NABH Accredited · 24/7 Critical Care

Department of Critical Care & Anaesthesia — Charak Hospital, Lucknow

Lucknow's most comprehensive intensivist-led ICU complex — MICU, SICU, Cardiac ICU, Neuro ICU, NICU and PICU operating around the clock, supported by a full anaesthesia, pain-management and rapid-response team.

24/7
ICU Coverage
6+
ICU Unit Types
5
Intensivists
NABH
Accredited

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Our Expert Team

Board-certified intensivists and anaesthesiologists trained at premier institutions — providing specialist-led critical care every hour of every day.

ICU Infrastructure & Unit Types

Our multi-specialty ICU complex is designed for the full spectrum of critical illness — with dedicated units, around-the-clock intensivist coverage, and nurse-to-patient ratios that meet national standards.

MICU — Medical ICU

Manages severe medical emergencies including multi-organ failure, septic shock, respiratory failure and complex metabolic crises. Intensivist-led 24/7 with 1:2 nurse-to-patient ratio.

SICU — Surgical ICU

Dedicated post-operative intensive care for major surgical patients — abdominal, thoracic, orthopaedic and transplant. Closely integrated with all operating theatres.

Cardiac ICU (CICU)

Specialised care for acute MI, cardiogenic shock, post-cardiac surgery and life-threatening arrhythmias — backed by the Institute of Cardiac Sciences.

Neuro ICU

ICP monitoring, post-neurosurgery care, stroke thrombolysis and management of GBS, status epilepticus and traumatic brain injury — linked to our Neurosciences Institute.

NICU — Neonatal ICU

Dedicated care for preterm and critically ill newborns — infant ventilators, phototherapy, surfactant therapy and continuous monitoring, staffed by neonatologists round the clock.

PICU — Paediatric ICU

High-acuity care for critically ill children beyond the neonatal period — respiratory failure, febrile seizures, DKA and post-paediatric surgery, supported by Paediatrics & Neonatology.

HDU — High Dependency Unit

Step-down unit bridging ICU and general ward — for patients needing continuous monitoring but not full intensive ventilatory support. Enables efficient ICU capacity management.

Isolation & Negative-Pressure Rooms

Dedicated isolation bays with negative-pressure ventilation for immunocompromised and infectious patients — essential for MDR organisms and pandemic preparedness.

Advanced Equipment & Technology

Cutting-edge life-support and monitoring technology is the backbone of effective critical care. Every ICU bed at Charak Hospital is equipped with multi-parameter bedside monitoring, and the central nurses' station provides simultaneous surveillance of all patients. Our technology investments ensure our intensivists have every diagnostic and therapeutic tool they need — at the bedside, around the clock.

The department is supported by our 24/7 in-house laboratory, NABL-certified blood bank with rapid cross-matching, portable X-ray and point-of-care ultrasound (POCUS) at the bedside, and direct access to our CT scanner and interventional radiology suite for time-critical diagnoses.

Invasive Mechanical Ventilators Non-Invasive Ventilation (NIV / BiPAP) High-Flow Nasal Cannula (HFNC) Multi-Parameter Bedside Monitoring CRRT / Continuous Dialysis Defibrillators & AEDs Flexible Bronchoscopy Point-of-Care Ultrasound (POCUS) Intra-Aortic Balloon Pump (IABP) Infusion & Syringe Pumps ICP Monitoring 24/7 In-House Lab & Blood Bank Portable X-ray & Bedside Echo Temperature Management Devices

Advanced Life-Support Procedures

Charak Hospital's critical care unit offers a range of advanced organ-support and extracorporeal procedures normally available only at large tertiary centres — bringing top-tier critical care to Lucknow.

ECMO — Extracorporeal Membrane Oxygenation

When the heart or lungs fail beyond conventional support, ECMO takes over oxygenation externally. VV-ECMO supports severe ARDS and respiratory failure; VA-ECMO supports cardiac failure and refractory cardiogenic shock. Used as a bridge to recovery or transplant.

Last-Resort Life Support

CRRT — Continuous Renal Replacement Therapy

For haemodynamically unstable ICU patients with acute kidney injury (AKI), CRRT runs 24 hours/day to gently remove fluid and toxins without the blood-pressure swings of standard dialysis. Essential for fluid overload, severe electrolyte disturbances and MODS.

