Congenital Heart Disease

Stitch in time saves nine. Every millisecond is important to us, as valuable Time lost is equivalent to Brain lost or Life lost. Aster Hospital is one of the busiest Accident & Emergency care centers, catering thousands of Emergencies cases every year. It is well equipped with Triage beds, observation areas, which manage all forms of Medical, Surgical, Cardiac, PolyTrauma, Paediatric, Neurological, etc. This is made possible by the presence of Trained & Competent Emergency Physicians, Nursing staff, & Paramedics, who work round the clock as a team, dedicated in providing Emergency care.

With an excellent back-up of other departments, like Trauma-Surgery, Orthopedics, Neurosurgery, Cardio-Thoracic Surgery, Cardiology, Neurology, Paediatric Surgery, Facio-Maxillary Surgery, Interventional Radiology, there are absolutely no short-comings in providing Emergency Medical treatment, the moment a victim is brought to the Emergency Department. All our dedicated ED staff are trained in BLS, ACLS & ITLS. All the emergency triage beds are equipped with monitors, defibrillators, ventilators, syringe pumps, intubation equipments, etc., to provide the best possible treatment in the Emergency vicinity. We have 24 hours diagnostic service departments including X-ray, USG, CT Scan, MRI, Biochemistry, Cathlab etc., Regional Blood Bank is equipped with Ultra Modern Facilities for emergency transfusion and component therapy which is made available round the clock. We have fully functioning operating rooms, and one operating room within the Emergency Department itself.

If a patient is in a very critical condition, even carrying them to the hospital is risky. To minimize risk to the patient, we have ambulances that are fully equipped to function like an ICU – the care starts the moment the patient is picked up

We aim at moulding nurses who are capable of performing individual nursing assessment, create diagnoses and make independent nursing interventions.

Nurses in ASTER MIMS kottakkal play a vibrant and pivotal role in the care and management of patients and family. We are proud of the high quality nursing care provided at ASTER MIMS kottakkal. Being the largest group of healthcare professionals at ASTER MIMS kottakkal ,our nurses involvement is critical in representing the values and fulfilling the vision and mission of our organization.Our passionate staff of trained and dedicated nurses exhibit professionalism,team work and respect in a dynamic patient care setting,providing round the clock service through comprehensive nursing care for individuals of all ages,families,groups and communities required.

Our dedicated service is centered on the patient and & client delight is our foremost priority.Emphasis of our department is on caring rather than on curing as the latter is not always possible. We believe that nursing encompasses collaborative care,complimenting and co-operating with other departments for the benefit of the patient. The organization encourages a certain degree of autonomy among its nurses,expecting every nurse employed here to participate actively in patient care by planning and implementing appropriate nursing measures as and when needed.

Patients after surgery are given the best care in the ICU with advanced facilities

Common procedures in Cardiac Cathlab like Coronary Angiography, Coronary Angioplasty, IVC filter, Rotablation, Cardiac Catheterization, all interventional radiology and neurology procedures.

Our unit offers progressed respiratory support for children with breathing troubles, including high frequency ventilators. We provide cardiovascular and respiratory observing equipment and research center and imaging facilities like CT scan and X-ray. Our PICU is committed to provide the most quality medical care to our pediatric patients. Our facilities also include the highest level of care in a warm and supporting condition for newborn children in trouble during childbirth, those requiring close perception and those transferred from other facilities for treatment of neonatal sicknesses. The NICU is staffed throughout day and night by skilled team of specialists including neonatal nurses and neonatologists.

Pain relieving services right after the surgery for every patient and intensive care for traumatic patients

It specializes in intensive care for those patients who have undergone major surgeries

The pain and palliative care unit covers all patients who are suffering from pain due to cancer or any chronic pain syndromes

The Pediatric heart care at Aster MIMS Kottakkal offers an extensive variety of medical and surgical administrations for both newborn children and children experiencing a confirmation-based approach. It attempts medical and surgical treatment to children with innate and inherited heart illnesses, for example, cardiomyopathy, infective endocarditis and rheumatic fever upheld by an extraordinary group of pediatric cardiovascular specialists that performs inherent heart techniques and pediatric heart transplant.

The treatment of numerous heart failures needs an operation for their treatment and frequently it requires an open-heart operation.

Today more current advancements in cardiovascular catheterization innovation permit treatment of heart deformity in chose patients without an operation. This maintains a strategic distance from the injury of surgery and permits exceptionally fast recuperation and short hospital stay.

The methods are performed in the cardiovascular catheterization lab and require a small needle prick in the crotch

A cardiac catherisation laboratory (cath lab) is a lab that examines and treats diagnostic and interventional techniques to be done on patients who encounter blocks and thereby chestpain, or the individuals who require a pacemaker to redress strange heart rhythms. The cutting edge cardiovascular catherisation laboratory (cath lab) unit implies nearby patients can be dealt with for key heart strategies on their doorstep, instead of flying out to other regions of the world. The modernized facilities include Coronary Angiogram Coronary Angioplasty, Primary Angioplasty, Peripheral Angiogram, Peripheral Angioplasty, PPI, Single & Duel Chamber, TPI, FFR, IVUS-ILAB, EPS+RFA, Retrograde Angioplasty, Renal Angioplasty, 4 Vessel Angiogram, Carotid Angioplasty, Cardiac Resynchronization Therapy for heart failure patients, Aortogram, EVAR, Balloon dilation of coarctation of aorta, LV Angiogram, Anerysm Coiling, Cath Study & Right heart study, Balloon Valvuloplasty for mitral , Aortic and pulmonary Stenosis.

Sleep dentistry is regularly utilized as an agent for anti-anxiety to help keep dental patients quiet amid dental visits, and is habitually utilized in local anesthetics. Rest dentistry can help you: -

• Relax and quiet your nerves
• Feel somewhat more alright with the dental system
• Avoid anxiety as you experience long hours of surgery
• Control a terrible gag reflex

The objective of sleep dentistry is to reduce pain and inconvenience amid dental treatment. In any case, not at all like deep sedation, where dental practitioners utilize general anesthesia, sleep dentistry empowers you to react to discourse or touch, so you can convey any uneasiness to your sedation dentist

The electrosurgical method includes utilizing a special device by the skilled doctors, at Aster MIMS Kottakkal, frequently basically called a “Bovie” after the man who created it. The device cuts, parches (dries the region), coagulates (frames blood clusters) and fulgurates (destroy and wipe off) tissue. There are such a large number of dermatology methods that react well to electrosurgery that dermatologists for the most part utilize it consistently. The advantages of the strategy are various. Methods are performed under local anesthesia at our department, regularly without the need of an assistant. The utilization of electrosurgery has been attached to less bleeding amid the method which decreases inconveniences, advances fast recuperating and negligible scarring.

The Dermaroller is a powerful, safe, minimally-invasive procedure that includes the utilization of micro-needling equipment. Our department performs this Vital Collagen Induction treatment with the FDA affirmed Medical Dermaroller to make micro-needle punctures into the dermis. Thusly, the skin's common guard enables it to make new collagen cells by empowering development and recuperating elements. These outcomes in a snappy recuperating time with for the most part great outcomes. Dermaroller has been used by our specialized doctors to treat a wide assortment of skin concerns, for example, scars of acne, skin laxity, lines, photo damage, texture and tone, and other skin imperfections. The Dermaroller is the best revival treatment for the face, but at the same time is extremely effective on the body. It can help decrease the presence of stretch marks. Since it is not a laser, it can be performed on all skin sorts securely and effectively

The Division is occupied with an extensive variety of services and activities 4-week ED-based ultrasound rotation. Personnel have autonomous to perform EMBU to be utilized as a part of clinical decision-making, and when it esteems clinically suitable. We have medical students showing modules in bedside sonography for every time of medical school. We have been successful in acquiring grants for single- and multi-site research. Since the Department of Emergency Medicine has been a pioneer in recognizing and advancing the utilization of bedside ultrasound both procedurally and diagnostically, we have educating with the divisions of Surgery and Medicine, and give training to the fellowship programs in Critical Care, Nephrology and Trauma. Past and progressing ventures incorporate associations with critical care specialists, cardiologists, family medicine, pulmonologists, gynecologists and anesthesiologists.

Our objective is to work in association through pregnancy, giving the greater part of the services one require, including full antenatal care, your preferred delivery choice, and obviously, postnatal care. Our specialist obstetricians are the main experts in their field.

Moms to-be who pick Aster MIMS Kottakkal for their maternity care can be sure that they will get the most elevated quality pregnancy care. We have luxurious rooms and suites offer the perfect setting for your joyous occasion. With our committed in-house facilities including a Neonatal Intensive Care Unit with cutting edge technology and comprehensive treatment plans, our pregnancy services are unrivaled.

Once an infant is out of womb, we offer the best advice for breast feeding and caring the baby, exercise after delivery and pediatric services, for example, infant screening tests and hearing tests and every day visits from a pediatrician till discharge.

Our maternity unit incorporates comfortable LDRs (Labor, Delivery and Recovery rooms) and state-of-the-art operation theaters in case needed.

Our expert care group at Aster MIMS Kottakkal comprehends the distressing way of finishing the fertility tests keeping in mind the end goal to find answers. We offer both HSG and SHG to meet your particular needs. The HSG is performed after the menstrual cycle is finished, yet before ovulation happens. The test includes infusing contrast media or color through the cervix into the uterus whereas SSG utilizes normal saline is to check the anomaly level of the uterus.

Our PICU offers access to subspecialties and the most exceptional technologies accessible, and is devoted to giving the largest medical care to our pediatric patients. Subspecialty administrations accessible through the PICU incorporate cardiothoracic surgery, neurosurgery, orthopedics, cardiology, pulmonary, general surgery, oncology, hematology, and bone marrow transplant.

Care in the PICU dependably gives family-focused treatment that is formatively and age-centered, empathetic, and effective for the treatment of different medical issues. Pediatric Intensive Care Unit gives round the clock services to basically sick newborn infants and children, overseen by extraordinarily trained and experienced work force under direct supervision of pediatric specialists.

The facilities include

• Invasive and non-invasive ventilators 
• LED phototherapy and consistent multi-parameter checking consolidated with devoted nursing care
• Pediatric ventilator
• Pediatric indoor admissions
• Central venous catheterization
• Specially trained staff etc.

