The Covid Pandemic and the resulting rush for ICU beds has made the people aware about the inadequacy of health infrastructure in the country. The Central and the State governments also realized the pathetic condition of the public healthcare in our country. Most of the government hospitals never had the infrastructure for critical care. The ICU's did not have ventilators and where there were some ventilators, there was a scarcity of staff who can manage them. During the pandemic, large number of ventilators have been supplied to the government hospitals and training has also been given to the staff for operating these machines.
Private sector had always been focussing on the importance of Intensive Care Units (ICUs). Almost all the nursing homes and the hospitals have an ICU though not many are equipped with Ventilators. Most of the tertiary care hospitals have almost one third of their beds in the ICU's and have sufficient number of ventilators. The ICUs in these hospitals are mostly managed by Critical Care Specialists and Pulmonologists. Some of the hospitals have anaesthetists managing their ICUs. A good ICU setup is meant to stabalize the critically ill patients by providing them life-support. ICU stay should be short and the goal should be to stabalize the patient quickly and get them out of the ICU as soon as possible.
Patients who are seriously ill and are haemodynamically unstable are treated in Intensive Care Unit. Haemodynamically unstable are those patients whose blood pressure and pulse are fluctuating. Patients who have low oxygen saturation levels are first put on oxygen support and then on ventilator. Very close monitoring is done for such patients. Frequent blood tests are done to monitor the functioning of the vital organs. These tests include Arterial Blood Gas, Liver Function Test, Kidney function test, CBC, Blood Glucose, Coagulation Profile, Serum Electrolytes etc. Medications are given through the IV route. If the patient is not able to eat any food then nutrition is provided to the patient by inserting a tube directly into the stomach or the intestine. Nutrition can also be given through the vein directly into the blood. Patients in septisemia have a very high mortality rate and should be managed carefully in the ICU. Other patients who require ICU care are those who have undergone a very complicated surgery for the Brain, Spine, Cancer, Heart etc. Such patients are kept in the ICU for close monitoring for a period of 1-2 days depending upon the condition of the patient.
From the ICU, the patients are shifted to High Dependency Unit (HDU) for some time before shifting them to the ward. Once the patient is able to do routine functions with assistance and is able to take oral medication and food then the patient is discharged from the hospital.
Dr Kuldeep Kumar is one of the best critical care specialist in the city of Gurgaon. He has been managing seriously ill patients for the last several years at Artemis Hospital, Narayana Hospital, Signature Hospital and now at CK Birla Hospital. Since most of the ICU patients have respiratory distress, pulmonologists are best suited to take care of such patients.
ICU bed charges is normally in the range of Rs. 10 - 12 thousand per day. The consultant, nursing and medical officer visit fee for ICU costs another Rs. 8-10 thousand per day. Rest of the cost is due to the use of life saving equipments like Ventilator, C-Pap, BiPap, oxygen, diagnostic tests and medicines. These costs can be in the range of Rs. 20 -60 thousand per day. The cost of treatment in any good ICU would be in the range of Rs. 40 - 80 thousand per day. Most of the people in India have insurance coverage of 3 - 5 lacs. This much insurance is sufficient for most of the surgical treatments but may not last for more than 7-10 days of ICU care. In order to cover ICU expenses, the health insurance cover must of in the range of Rs. 10-15 lacs.
Dr Kuldeep Kumar is the Chief Pulmonologist and Incharge of ICU at CK Birla Hospital, Sector-51, Gurgaon. Patients who are critically ill should be brought to the hospital emergency and Dr Kuldeep Kumar or any member of his team would be there to handle the patient. Dr. Kuldeep Kumar is also available for consultation at Miracles Mediclinic, Sector-14 from 5 pm - 6 pm in the evening for the patients who are still scared of going to big hospitsls.
We have developed the most advanced Pulmonology department at CK Birla Hospital which is fully equipped to take care of all kinds of Pulmonary conditions.
We have the most advanced Intensive Care Unit equipped with the latest Ventilators, Monitors and other Life Saving Equipments. Our services run round the clock so that we are there when you need us the most.
Dr Kuldeep Kumar
Chief Pulmonologist and Critical Care Specialist
CK Birla Hospital, Gurgaon
The Air Quality Index of North India is very bad at most times of the year. This air pollution is extremely dangerous for young children and senior citizens. Dr Kuldeep Kumar is talking about the ways to protect your lungs in such air.
Asthma is an allergic disease and can be treated successfully in most of the patients. Dr. Kuldeep Kumar, Pulmonologist is talking about the causes and the treatments available for permanent cure of this highly debilitating disease.