24-Hour Kidney Support

Intermittent HD & SLED

For stable ICU patients needing renal support, conventional intermittent haemodialysis (IHD) and Sustained Low-Efficiency Dialysis (SLED) are available. Our nephrology team works alongside intensivists to choose the right modality for each patient's clinical state.

Renal Replacement Therapy

IABP — Intra-Aortic Balloon Pump

A catheter-based device placed in the aorta that reduces cardiac workload and improves coronary perfusion. Used in cardiogenic shock, high-risk PCI, unstable angina and as post-cardiac surgery support. Managed by our cardiac-critical care team in the CICU.

Cardiac Mechanical Support

Targeted Temperature Management (TTM)

Also called therapeutic hypothermia, TTM lowers core body temperature to 32–36 °C after cardiac arrest to reduce brain injury from oxygen deprivation. Our protocol covers surface cooling, maintenance and controlled rewarming, with continuous neurological monitoring.

Neuroprotection Post-Arrest

Prone Positioning for ARDS

Placing a mechanically ventilated patient face-down for 16+ hours redistributes lung perfusion and significantly reduces mortality in moderate-severe ARDS. Our trained nursing and physiotherapy teams execute proning sessions safely with specialised turn-sheets and positioning aids.

Lung-Protective Strategy

Therapeutic Plasma Exchange (TPE)

Removes circulating antibodies, immune complexes and toxins from the blood by separating and replacing plasma. Indicated in TTP, Guillain-Barré syndrome, myasthenic crisis, autoimmune encephalitis, HELLP syndrome, and certain drug toxicities.

Plasmapheresis

Advanced Ventilation Strategies

Beyond standard ventilation: HFNC (High-Flow Nasal Cannula), CPAP/BiPAP, APRV (Airway Pressure Release Ventilation) for refractory hypoxaemia, lung-protective low-tidal-volume ventilation, and weaning via spontaneous breathing trials (SBT) with T-piece and PS trials.

Beyond Standard Ventilators

Core ICU Procedures & Interventions

  • Endotracheal intubation (including video laryngoscopy) & invasive mechanical ventilation
  • Non-invasive ventilation (NIV) and high-flow oxygen therapy (HFNC)
  • Central venous catheterisation (CVC) — jugular, subclavian & femoral
  • Arterial line placement & continuous invasive blood-pressure monitoring
  • Percutaneous & surgical tracheostomy
  • Thrombolysis for acute ischaemic stroke & massive pulmonary embolism
  • CPR and code-blue rapid-response team activation
  • Sepsis bundles — 1-hour & 3-hour (Surviving Sepsis Campaign)
  • Haemodynamic shock management (septic, cardiogenic, haemorrhagic)
  • Total Parenteral Nutrition (TPN) & enteral feeding protocols
  • Flexible bronchoscopy for BAL, secretion clearance & diagnosis
  • Chest-drain & intercostal tube placement for pneumothorax/effusion
  • Lumbar puncture and intracranial pressure (ICP) monitoring
  • Intra-abdominal pressure monitoring (bladder pressure technique)
  • Pulmonary artery catheterisation (Swan-Ganz)
  • Acute pain management & procedural sedation protocols
  • Massive transfusion protocol (MTP) activation for haemorrhagic shock
  • Point-of-care ultrasound (POCUS) — lung, cardiac, vascular, abdominal

Anaesthesia Services

Pre-Anaesthetic Assessment

Comprehensive PAC clinic evaluates risk, optimises co-morbidities and selects the safest anaesthetic plan before any surgery.

General Anaesthesia

TIVA and inhalational GA for all surgical specialties — cardiac, neuro, orthopaedic, laparoscopic, ENT and oncology.

Regional & Spinal / Epidural

Spinal, epidural, caudal and peripheral nerve blocks — including labour epidurals for pain-free childbirth and joint-replacement anaesthesia.

Obstetric & Paediatric Anaesthesia

Specialist anaesthesia for high-risk obstetric emergencies, C-sections, and critically ill infants/children including neonatal surgery.