Electrocardiogram (ECG)
Echocardiogram
Angiogram
Imaging Tests:
- Chest X-Ray
- CT Scan
- MRI Scans
Thoracoscopy
Lung / Lymph Node Biopsy

• Hormonal assays
• Ultrasound
• ACTH stimulation test
• Thyroid scan

Electroencephalography
Electromyography
Transcranial doppler

Ultrasonography
Chorionic villi sampling
Amniocentesis
Maternal marker screening
Fetal assessment:
- Fetal biophysical profile
- Fetal heart rate
Pap screening
Hormonal assays
Colposcopy
Hysteroscopy

Audiogram
Caloric test
Electrocochleography
Posturography
Speech audiometry
Tympanometry
Cochlear implantation

Bronchoscopy
Thoracoscopy
Chest ultrasound
Chest x-rays
Lung scan
Lung biopsy
Pulmonary angiogram
Pulmonary function tests (PFT)
Spirometry
Pleural fluid aspiration
Transbronchial needle aspiration (TBNA)
Transbronchial lung biopsy (TBLB)
Pulse oximetry
Peak flow measurement
Sleep study

Mammography is an X-Ray examination of breast tissue. The image produced is called mammogram. A mammogram can help detect problems with your breasts, such as cysts or cancer.

X-rays are a form of electromagnetic radiation, just like visible light. In a health care setting, a machines sends are individual x-ray particles, called photons. These particles pass through the body. A computer or special film is used to record the images that are created.

Multislice CT scanning is a non-invasive medical test that helps physicians diagnose and treat medical conditions. MSCT provide amazing pictures of the human body including 3D images for accurate diagnosis.

An electroencephalogram (EEG) is a test used to find problems related to electrical activity of the brain.
An EEG tracks and records brain wave patterns. Small metal discs with thin wires (electrodes) are placed on the scalp, and then send signals to a computer to record the results. Normal electrical activity in the brain makes a recognizable pattern. Through an EEG, doctors can look for abnormal patterns that indicate seizures and other problems.

An electrocardiogram (ECG) is a test that records the electrical activity of the heart.

Color Doppler is detection and finding motion of blood flow using a Color map that is incorporated standard format B-mode image .It detects and interrogated large scale of region and blood flow, typically blue and red. It can also detected whether the blood moving toward or way from the transducer.It has estimated frequency shift at each point at which motion is detected within an interrogated region, thus yielding information on direction of motion and velocity.

Pulmonary function tests are a group of tests that measure how well the lungs take in and release air and how well they move gases such as oxygen from the atmosphere into the body’s circulation.

A stress test, sometimes called a treadmill test or exercise test, helps your doctor find out how well your heart handles its workload.

As your body works harder during the test, it requires more fuel and your heart has to pump more blood.

The test can show if there’s a lack of blood supply through the arteries that go to the heart.

In ultrasonography, or ultrasound, high-frequency sound waves, inaudible to the human ear, are transmitted through body tissues.

The echoes are recorded and transformed into video or photographic images.

We are all aware of the fact that fate has different destiny in store for us. Life is not free of unfavorable happenings.

It is better to identify problems, while it is in the primary stage and take measures to prevent it from getting worse. It is all the more important not to let the problem arise at all.

People in the developed countries have realized the importance of preventive measures that help to enjoy life without having to worry. Unfortunately, many people in developing countries have not adopted this wave of preventive health care. MIMS, which has a Global Vision, has designed several Health Check-up Packages with the philosophy that Prevention is Better than Cure.

Proper care has been taken in designing these packages to suit the needs of various age groups.

The Comprehensive Health Screening Programme called MIMS Health Check offers you the convenience of all tests under one roof and facility for immediate treatment, if necessary, at the most economic rates.

We undertake round the clock delivery of medicines,HomeICU,Physio,Homecare at your doorstep ifyou are located within a 25 KM radius of the hospital.

We provide outpatients and in-patient services and a follow up clinic to ensure the best treatment possibility for every patient

Provide all cutting edge innovative facilities in the department to treat every patient with utmost care and satisfaction

Parents are counseled about foetal heart, probability for surgery and other related issues

Pediatric cardiac OPD consultation, Contrast Echocardiograpgy, Ambulatory ECG, Cardiac Rehabilitation services etc

A specialized clinic has been set for pre-anesthesia check-ups to know medical history of the patients

By epidural infusions of local anesthetics, this unit provides pain relief for normal delivery

It includes basic and advanced life support service and Cardiopulmonary resuscitation

We offer a complete spectrum of electrophysiology. We perform invasive electrophysiology examines utilizing standard and latest strategies in patients with coronary heart diseases and offer both transcatheter cryoablation and radiofrequency ablation. Surgical mapping and intraoperative cryoablation are likewise accessible in patients with inborn coronary illness. We perform autonomic testing utilizing tilt table technology. The Electrophysiology service likewise embeds all transvenous pacemakers, including biventricular pacemakers and implantable cardioverter-defibrillators

From diagnostics and treatment to superior quality images and streamlined work processes, digital imaging incorporates effectiveness with each communication. We build case acceptance with better patient training that originates from improved imaging, and see our practice develop in wellbeing. With digital imaging, you don’t just appreciate the advantages of prompt radiographs; you're additionally getting a clearer picture that prompts complete analysis. Additionally, it's a chance to build persistent security by decreasing radiation exposure by up to 80 percent when contrasted with conventional film-based frameworks

Smile design incorporates groups of family dental practitioners and children’s dental specialists to give dentistry to young patients. Each of our family and pediatric dental specialists has warm, agreeable identities that help your stay agreeable through methods like: -

• Exams to screen for oral wellbeing and formative state of the bite
• Cleanings, fluoride, and dental sealants to ensure good smiles and prevent decay
• Oral cleanliness direction to guarantee better brushing and flossing propensities
• Sports guards that help anticipate broken teeth
• Braces to fix the misalignment of the teeth
• White fillings that are littler, less intrusive, and mix in with the grin
• Pulpotomies and crowns to reduce or eliminate toothaches and abscesses

Our team of doctors may find a sore that is suspicious, and a sample of skin may be evacuated to take a gander at under a microscope. This is known as a skin biopsy. There are a few diverse approaches to play out a skin biopsy. The decision relies on upon the kind of skin tumor, where it is on the body, and the measure of the influenced region. Taking a gander at tissue under the microscope is the most complete technique to analyze a skin tumor.

In case of shave biopsy, the skin is desensitized with local anesthesia. A sharp cutting edge is utilized to shave off a thin cut of skin containing the top layer of skin, the epidermis, and a segment of the base layer of skin, the dermis. A sharp, round cutting edge is utilized to evacuate a tube shaped center of skin and all skin layers down to the subcutaneous fat layer in punch biopsy. Whereas in the case of incisional and excisional biopsy, the skin is anesthetized (desensitized) with local anesthesia and a surgical blade is utilized to evacuate a bit of the tumor (incisional biopsy) or the whole tumor (excisional biopsy).

No other administration, division at Aster MIMS Kottakkal is as personally and heavily involved to take care of injury and harmed patients as the Department of Emergency Medicine.

Independently and together with the Trauma Service, Emergency Department doctors, residents, nurses, and other medical services providers yearly administer to around thousands of harmed and complex injury patients inside the physical space of the emergency division at Aster MIMS Kottakkal.

There is a nearby working connection between the Department of Emergency Medicine and the Department of Surgery's Division of Trauma and Critical Care. Together we convey the most noteworthy nature of care to the sections range of patients from minor cuts and sprains to major multi-system injury.

Our patient contacts can be separated into four classes like trauma responses, trauma alerts, trauma consults and injured patients.

Emergency Department doctors give day and night on-line medical direction to every individual who seeks emergency medical services in any part of the world. The residents of Emergency medicine take an interest in on-site medical coverage for city-supported unique occasions consistently, including distance runs and mass get-togethers. Through rescue vehicle ride-alongs, hands-on fireground training, and lectures, the inhabitants have shown signs of improvement valuation for the abilities of, and difficulties confronting, prehospital medical suppliers and their firefighting partners.

A cervical biopsy is a strategy to expel tissue from the cervix to test for anomalous or precancerous conditions, or cervical malignancy. With the advanced technologies available for test for cervical biopsies, we make it easier in every possible way. The biopsy can expel a specimen of tissue for testing. It can likewise be utilized to totally take out irregular tissue. It can likewise treat cells that may transform into disease. A cervical biopsy might be done when variations from the norm are found amid a pelvic exam. It might likewise be done if irregular cells are found amid a Pap test. A positive test for human papillomavirus (HPV) may likewise call for cervical biopsy. HPV is a sort of sexually transmitted contamination. Certain sorts of HPV can bring about cervical tumor and different less common genital malignancies. A cervical biopsy is regularly done as a part of a colposcopy, likewise called a colposcopy-guided cervical biopsy. Our expert obstetricians use an instrument for colposcopy with a unique focal point to take a gander at the cervical tissues. A cervical biopsy might be done to discover growth or precancerous cells on the cervix. Cells that seem, by all accounts, to be unusual, however are not yet destructive, are called precancerous. These strange cells might be the main indication of malignancy that may create years after the fact. Thus with the advanced facilities, cancer at an earlier stage can be easily revealed.

Most infants admitted to the NICU are untimely (delivered before 37 weeks of pregnancy), have low birth weight (under 5.5 pounds), or have a medical condition that requires unique care. Almost a large portion of a million children are delivered preterm, and a significant number of these infants likewise have low birth weights. Twins, triplets, frequently are admitted to the NICU, as they have a tendency to be delivered before than single birth children. Babies with medical conditions, for example, heart issues, or birth deformities are likewise watched over in the NICU. NICU at Aster MIMS Kottakkal is equipped with a best in class level 3 NICU under the direction of all around trained and qualified Neonatologists. We gather in appropriate proof based administration at reasonable cost. The NICU has exceptional offices for, cutting edge neonatal ventilation including high recurrence ventilation, care of to a great degree low weight infants, extraordinary care for postoperative checking (counting cardiovascular cases), surfactant administration, exchange transfusion, total parenteral nourishment, Central venous catheterization

Aster MIMS blood bank is fully equipped and licenced centre for collection of blood and its components. Blood bank operates 24×7 for collection, separation, serological testing and issuing of blood and its products to its patient and surrounding hospitals in necessity. MIMS blood bank provides safe blood products by ensuring all quality standard procedures. We provide whole human blood, packed red blood cells, fresh frozen plasma, platelet concentrate, cryoprecipitate, platelet rich plasma, platelet poor plasma.

Even with the tremendous strides being made in the medical and surgical fields, nosocomial infections continued to be a significant drain on human and economic resources producing human suffering and higher health-care costs. One aspect of preventing these nosocomial infections in health care facilities is the effective reprocessing and sterilization of medical devices. The provision of well controlled and validated sterilization processes will have far reaching effects.

