda	Associate Consultant	MD ANAESTHESIOLOGY ( SMS JAIPUR ) PDF ,CRITICAL CARE ( KIIT )
10.		Dr. Debi Prasanna Behera	Associate Consultant	MD ANESTHESIOLOGY( MKCG ) PDF CRITICAL CARE ( KIIT )
11.		Dr. Rajiv Ranjan Gupta	Junior Consultant	MBBS, DIPLOMA IN CRITICAL CARE MEDICINE( KIIT DEEMED TO BE UNIVERSITY )
12.		Dr. Harish Chandra Choudhary	Consultant	MBBS,MD,MSc CRRA,PGD GERIATIC MEDICINE,FICM

CASE PRESENTATION IN INDIAN SOCIETY OF CRITICAL CARE MEDICINE, BHUBANESWAR BRANCH- QUARTERLY :

REVERSAL OF OSMOTIC DEMYELINATION SYNDROME- DR. SUJIT KUMAR PRADHAN

SCRUB TYPHUS IN PREGNANCY- DR. PRASANT R. BEHERA

HUMAN PYETHOSIS IN INDIA- DR. SUJIT KUMAR PRADHAN

MIGRATION OF CVC TIP IN A PATIENT WITH TRICUSPID REGURGITATION- DR. SAURAV SUTRADHAR

HEMOPHAGOCYTIC LYMPHO-HISTIOCYTOSIS : AN UNUSUAL PRESENTATION – DR DEVI PRASAD DASH

PARAQUAT POISONING : A CASE REPORT – DR AVINASH BARPANDA

ACADEMICS

Fellowship in Critical Care Medicine ( 2 seats/yr ) – one year course

Diploma in Critical Care Medicine (2 seats/yr ) – two year course

Both of these courses are recognized by KIIT deemed to be university.

CONFERENCE ORGANISED : Two Critical Care conferences

1st KIMS Critical Care Update - 2018

2nd KIMS Critical Care Update – 2019

Celebration of World Sepsis Day – Sept 13 2021

Publications

• C. Mohan Rao, SaswatSubhankar, Sujit Pradhan, Debee Prasad Dash .Prevalence and risk factors for drug resistance in patients with lower respiratory infections in Healthcare Associated Infection : a single centre study from Eastern India .Int J Adv Med. 2019 Dec;6(6):1882-1889


• Jena SK, Pradhan SK, Subhankar S, Rao CM.Awake self-proning in a nonintubated COVID patient: A case report from a tertiary care COVID hospital in Eastern India. Indian J Respir Care 2020;9:221-3


• Rao, C Mohan,Jena, Sunil,Patnaik, Sibabratta,Pradhan, Sujit 2021/05/10 Clinical Course and Outcome of Critically Ill Clinical COVID-19 The Journal of the Association of Physicians of India

Ongoing Research

• USG GUIDED ENDOTRACHEAL TUBE POSITIONING DURING PERCUTANEOUS TRACHEOSTOMY


• MIS-A in a post covid era An emerging entity [case report]


• BPF in a COVID-19 Lung- An emerging Challenge [A case series]


• Outcome of Pneumomediastinum in Critically ill Covid-19 Cases { A case series]


• Incidence and outcome of Pneumothorax, pneumomediastinum and subcutaneous emphysema in COVID-19 Patient admitted in Critical care unit – In A tertiary care centre


• Needs of the families of the covid 19 patientsadmitted to the adult dedicated critical care unit and the percentage of anxiety and depressive symptoms among them.


• NIV vs INTUBATION in Covid 19 critically ill patients. MONIKA TRIAL


• Proposed study

  Correlation of CT severity score in covid-19 with disease outcome- A single center

  Comparative study between mini BAL and Tracheal aspirates in CKD Patients

  Systematic review and metaanalysis of Dexamethasone vs methylprednisolone in covid19 patients.

Clinical :

Total admission – 6000 + 2500

Total death –1000 + 500

NATIONAL MORTALITY RATE IN ICUs – 18%

Our Setup – 14%

Value Addition :

> 60% of invasive lines – USG guided

Used cytokine filters in a patient of severe sepsis & septic shock

Prone position ventilation regularly in patients of ARDS

Use of ECMO in 8 patients

Use of HFNC during COVID pandemic

Future Plan :

Extension of critical care beds

Opening of DM in CCM ( 3yrs course )

Structural traning course ( Critical Care Nursing ) - 1yr course

More use of ECMO service ( atleast two cases per month )

CONVERSION INTO TEACHING FACULTY

MARS

CRRT