Day-Care & Ambulatory Anaesthesia

Rapid-recovery anaesthesia protocols enabling same-day discharge for appropriate surgical patients — reducing hospital stay and cost.

Acute & Chronic Pain Management

Post-operative multimodal analgesia, patient-controlled analgesia (PCA), nerve blocks and a dedicated chronic-pain consultation service.

Conditions Requiring Intensive Care Admission

ICU admission is required when a patient's condition threatens life or organ function and cannot be safely managed in a general ward. Below are the primary categories we manage — and the specific warning signs that trigger ICU transfer.

When Is Immediate ICU Admission Needed?

  • Inability to breathe independently — requiring mechanical ventilation
  • Oxygen saturation (SpO₂) < 90% despite supplemental oxygen
  • Blood pressure unresponsive to fluids — requiring vasopressor drugs
  • Heart rate < 40 or > 150 bpm with haemodynamic compromise
  • Glasgow Coma Scale (GCS) ≤ 8 — altered or loss of consciousness
  • Confirmed or suspected septic shock (lactate > 2 mmol/L + organ failure)
  • Active seizures not controlled by first-line medicines
  • Severe metabolic acidosis (pH < 7.2) or life-threatening electrolyte imbalance
  • Acute MI with haemodynamic instability or failed thrombolysis
  • Massive haemorrhage requiring transfusion of > 4 units blood
  • Post major surgery — cardiac, neuro, hepatic, thoracic, vascular
  • Multi-organ dysfunction (MODS) — 2 or more organs failing simultaneously
  • Intracranial hypertension or acute brain herniation
  • Toxic ingestion with cardiovascular or neurological compromise

Cardiac

  • Acute myocardial infarction (MI) — STEMI & NSTEMI
  • Cardiogenic shock requiring IABP or ECMO
  • Severe heart failure with pulmonary oedema
  • Life-threatening arrhythmias & cardiac arrest
  • Post-cardiac surgery & valve replacement
  • Hypertensive emergency with end-organ damage
  • Acute aortic dissection

Respiratory

  • ARDS requiring ventilation & prone positioning
  • Severe pneumonia with sepsis
  • Acute severe asthma (status asthmaticus)
  • COPD exacerbation with type-2 respiratory failure
  • Massive haemoptysis
  • Pulmonary embolism with haemodynamic instability
  • Tension pneumothorax & large pleural effusion

Neurological

  • Acute ischaemic stroke requiring thrombolysis
  • Haemorrhagic stroke & subarachnoid haemorrhage
  • Bacterial meningitis & viral encephalitis
  • Guillain-Barré syndrome with respiratory failure
  • Refractory status epilepticus
  • Severe traumatic brain injury (TBI) with raised ICP
  • Post-craniotomy & spinal surgery monitoring

Renal & Hepatic

  • Acute kidney injury (AKI) requiring CRRT or HD
  • Severe fluid overload unresponsive to diuretics
  • Acute liver failure with coagulopathy & encephalopathy
  • Hepatic encephalopathy — grade III/IV
  • DKA, HHS & severe electrolyte crises
  • Adrenal crisis & thyroid storm
  • Post-transplant (kidney, liver) critical care

Sepsis & Infection

  • Septic shock (lactate >2 + vasopressor requirement)
  • Multi-Organ Dysfunction Syndrome (MODS)
  • MDR organisms — CRE, MRSA, XDR Acinetobacter
  • Tetanus requiring airway management
  • Severe dengue with organ involvement
  • Severe malaria with cerebral or pulmonary involvement
  • Necrotising fasciitis & gas gangrene

Trauma & Emergency

  • Road traffic accidents (RTA) & polytrauma
  • Blunt & penetrating abdominal / thoracic trauma
  • Major burns (>20% TBSA) with inhalation injury
  • Drowning, near-hanging & asphyxia
  • Poisoning, overdose & organophosphate toxicity
  • Post-trauma massive transfusion (MTP)
  • Crush syndrome with myoglobinuria

Obstetric

  • Eclampsia & severe pre-eclampsia
  • Post-partum haemorrhage (PPH) — refractory bleeding
  • HELLP syndrome with DIC
  • Amniotic fluid embolism
  • Obstetric sepsis & septic shock
  • Peripartum cardiomyopathy
  • High-risk C-section requiring ICU monitoring