It will reduce preventive and presumptive antibiotic use
Prevents Surgical Site Infection (SSI)
Reduce the morbidity and mortality due to hospital acquired infections
Limit the use of chemical disinfectants
Improve the overall quality of patient care
Reduce the higher health care cost
Control the use of single use medical devices - a major ecological factor in the increased amount ofchemical waste
Standard Maintained

Malabar Institute of Medical Sciences Ltd. has arranged CSSD according to the recommendations of HTM (Health Technical Memorandum) 2010, 2030 UK and Association of Sterile Supply Administrators, BS EN ISO 17665: 2006 ANSI/ AAMI ST 41:2008, ST 79: 2006 /A2: 2009, USA

Design of ASTER MIMS CSSD

The department is divided in to fourzones as the work consists of four main processes:

Zone I : Reception, inspection, and decontamination (removal of bio-burden)
Zone II : Assembly and packing
Zone III : Sterilizing
Zone IV : Storage and distribution
Validation of sterilization

Validation of sterilization in ASTER MIMS CSSD consists of seven sets of activities:
Equipment installation and Planned Preventive Maintenance (PPM): Daily, Weekly, Half yearly and Yearly with revalidation.
Daily B/D (Bowie and Dick) tests.
Biological confirmation of sterility.
Computerized Monitoring.
Physical parameters documentation – Manual Monitoring.
PCD (Process Challenge Device)
Review of all process control IQ - Installation Qualification, OQ - Operational Qualification and
PQ -Performance Qualification by Senior Manger,Technical.
The academic and other activities

ASTER MIMS as a part of its mission extends its service to society through:

Sterilization Technology Course

ASTER MIMSCSSD has prepared a comprehensive syllabus for Sterilization Technology Course.To create a knowledgeable, capable and dedicated generation with solid scientific understanding and educational preparation

ASTER MIMS Consultants for the Advancements of Medical Instrumentation

Specializes in design and builds central sterilization units

Expertise in Sterilization Technology
Gap Analysis and Recommendation
Introduction of Processing Recommendations
New Build or Refurbishment
Cost Effective Solution
Full Regulatory Compliance

All Operation Theatre/ Operating Rooms are equipped with KLS Martin's state of the art LED surgical light with colour temperature adjustment and in-surgery video recording capability. The OR tables are all USFDA approved products with operating room staff and patient safety in consideration.

The state-of-the-art Surgical microscope with fluorescence and inbuilt camera recording gives the Neuro and Plastic surgeon an edge in quick decision making and knowledge sharing on table. The ceiling mounted medical gas and electrical supply pendants are first of its kind in north Malabar giving the surgeons and staffs more space, efficient utilisation of the OR space, safety, ease of maintenance and troubleshooting etc. The surgeon control panel another feature in Operating room provides the operating room manager an efficient tool in the optimum environment maintenance and data for preparation of MIS reports. The simple and complex versions of Nerve integrity monitor and the computer aided Navigation System for the ENT, Neuro surgeries help the surgeons in identifying and avoiding the nerves so that the unintended loss of senses are avoided or reduced and the exact margins of the lesions or surgical sites are traced and followed. HEPA filter mounted laminar air flow, Automatic hermetically sealed Doors and the clear non crossing direction of movement of sterile and non-sterile items makes the OR sterile in practice.

We provide comprehensive care of the surgical neonate, infant and child. From the day of birth to the age of 13 years, all surgical conditions in the child are managed in this department.

This includes congenital disorders (birth disorders), infective, traumatic and neoplastic conditions, which need surgery such as, anomalies of the ano-rectum, kidney, ureter and bladder, hypospadias, anomalies of the gastro intestinal system, etc.

In addition to surgical treatment, the department also run an antenatal counselling clinic where pregnant mothers with abnormalities of the foetus detected before delivery are seen, investigated and counselled about their baby, its overall prognosis, management etc.

Scope of services:

• Neonatal surgery – Antenatal counselling for Paediatric surgical problems and post-natal follow up and surgery for even high-risk neonates
• Paediatric laparoscopic surgery- Appendicectomy, Orchidopexy etc
• Paediatric general surgery- Herniotomy, Circumcision, Excision of swelling etc
• Paediatric urological surgery starting from neonatal urological interventions to childhood urological surgery
• Bronchoscopy for foreign body retrieval as well as diagnostic bronchoscopy
• VATS for empyema and decortication
• Diagnosis and management of intersex abnormalities
• Urethroplasty for hypospadias
• Paediatric trauma management
• Surgical management of all
• Paediatric surgical emergencies as torsion tester, a/c appendicitis, peritonitis etc.
• Non-surgical management of intussusception (hydrostatic reduction)
• Management of Paediatric tumors

The centre has a world class 24*7 emergency and trauma care facility, a first of its kind in north Malabar region.

This centre is now a tertiary referral centre of trauma for the region. This department is capable of managing all kinds of complex fractures including polytrauma, pelvic acetabular fractures and open fractures.

The availability if an excellent trauma ICU, most modern laminar flow operation theatres, highly experienced anesthesia team and a well-equipped post-operative ICU makes it possible to do all life and limb saving surgeries immediately without any delay.

• Imaging Tests
  • CT SCAN
  • MRI SCAN
  • X-RAY
• Electrocardiogram
• Arterial Blood Gases
• Lumbar Puncture
• Ultrasound

• UGI Endoscopy
• Colonoscopy
• Endoscopic Retrograde Cholangiopancreatography (ERCP)
• Enteroscopy
• Liver Biopsy
• Endoscopic Ultrasonography (EUS)
• Sigmoidoscopy
• Side Viewing Endoscopy

• Urine test
• Blood tests
• Renal function tests- BUN, Creatinine, Na/K, Cl-GFR
• Ambulatory blood pressure monitoring
• Imaging tests:
  • Intravenous urography (IVU)
  • Voiding cystourethrogram (VCUG)
  • CT scan of the kidney and urinary tract
• Renal angiography
• Kidney biopsy

• Imaging tests
  • CT
  • MRI
• CT cisternography
• Cerebral arteriogram
• Neurosonography
• Myelogram
• Electromyography
• Intracranial pressure monitoring

• Arthrography
• Bone scans
• Discography
• CT and MRI
• Electromyography
• X-ray
• Blood tests

Neonatal resuscitation
Newborn care
Immunisation
Management of pediatric and neonatal emergencies

• Cystoscopy
• Ureteroscopy
• Focussed ultrasonography
• TRUS
• CT scan

The Laboratory Medicine department at ASTER MIMS Kannur Hospital is state-of–the-art and has contemporary facilities. Modern infrastructure, periodic calibration of equipment to ensure accurate results and continuous skill up-gradation of staff is the hall mark of the department. A team of pathologists, microbiologists, biochemists and clinical pathologists work together following allstandard protocols for conducting tests. Aster MIMS Hospital offers laboratory services for both outpatients and inpatients. Also, those who wish to avail only laboratory services which are prescribed by another doctor outside of the group can also undergo these tests. Health checkup for various age groups and special packages for men, women and elderly are also offered. The laboratory services are available round the clock for surgical and medical emergency services. Special packages are also offered for international patients. We Have well arranged phlebotomy and accession area with the 10 patient capacity at a time for sample collection and pneumatic transport system that brings the sample to the central laboratory to reduce the transport time. The Laboratory is integrated with the Hospital Information System (HIS) to facilitate immediate and efficient zero-error flow of information to the concerned Department.

Services include:

•Hematology

•Clinical pathology

•Biochemistry

•Microbiology

•Histopathology

•Cytology

Aster@Home is a unique idea that offers comprehensive health care services at home with the help of trained nurses and other medical professionals to take care of the elderly and those in need of personal care. We extend our wide range of services to those who underwent surgery, people living with a chronic condition and in need of care, or for assistance with activities of daily living.

We provides comprehensive medical care to children affected with various genetic disorders. We also provide counseling sessions for the parents regarding the recurrence risk in subsequent pregnancies & offer prenatal diagnosis.

We do provide detail clinical evaluation & management services for chromosomal abnormalities, microdeletion syndrome, single gene disorders, skeletal dysplasia, storage disorders, neuro degenerative disorders, Intellectual disability & learning disorders, Inborn errors of metabolism childhood deafness & blindness, connective tissue disorder like Marfan syndrome, Ehlers Danlos syndrome primary amenorrhea, familiar cancer.

We truly focus on antenatal services targeted to the most beneficiary group in our hospital.

Early detection of fetal aneuploidies like down syndrome, Edward syndrome, Patau syndrome & neural tube defects by offering 1st trimester screening test & confirmatory genetic test is advised if screening tests comes as positive by doing chronic villus sampling/amniocentesis.
Early detection of fetal anomalies by offering target anomaly scan & ECHO before 2nd trimester
We do offer periconceptional counseling:

Couples having a previous child with down syndrome
Couples where one of the parents is a translocation carrier
Couples with history of RPL, BOH, infertility (R/C pregnancy loss, R/C abortion)
Elderly couple’s especially maternal age > 35 years old (Advanced maternal/paternal age)
Couples who are married in relation (consanguineous marriage
Couples with family history of known genetic disorders
We offer Diagnostic facilities (genetic test) & post confirmatory test counseling sessions to our patients. Various diagnostic genetic tests available for confirmatory in our department are:

Karyotype
High resolution karyotype
chromosomal microarray
FISH for trisomies, sex chromosome
FISH for microdeletion syndrome
MLPA
TP- PCR (triplet primed PCR)
EXOME sequencing

7 bedded 1st stage room
4 LDR
Labor suite with 1:1 nursing care
Pain less labor/ Epidural delivery
Intrapartum monitoring with CTG is routinely provided
Our gynecologist is well experienced with operative delivery
Delivery attended by qualified gynecologist on duty
To give best comfort to expecting mothers we have special options of obstetrics analgesia like epidural and entonox
Gynecologic Services

Ortho & Neuro Integrated Spine Care
Pelvic acetabular reconstructive
Arthroscopy clinic
Arthritis & rheumatology clinic
Knee & shoulder clinic
Osteoporosis clinic
Minimally invasive spine surgeries
Ilizarov deformity correction
Most advanced physiotherapy clinic

LDR suites with facilities of labour, delivery & recovery under one roof.

The labor Room is the most versatile place at the hospital. Once you are placed in a room, this is the room that you will use for your labor and birth, in addition to the initial hours of recovery. The LDR is designed for all kinds of births. LDR can be used for women choosing to go unmedicated or those who wish to have an epidural. These rooms can also handle minor emergencies and procedures including forceps and vacuum deliveries.

The Neonatal Intensive Care Unit (NICU) is a level III unit. We offer the most advanced care for premature and critically ill newborns.

The NICU offers high-intensity neonatal care 24/7 led by an expert team of highly qualified neonatologists including the leading neonatologist in Bangalore. In addition to that, we have Neonatal Trained Nurses who specialise in the care of newborns, specifically the ones who are born preterm or sick babies who require special care in the NICU.

We also have respiratory therapists who manage respiratory equipment in the NICU, providing breathing treatments, drawing and analysing blood gasses, and participating in transports and codes.

We are equipped with providing invasive and non-invasive ventilation. We also provide advanced ventilation in the form of HFOV (High-Frequency Oscillation Ventilation) INO (Inhale Nitric Oxide) which is an advanced therapy for the management of babies with severe pulmonary hypertension.

This modality is useful in babies born with chest/ lung malformation and also in those who had inhaled meconium (stool) when inside the mother’s tummy.

The NICU has a servo-controlled machine which will enable us to treat babies born with birth asphyxia (babies who do not cry after birth) with this equipment temperature is reduced to 33.5c and maintained at that level for 3 days. This treatment has shown to significantly improve the outcomes in babies. This method is called total body cooling and we are one of the few centers in Bangalore equipped to provide this treatment.

Procedure rooms are created seperately for patients related to OBGY and Paediatirics to conduct small procetures.

Outpatient (6 days in a week), Inpatient, follow-up clinic
24 hours emergency services
Neurocritical care
Comprehensive Neuro rehabilitation services
Cerebral angiography
Electroencephalogram (EEG)
Nerve conduction studies (NCS)
Electromyography (EMG)
Evoked potential (VDP, SSEP, BERA)
Nerve and muscle biopsies
Polysomnography
Video EEG monitoring

Dept of Pediatrics at MIMS has expanded by leaps and bounds; we started off with a good Neonatal Intensive Unit and a general pediatric department in 2002. In the year 2004, in addition to existing clinics The department started different speciality clinics like pediatric Asthma Clinic, Pediatric Rheumatology Clinic and Child Development Clinic. The department has conducted state level CMEs in Pediatric Pulmonology and Pediatric Rheumatology. Our Pediatric Asthma Clinic is conducted with the support of Pulmonology department. Patient education regarding Inhaler Therapy and Prevention of Asthma are highlighted in these clinics. The Pediatric Rheumatology Clinic started with the help of Rheumatology department is the first of its kind in the state. The Child Development Clinic was started with the aim to follow up high risk babies and normal babies for detection of early developmental aberrations so that early help can be instituted. The clinic offers a package of multispecialities which includes ENT, Ophthalmology, Physical Medicine. In special circumstances services of Orthopaedic Surgeon, Child Psychologist, Speech Therapist, Physiotherapist and Occupational Therapists are sought.

Pediatric ICU
Pediatric Ventilation
All Pediatric Procedures including Bone Marrow, Liver Biopsy, Bronchoscopy
Pediatric Asthma Clinic
Pediatric Developmental assessment
IQ Testing
Vaccination services
Pediatric Neurology clinic
Pediatric Rheumatology Clinic

Aster MIMS possesses one of the best laboratory services and facilities in the country with state-of-the art equipments and analysers ensuring safety and accuracy.
The technicians, assistants and ancillary staff work their best to provide excellent services with the guidance of highly experienced doctors. The department follows strict quality control measures in order to maintain error-free results in turnaround time.

Amniocentesis
Chorion villous sampling
Cord blood sampling
Foetal urine sampling
Amnioinfusion
Amnioreduction
Selective foetal reduction

The sub-specialty of Radiology in the emergency department handles the diagnosis of acutely ill or traumatic patients. Multiple imaging modalities like MRI, multi-detector CT, ultrasound and X-ray are made available to ensure timely diagnosis and management of patients from head to toe.

The Emergency Pharmacy follows strict protocols backed by well-trained pharmacists with emergency preparedness and a good command over medication management standards, ensuring efficient, safe and effective medication use.

To find the cause of fainting spells by taking different tests. Young adults or even children may face vasovagal attacks due to a sudden drop in blood pressure. This reduces the circulation of blood and causes unconsciousness and sudden fainting of the person. Aster’s Head Up-Tilt Test aims at testing your body in various angles to understand the cause of fainting spells. The expert doctors record the heart rate and blood pressure while performing the test. Aster’s strong infrastructure, it’s seasoned team, and the Cardiology Department monitor the patient's heart’s response, oxygen levels and blood pressure in the electrophysiology lab.

This is a non-invasive imaging test to check the blood flow to the heart muscle and recognize poor areas of blood flow. If a person often experiences chest pain for an extended period or is suspected of coronary artery disease (CAD), he/she needs medical attention from qualified cardiologists. The doctors may recommend a stress myocardial perfusion scan to assess the blood flow, heart muscle damage, etc. Patients who have sustained a heart attack or undergone bypass surgery, angioplasty, or stent placement also need to be examined with the help of myocardial perfusion imaging studies. It is a non-invasive imaging test that assesses the blood flow through the heart muscles and determines if the heart muscle is pumping normally. Aster Hospital’s cardiology department has an exemplary infrastructure with myocardial perfusion imaging studies to detect weak heart muscles and poor blood flow.

Neuronavigation systems facilitate image-guided neurosurgery ensuring accurate resection of brain tumours or biopsies of brain lesions and detailed brain surgery. Basic principles of navigated surgery are to see the tip of a pointer in an image space.

The Neuro ICU at the department combines the service of ICU staff with advanced critical care training together with technological expertise. It facilitates round-the-clock close monitoring and personalised care for the patients.

Outpatient (6 days in a week), Inpatient, follow-up clinic 24 hours emergency services Neurocritical care Comprehensive Neuro rehabilitation services Cerebral angiography Electroencephalogram (EEG) Nerve conduction studies (NCS) Electromyography (EMG) Evoked potential (VDP, SSEP, BERA) Nerve and muscle biopsies Polysomnography Video EEG monitoring

Dept of Pediatrics at MIMS has expanded by leaps and bounds; we started off with a good Neonatal Intensive Unit and a general pediatric department in 2002. In the year 2004, in addition to existing clinics The department started different speciality clinics like pediatric Asthma Clinic, Pediatric Rheumatology Clinic and Child Development Clinic. The department has conducted state level CMEs in Pediatric Pulmonology and Pediatric Rheumatology. Our Pediatric Asthma Clinic is conducted with the support of Pulmonology department. Patient education regarding Inhaler Therapy and Prevention of Asthma are highlighted in these clinics. The Pediatric Rheumatology Clinic started with the help of Rheumatology department is the first of its kind in the state. The Child Development Clinic was started with the aim to follow up high risk babies and normal babies for detection of early developmental aberrations so that early help can be instituted. The clinic offers a package of multispecialities which includes ENT, Ophthalmology, Physical Medicine. In special circumstances services of Orthopaedic Surgeon, Child Psychologist, Speech Therapist, Physiotherapist and Occupational Therapists are sought. Pediatric ICU Pediatric Ventilation All Pediatric Procedures including Bone Marrow, Liver Biopsy, Bronchoscopy Pediatric Asthma Clinic Pediatric Developmental assessment IQ Testing Vaccination services Pediatric Neurology clinic Pediatric Rheumatology Clinic

Aster MIMS possesses one of the best laboratory services and facilities in the country with state-of-the art equipments and analysers ensuring safety and accuracy. The technicians, assistants and ancillary staff work their best to provide excellent services with the guidance of highly experienced doctors. The department follows strict quality control measures in order to maintain error-free results in turnaround time.

Amniocentesis Chorion villous sampling Cord blood sampling Foetal urine sampling Amnioinfusion Amnioreduction Selective foetal reduction

The sub-specialty of Radiology in the emergency department handles the diagnosis of acutely ill or traumatic patients. Multiple imaging modalities like MRI, multi-detector CT, ultrasound and X-ray are made available to ensure timely diagnosis and management of patients from head to toe.

Aster NICU Calicut is a state of the art 20 bedded Level III Unit designed to provide the highest level of focussed neonatal care. The facility is one of the main referral units for hospitals in Malabar, for all new borns with wide variety of complex, critical medical, cardiac and surgical problems. The unit is manned by a multidisciplinary team of experts including 4 Consultants and 4 residents, well supported by consultants from allied departments including Paediatric surgery, Paediatric cardiology, Paediatric Orthopaedics, Neurology, ophthalmology, Geneticist as well as a team of well trained neonatal nurses, dedicated to ensuring highest level of compassion and care of critically ill term and preterm babies. The Scope of NICU includes: 1. Management of all medical and surgical neonatal cases 2. Care of preterm babies ( from 24 weeks GA) and Extremely Low Birth Weight babies ( from 500 GM) 3. Perinatal Care Services - Attendance of all deliveries including high risk and potentially complicated deliveries - Prenatal family counselling of all high risk antenatal cases - Genetic counseling if indicated 4. Providing Advanced Neonatal Care including a) High Frequency Ventilation b) Conventional Mechanical Ventilation c) Non Invasive Ventilation d) Surfactant Replacement Therapy e) Parenteral Nutrition f) Therapeutic Hypothermia g)Intensive Phototherapy h) Neonatal Procedures including - Umbilical Catheterization and PICC insertion - Exchange Transfusion - ICD insertion - Lumbar Puncture - Pleural and Ascitic tapping - Peritoneal Dialysis 5. Newborn Screening Programme - Universal Hearing Screening - Universal screening for Critical CHD - Universal Metabolic Screening (TMS) for high risk cases - Preterm Screening Programme 6. Newborn Clinics - Daily Well baby & Immunisation Clinics - High Risk Follow up Clinics 7. Others - Dedicated team comprising doctors & Lactation counsellor for Lactation counselling, breast feeding support and Kangaroo Mother Care - Early intervention program for Neurorehabilitation of high risk cases, once stable

The Emergency Pharmacy follows strict protocols backed by well-trained pharmacists with emergency preparedness and a good command over medication management standards, ensuring efficient, safe and effective medication use.

To find the cause of fainting spells by taking different tests. Young adults or even children may face vasovagal attacks due to a sudden drop in blood pressure. This reduces the circulation of blood and causes unconsciousness and sudden fainting of the person. Aster’s Head Up-Tilt Test aims at testing your body in various angles to understand the cause of fainting spells. The expert doctors record the heart rate and blood pressure while performing the test. Aster’s strong infrastructure, it’s seasoned team, and the Cardiology Department monitor the patient's heart’s response, oxygen levels and blood pressure in the electrophysiology lab.

This is a non-invasive imaging test to check the blood flow to the heart muscle and recognize poor areas of blood flow. If a person often experiences chest pain for an extended period or is suspected of coronary artery disease (CAD), he/she needs medical attention from qualified cardiologists. The doctors may recommend a stress myocardial perfusion scan to assess the blood flow, heart muscle damage, etc. Patients who have sustained a heart attack or undergone bypass surgery, angioplasty, or stent placement also need to be examined with the help of myocardial perfusion imaging studies. It is a non-invasive imaging test that assesses the blood flow through the heart muscles and determines if the heart muscle is pumping normally. Aster Hospital’s cardiology department has an exemplary infrastructure with myocardial perfusion imaging studies to detect weak heart muscles and poor blood flow.

Neuronavigation systems facilitate image-guided neurosurgery ensuring accurate resection of brain tumours or biopsies of brain lesions and detailed brain surgery. Basic principles of navigated surgery are to see the tip of a pointer in an image space.

The Neuro ICU at the department combines the service of ICU staff with advanced critical care training together with technological expertise. It facilitates round-the-clock close monitoring and personalised care for the patients.