Paediatric & Neonatal

  • Preterm & extreme low-birth-weight neonates
  • Neonatal respiratory distress syndrome (NRDS)
  • Hypoxic-ischaemic encephalopathy (HIE)
  • Neonatal & paediatric sepsis
  • Refractory febrile convulsions
  • Paediatric DKA & electrolyte emergencies
  • Congenital heart disease — post-operative PICU

Safety, Accreditation & Patient Support

NABH Accredited

All ICU and anaesthesia protocols conform to National Accreditation Board for Hospitals & Healthcare Providers standards — the gold standard for Indian hospitals.

Infection Control

Strict hand-hygiene protocols, ventilator-bundle compliance, catheter-associated infection prevention, daily antibiotic stewardship rounds and active surveillance cultures.

Cashless & TPA Support

Empanelled with major insurers and TPAs — CGHS, PMJAY / Ayushman Bharat and corporate health schemes. Our billing team handles pre-authorisation and claim processing.

Family Support & Communication

Daily family briefings, scheduled intensivist consultations, structured visiting hours, social-support staff for accommodation queries, and emotional-support resources.

About the Department

The Department of Critical Care & Anaesthesia at Charak Hospital, Lucknow, is the clinical nerve-centre for the hospital's most acutely ill patients. Established to meet the growing demand for specialist-led intensive care across central Uttar Pradesh, the department operates Lucknow's most comprehensive multi-unit ICU complex — serving patients referred from across the region who require a level of care unavailable elsewhere.

Our philosophy is simple: every critically ill patient deserves a dedicated intensivist, not just a rotating ward doctor. Each ICU unit is led by a full-time consultant intensivist present in-house 24 hours a day, seven days a week. Bedside rounds occur twice daily as standard, with additional urgent assessments triggered by any deterioration in monitored parameters. This model of care — intensivist-led, protocol-driven and evidence-based — consistently produces better outcomes than traditional consultant-at-a-distance models and is central to everything we do.

A Patient-Centred, Evidence-Based Approach

We follow internationally validated protocols — including Surviving Sepsis Campaign bundles, ARDS Network lung-protective ventilation strategies, FAST-HUG daily checklists (Feeding, Analgesia, Sedation, Thromboembolic prophylaxis, Head-of-bed elevation, Ulcer prophylaxis, Glycaemic control) and early mobilisation programmes. These are not aspirational guidelines; they are embedded into the daily workflow of every nurse, resident and consultant in our unit. Antibiotic stewardship rounds occur daily to minimise resistance emergence and optimise treatment for every infectious episode.

Family involvement is an equally important part of our model. We recognise that an ICU admission is one of the most frightening experiences any family can face. Our team is trained to communicate honestly and compassionately — providing daily structured updates, welcoming questions, and ensuring that families are partners in the care plan, not bystanders.

Emergency Pathway — When Every Minute Counts

For life-threatening emergencies, call our 24/7 helpline: 0522-666-4444. Our triage team is available at all times and can mobilise the rapid-response code-blue team within minutes to any part of the hospital. For patients arriving by ambulance, call ahead so we can prepare the receiving bay, alert the relevant ICU, and have blood products and resuscitation equipment standing by on arrival. Inter-hospital transfers are coordinated directly by our intensivists — we provide clinical advice to the referring team during transfer and ensure seamless handover at the ICU door. For community emergencies, dial 108 for the government ambulance service.

Our "golden-hour" awareness campaigns emphasise that early intervention — within the first 60 minutes of a cardiac event, stroke or trauma — dramatically improves survival. If you or someone you know is experiencing chest pain, facial drooping, sudden limb weakness, loss of consciousness, difficulty breathing or a major injury, do not wait. Call immediately.

Frequently Asked Questions

The Advanced Critical Care Unit (CCU) at Charak Hospital Lucknow provides specialized care for patients who are critically ill or have life-threatening conditions. This includes:

  • Intensive Monitoring: Continuous monitoring of vital signs and organ function.
  • Respiratory Support: Mechanical ventilation for patients with respiratory failure.
  • Cardiac Care: Management of acute heart conditions.
  • Renal Support: Dialysis for kidney failure.
  • Neurological Monitoring: Care for patients with neurological disorders or injuries.
  • Infection Control: Management of sepsis and other critical infections.
  • Post-Operative Care: For patients recovering from major surgeries.