We have state of art First & Only Philips Brilliance ICT 256 slice CT scanner at Vijayawada Branch and Philips Ingenuity 128 slices low dose CT scanner at Guntur Branch. In addition to routine imaging, we perform brain & neck angiograms, perfusion studies, paediatric and adult coronary angiograms, calcium scoring, EP planning, myocardial perfusion studies, aortograms, pulmonary angiograms, triple rule out studies, CT Bronchoscopy, lung nodule assessment, renal angiograms, liver segmentation planning, upper & lower limb angiograms, dental planning.

Equipment That Provides Optimum Conditions That Is Required For Embryogenesis.

Extracorporeal membrane oxygenation in treating severe refractory respiratory failure due to various lung diseases especially severe pneumonia.

3 Cath labs including FFR, IFR, IVUS, OCT and Rotablation
Advanced 3D and 4D ECHO machines
Holter Monitoring

We have state of art First & Only Philips Brilliance ICT 256 slice CT scanner at Vijayawada Branch and Philips Ingenuity 128 slices low dose CT scanner at Guntur Branch. In addition to routine imaging, we perform brain & neck angiograms, perfusion studies, paediatric and adult coronary angiograms, calcium scoring, EP planning, myocardial perfusion studies, aortograms, pulmonary angiograms, triple rule out studies, CT Bronchoscopy, lung nodule assessment, renal angiograms, liver segmentation planning, upper & lower limb angiograms, dental planning.

Equipment That Provides Optimum Conditions That Is Required For Embryogenesis.

Extracorporeal membrane oxygenation in treating severe refractory respiratory failure due to various lung diseases especially severe pneumonia.

3 Cath labs including FFR, IFR, IVUS, OCT and Rotablation
Advanced 3D and 4D ECHO machines
Holter Monitoring

Electrocardiography (ECG)
Treadmill testing
3D Echocardiography
Holter monitoring (1 day, 3 day and long-term monitoring)
CT Coronary Angiography (256 slice & 125 slice CT)

We have state of art First & Only Philips Brilliance ICT 256 slice CT scanner at Vijayawada Branch and Philips Ingenuity 128 slices low dose CT scanner at Guntur Branch. In addition to routine imaging, we perform brain & neck angiograms, perfusion studies, paediatric and adult coronary angiograms, calcium scoring, EP planning, myocardial perfusion studies, aortograms, pulmonary angiograms, triple rule out studies, CT Bronchoscopy, lung nodule assessment, renal angiograms, liver segmentation planning, upper & lower limb angiograms, dental planning.

3 Cath labs including FFR, IFR, IVUS, OCT and Rotablation
Advanced 3D and 4D ECHO machines
Holter Monitoring

3 Cath labs including FFR, IFR, IVUS, OCT and Rotablation
Advanced 3D and 4D ECHO machines
Holter Monitoring

Lead ECG
2D and 3D Echocardiography including colour Doppler and contrast ECHO
Strain Imaging - Speckle Tracking and Heart Model
Trans-oesophageal Echocardiogram (TEE) / Dobutamine Stress Echo
Treadmill test (TMT)
Holter - 24 hrs and 48 hrs
Event monitoring and loop recorders
Ambulatory blood pressure monitoring (ABPM)
Head-up tilt table test (HUTT)
Pacemaker check and programming
Cardiac CT including CT coronary angiogram
Latest monoplane & bi-plane cathlab
Cardiac MRI including stress adenosine protocol

Multidisciplinary care
The department of gastroenterology is an integral part of the multi-disciplinary teams which includes GI and oncosurgery, GI and interventional radiology, Hepatopancreaticobiliary care, liver transplant and GI pathology which are involved in the management of complex gastroenterology conditions.

Manometry and PH
Oesophageal, anorectal, pH-impedance and biofeedback.

Endoscopic Ultrasound EUS
For CBD stones, mediastinal node, pancreatic biliary cancer cytology and biopsy

Lead ECG
2D and 3D Echocardiography including colour Doppler and contrast ECHO
Strain Imaging - Speckle Tracking and Heart Model
Trans-oesophageal Echocardiogram (TEE) / Dobutamine Stress Echo
Treadmill test (TMT)
Holter - 24 hrs and 48 hrs
Event monitoring and loop recorders
Ambulatory blood pressure monitoring (ABPM)
Head-up tilt table test (HUTT)
Pacemaker check and programming
Cardiac CT including CT coronary angiogram
Latest monoplane & bi-plane cathlab
Cardiac MRI including stress adenosine protocol

Multidisciplinary care
The department of gastroenterology is an integral part of the multi-disciplinary teams which includes GI and oncosurgery, GI and interventional radiology, Hepatopancreaticobiliary care, liver transplant and GI pathology which are involved in the management of complex gastroenterology conditions.

Manometry and PH
Oesophageal, anorectal, pH-impedance and biofeedback.

Endoscopic Ultrasound EUS
For CBD stones, mediastinal node, pancreatic biliary cancer cytology and biopsy

This comprehensive rehabilitation regimen can help the patient to maximise and regain normal muscle movement and function after a stroke or for neurological conditions such as:

Parkinson’s disease
Multiple sclerosis
Spinal cord injury
Head injury
Balance dysfunction
Bell’s palsy

A dedicated Ayurveda treatment centre, Aster AyurVAID offers the best of facilities including: 15 beds for inpatient treatment Ayurveda therapy rooms with high-quality treatment equipment Full-fledged Ayurveda Pharmacy Separate facility for preparing fresh medicines Therapeutic Yoga and Meditation

You may avail cashless treatments at Aster AyurVAID CIM or claim reimbursement, subject to the terms and conditions of your health insurance policy. You can clarify all doubts regarding your insurance eligibility with your Physician / our Insurance Helpdesk.

The Emergency Department at ACMI works around the clock, providing services in emergency medicine with physicians who are certified and specialized in emergency medicine.

Pain and Palliative Care
Diet/Physiotherapy/Psychological/Genetic Counselling
Clinic For Lifestyle Against Cancer Recurrence
Full-fledged Ayurveda Department

Aster Centre of Excellence in Cardiac Sciences is first facility in Kerala to offer three cathlabs with a state-of-the-art electrophysiology lab / intravascular ultrasound, fractional flow reserve estimate and rotablation. The comprehensive range of medical technology here includes:

Flat panel hybrid vascular biplane cathlab
Low radiation CLARITY cathlab
OR1 Karl Storz Fusion Integrated C Green OT certified surgical suites with autopilot anaesthesia and live sharing facility
Philips IntelliSpace Critical Care & Anaesthesia digital ICU
ECMO (Extra Corporeal Membrane Oxygenation)
Philips EPIQ Echocardiography machines for 2D and live 3D imaging
Trans-Oesophageal Echocardiography with Doppler, Colour Doppler modalities
Dobutamine stress test for physically disabled patients
Intra-operative trans-oesophageal ECHO / Doppler / Colour-flow Doppler
Philips 256 Slice iCT scan
Wide Bore 3.0 Tesla MRI cardiac studies
Philips Astonish True Flight Select PET-CT with Time Of Flight technology
GE SPECT-CT Optima NM 640 Gamma Camera

Medical evaluation of patients with complex liver disease
Management of patients with cirrhosis, end stage liver disease and liver failure
Intensive care management of acute liver failure
Liver pathology

Comprehensive, quality Ayurveda care for international patients is available for international patients. Right from facilitation with visas, pick-up and drop from/to airport, translation and interpreter services, a world class experience awaits you at the Aster AyurVAID Centre for Integrated Medicine. Please contact the international patients’ department at the hospital, or walk up to the Ayurveda centre on the 2nd floor, or just drop in a mail at [email protected].

This the first NABH accredited Emergency Department in the state of Karnataka and the 5th in the country.
A full spectrum of patients presents in Emergency Medicine Department, from neonates to the elderly with major and minor trauma, psychiatric problems and minor illness to true medical emergencies.
The medical and nursing staffs work closely together to take care of patients, other members of the team include the clerical staff, orderlies, and security staff; they also have important roles in the department.

Nasal endoscopy. Video laryngoscopy. Flexible fibre optic nasopharyngolaryngoscopy. Microscopy of the ear/Foreign body removal. Intratympanic gentamycin administration. Myringotomy and Grommet insertion. Epley’s Manoeuvre. Cold caloric testing. Positional testing. Ear piercing and ear lobe repair. Cauterization for nasal bleed.

Da Vinci Robotic Surgeries
Minimal invasive surgeries
HIPEC surgeries
Organ preservation surgeries

The Centre of Excellence in Cardiac Sciences at Aster Medcity offers a wide range of outpatient services for detection and treatment of complex heart diseases and disorders. This includes:

Cardiac structural/functional evaluation including advanced imaging
Heart Failure Clinic
Cardiac Electrophysiology Clinic
2D / Live 3D Echocardiography
Colour Doppler imaging
Tissue Doppler imaging
Strain Quantification
Trans-Esophageal Echocardiography including live 3D TEE
24-hour ambulatory blood pressure monitoring
24-hour ECG monitoring (Holter monitoring)
Cardiac stress tests including Tread Mill Test, Dobutamine Stress Echocardiography, Head Up Tilt Test (HUTT)

• Regional infection PET imaging to diagnose osteomyelitis in patients
who have undergone hip replacement surgeries
• Strontium therapy for bone pain palliation

• Orthopaedic rehabilitation for musculoskeletal injuries and disorders
• Rehabilitation for patients who have undergone surgeries, including amputees
• Rheumatological rehabilitation with focus on prevention of functional disorders, improving movement and management of pain / stiffness
• Sports rehabilitation
• Orthotic & prosthetic management
• Hand rehabilitation post fracture, injury or surgery

Gamma (SPECT) Camera
Whole body bone scan
Regional three-phase bone scan
Regional infection imaging

Transcutaneous electrical stimulation (TENS)
Ultrasound
Interferential Therapy (IFT)
Vacuum therapy
Cryotherapy

Needle biopsy
Soft tissue and bone pathology
Spine and peripheral nerve pathology
Immunohistochemistry & frozen section

Brain perfusion imaging
Ictal SPECT imaging
Technetium TRODAT imaging
I - 131 MIBG therapy for malignant neuroendocrine tumours

Immunohistochemistry
Molecular diagnosis and genetic mutation analysis

Flat panel bi-plane vascular hybrid cathlab
Fourth generation Time of Flight 16 Slide PET CT
True Beam Linear Accelerator for high-precision radiotherapy
Low radiation CLARITY cath lab
256 slice Philips iCT scanner
3 Tesla Wide Bore Digital MRI
GE SPECT-CT OPTIMA NM 640 Gamma Camera EPIQ
Image fusion for guided biopsies
OR 1 Karlstroz fusion integrated, Green OT certified Operation Theatres with autopilot anaesthesia
Stealth Station Navigation
C- Arm for surgical imaging
Dedicated ICCA (IntelliSpace Critical Care and Anaesthesia) Neuro ICUs
Level 3 Paediatric ICU

Outpatient Consultation for patients of all ages
Extracorporeal shock wave Lithotripsy for renal and ureteric stones
Flexible Cystoscopy for both diagnostic and therapeutic procedures
Transrectal Ultrasound guided prostrate biopsy
Minor procedures like urethral dilatation, suture removal, BCG installation

PET-CT scanning, and Nuclear Medicine Therapy using Radio-pharmaceuticals like Iodine-131
PET –CT based radiotherapy planning

Early screening of cancers in the Breast, Cervix, Head and Neck, Colorectum, Prostate and Lung

Aster Medcity offers a dedicated 10 bedded Level 3 Pediatric Intensive Unit equipped with state-of-the-art monitoring and diagnostic equipment. Manned 24/7 by a team internationally trained Pediatric Intensive Care Physicians and Nurses who stand for ethical and evidence based practices, the PICU provides advanced organ support for critically ill children and life-support services including mechanical ventilation like HFOV and Inhaled Nitric Oxide Therapy. The Unit, for the first time in Kerala, offers Pediatric Intensive Care Retrieval service, where the Retrieval Team, comprising Pediatric Intensive Care Physicians and Nurses triage, stabilise and transport critically ill children in an ambulance that is a Level 3 Paediatric Intensive Care Unit by itself, from peripheral hospitals to Aster Medcity.

The Unit also offers:

Invasive cardiovascular monitoring and support including extra corporeal life support Advanced renal support like CVVH and hemodialysis for children
Post-operative care for children who have had specialised surgery at Aster Medcity
Multi-disciplinary in approach and works closely with other Specialities for Pediatric surgery like Oncology, Neurology, Renal, Spinal Surgery, ENT, Respiratory and Endocrinology
Multi-disciplinary in approach for trauma care with support from specialist teams including Neurosurgery, Pediatric surgery, and Pediatric Orthopedics, ENT and Craniofacial surgery
Round the clock triaging and pre-transport stabilisation advice to assist Retrieval
Zero tolerance for error prescription policy
100 % adherence to infection control practices
Dedicated team to address patient safety and risk management
Allied services including Respiratory Therapists, Dietician , Clinical Pharmacists and Physiotherapists
Counselling and Psychosocial services for bystanders and focus for creating a stress free environment during the most difficult period in their lives

The Child Development Centre at Aster Medcity is a dedicated clinic for differently abled children, providing customised treatment through early identification, intervention, school age and specialised services. Community based, accessible, inclusive and responsive to the needs of the child at all stages of development, these services are delivered in a culture of excellence, diversity and respect, with focus on quality, stability, innovation and positive out come for both the child and his or her family.

The treatment strategy is planned after a detailed assessment by way of “scores” based on the way the child plays with toys, interacts with friends and also information provided by parents on his or her behavioural pattern, food and sleep habits, with inputs from Developmental Paediatrics, Child Psychiatry, Child Psychology, Speech and Language, Hearing, Occupational therapy, Physiotherapy departments and also Special instructors and Play therapists. The behavioural and developmental interface addresses common conditions like Attention deficit disorder, Attention deficit hyperactive disorder, Obsessive Compulsive Disorder and Autism spectrum disorder.

Outpatient Consultation
Dedicated Clinics for: Asthma, COPD, Obstructive sleep apnoea, Obesity hypoventilation syndrome, Chronic respiratory or ventilatory failure (including home oxygen therapy and non-invasive ventilation), Suppurative lung diseases, Tuberculosis, Interstitial lungdiseases, Pulmonary hypertension (including pulmonary vascular diseases), Respiratory allergic disorders
Fast-track clinics for suspected thoracic malignancies.
Smoking cessation clinics
Executive health check ups

Routine spirometry
Full lung function tests
Cardiopulmonary exercise testing (TBC)
Limited sleep studies
Polysomnography
6 minute walk test
Flight assessment to assess fitness for flying (TBC)
Thoracic Ultrasound and Thoracocentesis
Lung and Pleural biopsy
Bronchoscopy

Perioperative anesthetic care
Anesthesia for solid organ transplant
Invasive monitoring of deep hypothermic circulatory arrest and associated technique
Anesthetic support for SSEP and MEP
Anesthesia for infants, neonates and children
Anesthesia for craniofacial reconstructive and cosmetic surgery
Labor analgesia and obstetric Anaesthesia
Regional anesthetic techniques with ultra sound and PNS
Transesophageal echocardiography
Fibre optic bronchoscopy
Difficult intubation maneuvers
Intar aortic balloon support
Inotropes vasodilators and vasopressors
ECMO and LVAD assistance
Neuro monitoring: BIS, NIRS, neuromuscular monitoring, TCD
Special anesthetic techniques for awake craniotomies
Blood conservative measures

Epidural steriods therapy
Ultrasound-guided and fluro-guided root and facet blocks
Home visits by palliative division
End-of-life care.

24/7 general surgery services
Inpatient admission for procedures and services
Day care service
Surgical Intensive care unit
Diabetic foot care

Endocrine clinic
Podiatric clinic.

The Emergency Department has an adjoining Radiology Suite equipped with MRI, Ultrasound, CT Scan and X-ray machine to save on time taken for moving patients to other units/departments for critical diagnostic procedures and fast-tracking the start of treatment.

The Emergency Department has a Triage Area, where an ACLS/ATLS/PALS Trained Nurse, follows a specialised Triage system and triages patients on the basis of how critical the illness or injury is. Triage or the first point of public contact with the Emergency Department, is done according to the Australasian Triage System, wherein patients are triaged into 5 categories. Triaging ensures that the most critically ill patient gets medical attention on priority, without delay.

For the convenience of families/bystanders of patients, there is a “Discussion Room” at the Emergency Department where Doctors, Nurses and Guest Relation Staff will provide updates on the current status and plan
of care of patients. The Guest Relation Officer will attend to all queries from the side of the family/ bystander regarding the condition of the patient and will also, on request, arrange meetings for them with the concerned Doctors.

The Emergency Department will have a dedicated Pharmacy that operates 24x7. Made for the convenience of the patient’s family/ bystanders, they do not require to move out of the ED or take the trouble of finding medicines for the patient at a time when every moment counts.

The GE SPECT-CT OPTIMA NM 640 gamma camera can provide exceptionally clear images at a very high speed, facilitating high-precision diagnosis. Low on radiation dose and examination time, it also allows hybrid by integrating the most advanced general purpose camera with a newly developed four-slice CT.

An advanced Digital Mammography system, it provides high-resolution 3D image results using X-rays for quick detection of even the tiniest calcified lesion that’s in the precancerous stage. The X-ray tubes move in an arc, capturing 11 images in 7 seconds and these images are assembled in the computer to create highly focused 3D image throughout the breast, facilitating easier diagnosis.

Renders high-resolution radiographs with superior time efficiency. As no repetition and digital enhancement are required, rapid transfer of images for immediate investigation by Physician is made possible through integration with PACS.

This Catheterisation Lab (Cath Lab), with the help of Allura Clarity system, reduces radiation doses by 70%, offering significant benefit to the patient as well as staff. Used for Interventional Cardiology and Neurology, the low radiation facilitates repeated investigation if necessary and is also safe for children.

Most sophisticated Colour Doppler Systems with Liver Elastography, fusion and navigation for accurate Biopsy, Electronic 4D Imaging with lightweight probes for Cardiac, Radiology and Obstetric Studies. Also provides superior 4D images of the foetus. Department has many state-of-the-art Ultrasound Scanners available for 4D imaging, non-invasive monitoring of liver parenchymal disease with ARFI (Acoustic Radiation Forced Impulse) imaging, with sophisticated image fusion capability to aid accurate guided procedures.

Aster Hospitals, for the first time in Kerala, introduces Robotic Surgery with da Vinci Robot- a highly advanced surgical Robot that performs minimally invasive surgeries with utmost precision. What can be called the next level in surgery, the da Vinci Robot has multi-limbed surgical robot with tiny wrists that bend in all directions, offering precision, dexterity and fine manipulation beyond that of human hand. The Surgeon performs minimally invasive surgeries by manipulating three robotic arms and a video camera that are inserted through small skin incisions, while seated in front of a computer console with 3D video screen and controls. The option of Robotic surgery is available in the Urology, Cardiothoracic, Gynaecology, Oncology, Gastroenterology, Bariatric and Paediatric Surgery Departments at Aster Medcity.

• 15 beds for inpatient treatment
• Ayurveda therapy rooms with high-quality treatment equipment
• Full-fledged Ayurveda pharmacy
• Separate facility for preparing fresh medicines
• Therapeutic Yoga and Meditation

Aster Medcity offers world-class inpatient care to its patients, with the support of an award-winning team of Nurses, Therapists and Technicians. Wards, double rooms, standard rooms, executive rooms, deluxe rooms presidential suites Dedicated Cardiac ICU Independent ICUs with a view that minimise chances of infection and ICU psychosis Dedicated cardiac surgery suites Advanced infection control facilities State-of-the-art cardiac imaging

The Centre of Excellence in Cardiac Sciences at Aster Medcity offers a wide range of outpatient services for detection and treatment of complex heart diseases and disorders. This includes: Cardiac structural/functional evaluation including advanced imaging Heart Failure Clinic Cardiac Electrophysiology Clinic 2D / Live 3D Echocardiography Colour Doppler imaging Tissue Doppler imaging Strain Quantification Trans-Esophageal Echocardiography including live 3D TEE 24-hour ambulatory blood pressure monitoring 24-hour ECG monitoring (Holter monitoring) Cardiac stress tests including Tread Mill Test, Dobutamine Stress Echocardiography, Head Up Tilt Test (HUTT)

• Regional infection PET imaging to diagnose osteomyelitis in patients who have undergone hip replacement surgeries
• Strontium therapy for bone pain palliation

• Orthopaedic rehabilitation for musculoskeletal injuries and disorders
• Rehabilitation for patients who have undergone surgeries, including amputees
• Rheumatological rehabilitation with focus on prevention of functional disorders, improving movement and management of pain / stiffness
• Sports rehabilitation
• Orthotic & prosthetic management
• Hand rehabilitation post fracture, injury or surgery

24/7 neuro trauma & critical care
Dedicated Neuro ICUs
Carotid ultrasound and transcranial doppler
Diagnostic cerebral angiography
Thrombolysis and mechanical thrombectomy for stroke
Angioplasty and stent for stroke management
Inpatient electrophysiological procedures including: Long-term video EEG Invasive intracranial monitoring Sleep lab Nerve conduction and evoked potential studies (somatosensory, motor, visual & auditory) Intraoperative electrophysiology

Neuropsychology is the systematic evaluation of higher cognitive abilities including intelligence, memory, academic skills, cognitive and language, attention span, sensory motor, problem solving abilities, executive abilities, visual motor skills and personality/emotional functioning. The Neuropsychology Clinic at the Aster Centre of Excellence in Neurosciences offers:

Cognitive evaluation/ rehabilitation/ remediation in patients with neurological conditions like epilepsy, stroke, Alzheimer’s disease, Parkinson’s disease and tumours
Study of functional aspect of brain through pre & post-operative evaluation
Study of decline of cognitive skills in the elderly
Evaluation of changes in thinking/ behavior pattern with people with serious illnesses
Evaluation/ management of behavioural problems
Counselling/ management of depression and anxiety
Counselling and management of depression and anxiety
Family counselling

Physical therapy
Occupational therapy and rehabilitation for patients with neurological/ physical disabilities
Speech therapy for patients with language disabilities

Outpatient Consultation for patients of all ages.
Measures to detect, prevent and stop progression of kidney diseases
Close follow-up and advice on management of different forms kidney diseases (along with the team of social workers, nurses and renal dieticians).