Admission to the CCU is based on medical necessity and is typically decided by the attending physician. Patients may be transferred from the emergency room, surgery, or other hospital departments. Patients who require immediate and intensive medical care due to the severity of their condition are prioritized for admission.

Family members can expect:

  • Regular Updates: Communication from the medical team regarding the patient's condition and treatment plan.
  • Visiting Hours: Specific times when family members can visit, which may be restricted to ensure a controlled environment.
  • Support Services: Assistance from the hospital staff, including emotional support and guidance on decision-making.
  • Involvement in Care: Opportunities to be involved in care decisions, especially regarding treatment options and goals of care.

The medical staff in the CCU are highly trained professionals with specialized skills to handle critical cases. This includes:

  • Critical Care Physicians: Specialized doctors with expertise in managing critically ill patients.
  • Nurses: Critical care nurses who have specialized training and certification in intensive care nursing.
  • Respiratory Therapists: Experts in managing respiratory support.
  • Pharmacists and Other Specialists: Consultants from various medical fields to provide comprehensive care.

The CCU team works closely with other departments and healthcare providers to ensure a smooth transition for patients as they are discharged. This includes:

  • Discharge Planning: Discussions with the patient and family about the next steps in care, including rehabilitation needs.
  • Medication Management: Review of medications and instructions for use at home.
  • Follow-Up Appointments: Arrangements for post-discharge check-ups with specialists or primary care providers.
  • Home Care Services: Coordination of necessary home care services if required.

The Advanced Critical Care Unit at Charak Hospital Lucknow is dedicated to providing the highest level of care to critically ill patients and supporting their families during this challenging time. If you have any specific questions or concerns, the hospital staff is always available to provide further information and guidance.

Patient & Family FAQ

ICU admission occurs via three routes: direct emergency walk-in or ambulance arrival (triaged immediately), referral from our OPD or inpatient wards, or inter-hospital transfer. For transfers, call 0522-666-4444 to pre-alert our team — we will coordinate bed allocation and have the receiving bay ready before the patient arrives.
Yes. Designated visiting hours (morning and evening) allow one visitor at a time, in line with infection-control protocols. Our intensivists hold structured family briefings daily and are available for additional discussions whenever needed. We believe informed, involved families contribute directly to patient recovery.
Our team holds MD in Anaesthesia/Medicine, FCCS (Fellow of the College of Critical Care Medicine), PDCC Critical Care from KGMU Lucknow, MD Anaesthesiology from SGPGI Lucknow, and Fellowship in Infectious Diseases. All are competent in advanced airway management, haemodynamic monitoring, mechanical ventilation, bronchoscopy, central-line placement and tracheostomy.
Yes. Our NICU operates 24/7 with neonatologists and paediatric intensivists. We manage premature babies, neonatal respiratory distress, birth asphyxia (HIE), neonatal sepsis and surgical neonates using infant ventilators, phototherapy, continuous monitoring and surfactant therapy.
All planned-surgery patients undergo a Pre-Anaesthetic Check-up (PAC). Based on the procedure and your health, our anaesthesiologist chooses the safest option: general anaesthesia, spinal, epidural, nerve block, or a combination. Emergency surgeries use rapid-sequence protocols. Labour epidurals are available for pain-free childbirth — ask our team at OPD.
Yes. We are empanelled with most major insurance companies, TPAs, CGHS and PMJAY (Ayushman Bharat). Our billing team assists with pre-authorisation, documentation and claim submission. Contact our front desk for eligibility verification before or during admission.
ICU discharge follows a structured step-down pathway: ICU → HDU (High Dependency Unit) → general ward → home. After discharge, follow-up appointments are scheduled with our critical-care team and relevant specialty consultants. Physiotherapy and nutritional rehabilitation are initiated early in the ICU and continue through recovery.

Related Departments

Our critical care team works in close partnership with these specialties to deliver seamless, whole-patient care.