Site specific disease management groups:

Haemato oncology and BMT
Neuro-Oncology,
Orthopedic Oncology,
Gastro Intestinal, hepatobiliary and pancreatic oncology group,
Womens Cancer clinics
Genito Urinary Oncology clinics
Pediatric Oncology group
Head and Neck oncology group
Thoracic Oncology group

CT scan based radiotherapy planning
CT Simulator
CT –MRI fusion
Image based interventional ooncology (RFA , TACE)

GI Bleed Scintigraphy
GI Motility Studies
HIDA Scan
Liver-Spleen Scintigraphy
Technetium RB Labelled Blood Pool Scintigraphy
GE Reflux Scintigraphy for children

Procedures

Endo tracheal intubation
Umbilical line placement
Chest tube placement
Percutaneous (PICC) line placement
Ventilator support including high frequency ventilation + inhaled nitric-oxide treatment
Intravenous access and maintenance
Total Body Cooling
Exchange transfusion
Hemodynamic monitoring
Total parenteral nutrition
Oxygen saturation monitoring
Surfactant therapy
Thermoregulation
Per Oral/tube feeding
Promotion of breast feeding and lactation assistance/advice
Peritoneal dialysis
Developmental interventions - Environmental and Developmental Care of Infants

24/7 Emergency Care
Outpatient consultation
Dedicated Wellness Clinic
Preventive health check-up clinic for walk in patients, pre-employment annual medical checks and employment check-up for candidates recruited abroad
Advanced Diagnostics
State-of-the-art Lab
Inpatient Services
Medical ICU for adults and children
Attending to cross-referrals

Management of all acute respiratory admissions
Providing joint care with intensivists for respiratory patients intubated and managed in the intensive care unit.
Non-invasive ventilation and CPAP therapy
Management of patients with haemoptysis in collaboration with Interventional Radiologist if Bronchial Artery Embolization is planned or Thoracic Surgeon if operative intervention is required
Attending to inter-departmental referrals
Assessment of fitness for surgery

• Management of pre-term/ low birth-weight/ high-risk delivery babies
• Specialised care for medically unstable babies
• Comprehensive care for complex medical surgical problems in neonates
• 24/7 presence of lactation expert to ensure breastfeeding
• Total Body Cooling (Therapeutic Hypothermia) for babies asphyxiated at birth
• Advanced life-saving technology/ clinical support including: Conventional and high-frequency ventilation, Nitric Oxide Therapy, High Flow Nasal Cannula, Continuous Positive Airway Pressure Therapy, Antenatal counselling for high-risk pregnancy,  ROP screening for preterm babies

High quality postoperative evidence based patient care
Resuscitation of acutely ill patients
Invasive monitoring
Ventilation techniques
Percutaneous tracheostomy
Fibre optic bronchoscopes for therapeutic and diagnostic modalities
Transesophgeal echocardiography
Intraaortic baloon pump
Acute postoperative pain relief techniques
Nutrition therapy
Rehabilitation therapy

Outpatient consultation
Abscess incision and drainage
Minor procedures - Skin lesion excision
Minor debridement
Dressing
Suturing
Hand held Doppler examination

Benign swellings
Thyroid diseases
Head and neck swellings
Breast disorders
Varicose veins
Scrotal swellings
Salivary Gland pathology

In case of a Paediatric emergency, a child should to be given specialised, dedicated and prompt medical care with love and patience, in a warm and comforting environment. This helps minimise the fear and stress caused by the emergency and enable quicker recovery. The special Paediatric Emergency Room at the Emergency Department has been designed keeping this in mind and has a child-centric and welcoming ambience. With state-of-the-art clinical facilities and a team of Doctors and Nurses specially trained in Paediatric emergency medicine to attend to all emergencies 24/7, the Paediatric ER at Aster Medcity is among the best in India.

The Emergency Department has a separate Emergency Acute Care Unit to monitor and treat very critically ill or injured adult patients. A 5-bed unit managed by a team of trained Emergency medicine professionals; the EACU is built adjacent to the ED to facilitate easier treatment.

The Infectious Disease Screening Area at the Emergency Department is a special area for monitoring and treating patients with communicable disease. A quarantined area, this facility ensures that the infection does not spread to the other patients in the Emergency Department. If the patient requires to be admitted and given treatment, a Negative Suction Isolation room has been set up in which they will be taken care of, without exposure or danger of infection to others.

The Emergency Department at Aster Medcity has introduced the concept of “Decontamination Room”. This is a special room for decontaminating patients who come in for medical help due to poison exposure. Having a specialised facility for decontamination will be helpful to the Staff and Bystanders, as it will prevent them from exposure to the poison.

Advanced Airway Devices
Defibrillator
Central Monitoring System
Ecg Machine
Fibro-Optic Light
Patient Monitor with all modules
Portable Monitors
Portable X Ray Machine
Pulse Oxymeter
Portable USG & Echo Machine
Ventilators
Laptops With Portable Trolley
Patient Calling System
Radiology Suite

The GE SPECT-CT OPTIMA NM 640 gamma camera can provide exceptionally clear images at a very high speed, facilitating high-precision diagnosis. Low on radiation dose and examination time, it also allows hybrid by integrating the most advanced general purpose camera with a newly developed four-slice CT.

An advanced Digital Mammography system, it provides high-resolution 3D image results using X-rays for quick detection of even the tiniest calcified lesion that’s in the precancerous stage. The X-ray tubes move in an arc, capturing 11 images in 7 seconds and these images are assembled in the computer to create highly focused 3D image throughout the breast, facilitating easier diagnosis.

Renders high-resolution radiographs with superior time efficiency. As no repetition and digital enhancement are required, rapid transfer of images for immediate investigation by Physician is made possible through integration with PACS.

This Catheterisation Lab (Cath Lab), with the help of Allura Clarity system, reduces radiation doses by 70%, offering significant benefit to the patient as well as staff. Used for Interventional Cardiology and Neurology, the low radiation facilitates repeated investigation if necessary and is also safe for children.

Most sophisticated Colour Doppler Systems with Liver Elastography, fusion and navigation for accurate Biopsy, Electronic 4D Imaging with lightweight probes for Cardiac, Radiology and Obstetric Studies. Also provides superior 4D images of the foetus. Department has many state-of-the-art Ultrasound Scanners available for 4D imaging, non-invasive monitoring of liver parenchymal disease with ARFI (Acoustic Radiation Forced Impulse) imaging, with sophisticated image fusion capability to aid accurate guided procedures.

ORI Fusion Digital Integrated Operation Theatres With 22 Operating Rooms that are on par with some of the largest in the world, Aster Medcity, for the first time South India, introduces ORI Fusion Digital Integrated Operation Theatres using Karlstorz OR1 Fusion - Asia Pacific’s first complete digital integration system.
The integration enables real-time sharing of images, videos and medical reports, which not only facilitates virtual participation from any location in the world but also helps the rest of the surgical team to monitor the patient closely during the operative procedure, much to the benefit and safety of the patient undergoing the surgery.
Aster Medcity is also the first surgical facility in the state to offer Robotic Surgery using a high-precision da Vinci Surgery Robot.

Advanced Features

• PACS, HIS, and video recording integrated for single monitor control by Surgeons
• Each Operating Room has 3 cameras and 6 monitors for Doctors to monitor patient parameters and the surgical procedures
• Operative procedures can be transmitted live to various locations within and outside the Hospital
• Facilities for interactive sessions during operation through live transmission of the procedure
• Doctors can join the Surgical team and monitor the patient from any location outside the hospital
• Da Vinci Surgical Robot for performing minimally invasive Robotic Surgery
• State-of-the-art engineering techniques to maintain positive pressure within operating rooms along with heap filters to reduce infections
• Individual air handling unit for each Operating Room
• Equipped with Isocentric C Arm
• Advanced facilities to monitor including depth of Anaesthesia, Neuromuscular Monitoring, Transcranial Doppler and 3D Echocardiogram
• High-end Anaesthesia workstation with precision delivery of Anaesthetic gases
• Autopilot facility Anaesthesia machines
• Capability to export information to all ICUs within the hospital
• Induction bay with facilities for parents to be with children during induction of Anaesthesia
• As all Operating Rooms here are approximate of the same size, they can accommodate a variety of equipment- surgical, as well as those for ensuring the safety and protection of the patient
• Stringent Infection Control measures followed under the surveillance of experienced Doctors
   

Anesthesia Team

• Perioperative anesthetic care
• Anesthesia for solid organ transplant
• Invasive monitoring of deep hypothermic circulatory arrest and associated techniques
• Anesthetic support for SSEP and MEP
• Anesthesia for infants, neonates, and children
• Anesthesia for craniofacial reconstructive and cosmetic surgery
• Labor analgesia and obstetric Anaesthesia
• Regional anesthetic techniques with ultrasound and PNS
• Transesophageal echocardiography
• Fiber optic bronchoscopy
• Difficult intubation maneuvers
• Intar aortic balloon support
• Inotropes vasodilators and vasopressors
• ECMO and LVAD assistance
• Neuro monitoring: BIS, NIRS, neuromuscular monitoring, TCD
• Special anesthetic techniques for awake craniotomies
• Blood conservative measures

Seamless Team Work

The ORI Fusion Digital Integration system in the Operating Rooms helps create a workflow that’s seamless by enabling virtual participation of Doctors in the procedure, from whichever part of the world they are in at that point in time. As all medical reports and image modalities including the operation procedure can be transmitted live to any location inside or outside the hospital, Doctors can become a part of the Surgery Team on a real-time basis, wherein they can interact with Surgeons in the OR, closely monitor the procedure as well as patient parameters and contribute their expert suggestions.

• Karl Storz OR1 Fusion Technology
• Single monitor control enabled through integration of PAC, HIS & Video Recording
• Live to share all image modalities & medical reports
• 3 cameras and 6 monitors in every OR.

Waiting Lounge

Aster Medcity understands that the time of surgery is stressful for the family of the Patient as well, which is why the bystander’s waiting lounge has been designed in such a way that it provides a calming, comforting ambiance

Scenic view of the backwaters from the visitor's lounge, Recliner Chairs, Cafeteria

Guest Relation Team who updates the bystanders on patient’s progress at regular intervals and ensures a warm, hospitable atmosphere.

• Infertility & Gynaecological Disorders Clinic (Sunday)
• Diabetes & Diabetic Complications Clinic (Monday)
• Weight Loss Clinic (Monday)
• Pain Management & Degenerative Disorders Clinic (Tuesday)
• Gastrointestinal Disorders Clinic (Tuesday)
• Neurological, Mental Health / Sleep / Stress Management Clinic (Wednesday)
• Respiratory Disorders Clinic (Wednesday)
• Skin Diseases & Healthy Hair Clinic (Thursday)
• Autoimmune Diseases Clinic (Thursday)
• Women & Child Clinic (Friday)
• Lifestyle & Metabolic Disorders Clinic (Friday)
• Holistic, Positive Health Clinic (Saturday)
• Cancer Rehabilitation Clinic (Saturday)

• Obstetric & Fetal imaging with Doppler
• Abdominal and pelvic imaging 
• Musculoskeletal imaging 
• High-resolution soft tissue imaging 
• Imaging of neck, breast, and scrotum. 
• Paediatric imaging including neurosonogram 
• Trans-rectal ultrasound imaging 
• Extremity arterial and venous Doppler including varicose vein and AV fistula.
• Renal, carotid, hepatoportal, and penile Doppler
• Elastography 
• Image-guided interventions including FNAC / Biopsy, fluid aspiration and pigtail drainage.
   

• Neuroimaging including Brain & spine
• Head and neck imaging including neck, orbits, TM joints, sinuses, oral cavity, tongue and face
• Abdominal imaging including pelvis, liver, pancreas, kidneys adrenal, bowel, MRCP and MR urography.
• High-risk imaging including chest wall, breast, placenta and fistulogram. 
• Musculoskeletal imaging including shoulder, elbow, wrist, hand, hip, knee, ankle and foot. 
• Angiography including brain, neck, abdomen & extremities. 
• MR Venography.
   

• US/CT guided FNAC/Biopsy
• Abscess drainages and fluid aspiration with pigtail drainage
• Angiography and venography
• Embolization for PPH, GI bleeders and trauma bleeders
• Embolization in AVM and vascular malformations.
• Thrombolysis – arterial and venous
• Angioplasty and stenting
• Trans-arterial chemotherapy
• Percutaneous biliary procedures including PTBD, Chloecystostomy
• Radiofrequency/ Microwave ablation– liver, lung, renal, bone 
• Endovascular aneurysm repair 
• Tracheal and esophageal stenting.
• Gastro-intestinal intervention includes TACE, TARE, TIPSS, BRTO, Trans-jugular liver biopsy etc.
• Genito- Urinary interventions include embolization for uterine fibroids, Uterine AVM, benign prostatic hyperplasia, varicocoele, pelvic congestion etc
• Insertion of PICC lines and chemoports.
   

• Outpatient consultation on all days
• ombined clinics on dedicated days
• Round the clock coverage for trauma

By appointment

• Dental implant insertion
• Dental implant insertion
• Enucleation of cyst of the jaws
• Biopsy of oral lesions
• Surgical removal impacted teeth

• Dedicated OT days for Craniomaxillofacial cases
• 24/7 Emergency operation theatre services
• Qualified Maxillofacial surgeons / trained Registrar available on call to attend to all inpatients, emergency admissions and consultations from other departments, round the clock

We combine our expertise in the areas of patient-care, clinical research and academics in order to provide the highest level of specialised services to our patients. The Aster spine center was conceived as part of the overall scope of neurosurgery and was incorporated into our original vision document. As part of the transformation into a global COE a dedicated aster spine center was proposed. This would be a multispeciality service including neurosurgical and orthopaedic spine surgeons covering the entire gamut of spine pathology, both elective and emergency. The primary spine service would be supported by a very active physical medicine and rehabilitation service, and other departments like neurology, endocrinology, radiology and oncology. It might be possible to include an element of holistic care into the spine center by association with indigenous systems of medicine like Ayurveda.

• OR1 Fusion Digital Integrated Green OT certified surgical Suites
• IntelliSpace Critical Care and Anaesthesia (ICCA) ICUs
• Level 3 PICU
• 3.0 Tesla Widebore MRI
• 256 Slice Philips iCT Scan
• DEXA for bone density measurement
• Philips Astonish True Flight Select
• PET-CT with Time Of Flight Technology
• GE SPECT-CT Optima NM 640 Gamma Camera>
• True Beam Linear Accelerator with FFF Technology
• Karl Storz Endoscope
• Siemens Isocentric 3D C-arm
• Medtronic Stealth Station Navigation System
• Leica M530 OH6 Operating Microscope
• Leica M525 OH4 Operating Microscope
• Medtronic Legend high-speed pneumatic drills
• Medtronic Legend EHS Stylus electric drills
• Medtronic Legend oscillating and reciprocating microsaws
• Intraoperative Bone CUSA
• Intraoperative electrophysiological monitoring
• Allen Spine System Table
• Needle biopsy
• Soft tissue and bone pathology
• Spine and peripheral nerve pathology
• Immunohistochemistry & frozen section
• Advanced navigation system
• Endoscopy and MISS systems
• Intraop MRI
• Gamma (SPECT) Camera
• Whole body bone scan
• Regional three-phase bone scan
• Regional infection imaging

We offer specialised treatment for children with conditions including:

• Headache
• Epilepsy
• Movement disorders
• Neuroimmunology
• Stroke
• Mitochondrial and metabolic disorders
• Learning disabilities
• Cerebral palsy
• Neurodevelopmental disabilities - Like Autism and ADHD
• Sleep disorders
• Brain tumors and conditions requiring surgery
• Genetic neurological disorders and rare brain diseases
• Neonatal neurological conditions, even in high-risk newborns

The Aster KIND team comprises experts from various subspecialties who with a multidisciplinary approach to provide optimal, evidence-based to children.

• Paediatric Neurologist
• Developmental Paediatrician
• Neurosurgeon
• Neuroradiologist
• Neuro Ophthalmologist
• Neuro Oncologist
• Child Psychiatrist
• Child Psychologist
• Physiotherapist
• Occupational Therapist
• Developmental Therapist
• Speech and language pathologist
• Play therapist
• Special educators
• Dietician
• Social workers

• Neurocritical care and trauma center
• Childhood Stroke Program
• Epilepsy clinic
• Ketogenic Diet Clinic
• Tuberous Sclerosis Clinic
• Neurofibromatosis Clinic
• Neuromuscular clinic
• Headache Clinic
• High-risk baby follow up clinic
• Child guidance clinic (ADHD, LD)
• Autism clinic
• Cerebral palsy clinic

• Audiology
• Behavioral health
• Occupational therapy
• Neurosurgery
• Ophthalmology
• Orthopaedic surgery
• Plastic surgery
• Physical therapy
• Social work
• Rapid-response team
• Paediatric pain management

An advanced facility for treating Neurodevelopmental disorders in children, the expert team of doctors and therapists at the Aster Neurodevelopmental Unit believes in incorporating the latest scientific concepts to empower and enable differently-abled children to be a part of society.

• Assessment of children with developmental and behavioral concerns
• Multi-disciplinary intervention services
• Referrals to community services
• Parental guidance for child development
• Counseling and support for families of children with developmental and behavioral problems
• Liaison with schools on children with learning problems - Placement of children with special needs for training and education
• Collaboration with Primary Health and Community
• Services for early identification of children with developmental and behavioural problems, to facilitate early intervention

• Patient & family services: family resource centre with family support specialists and Paediatric Psychologists.
• Evaluation of bio-behavioural aspects of primary illness along the road from diagnosis to post-recovery and providing right guidance.
• Working with the family and caregivers to cope with the stress of living with a physical illness.
• Assistance in developing tools that the child and his/her family require to manage the acute phase of the child’s condition.
• Management of the child’s emotional and physical pain in a manner that’s appropriate to his or her age.
• Support to manage stress/ normal/ abnormal reaction to illness.
• Identifying psychopathology and planning a customised, multidisciplinary treatment strategy that includes psycho-education, supportive psychotherapy, relaxation training, cognitive behavioural therapy and pyschopharmacology.
• Combining individual treatment, family-based treatment and community resources to ensure the best possible outcome.

• - Siemens Biograph Horizon time of flight PET CT
• - GE SPECT CT Optima NM 640
• - High Dose Radioactive iodine therapy ward
• - Targeted therapy for liver tumours (TARE)
• - Targeted Radionuclide Therapy (Lutetium, Actinium) for prostate and neuroendocrine tumours.
• - Radiation Synovectomy
• - Bone Pain Palliation

We run a number of Specialty Clinics at Aster Medcity. Each clinic runs on a particular day of the week and offers a gamut of services to the needy patients. Our services include, but not limited to:

• - Clinical evaluation ,diagnosis and medical treatment of Adult and pediatric Movement Disorders
• - Selection of cases of Movement Disorders for DBS treatment
• - Selection for Apomorphine pump treatment for advanced Parkinson’s disease (OP assessement of eligibility and IP for initial titration). Indicated for those who opt for non surgical treatment or in whom surgery is contraindicated
• - Cognitive and Neuropsychological evaluation
• - Neuropsychiatric assessment
• - Physiatry assessment and physiotherapy
• - Autonomic function tests
• - Sleep studies
• - TRODAC studies, MRI through Radiology and nuclear medicine dept
• - Speech, swallowing and gait rehabilitation
• - Pain and palliation in advanced movement disorders
• - Selection of patients for clinical trial and research
• - Movement Disorder Clinic
• - Deep Brain Stimulation (DBS) Programming Clinic
• - Botulinum Toxin Clinic
• - Pediatric Movement Disorder Clinic
• - Memory Clinic

Evaluation and treatment of acute and chronic movement disorders

• Deep Brain Stimulation (DBS) Surgery: For Parkinson’s Disease, Essential Tremor, Dystonia ( primary and selected secondary dystonias), intractable Tourettes Syndrome)
• Focused ultrasound therapy: for Essential Tremor (if FUS is set up in COE Neurosciences under brain tumour centre)

Patent ductus arteriosus (PDA) is a heart defect that’s present at birth. When the condition is present, a vein that normally closes at birth (the ductus arteriosus) stays open. The result is that oxygen-rich blood that should be circulating into the body instead goes back to the lungs. Cardiac ductal ligation is a procedure to repair this problem.

High-frequency oscillatory ventilation (HFOV) is a lung-protective strategy that can be utilized in the full spectrum of patient populations ranging from neonatal to adults with acute lung injury.

Incubators and radiant warmers are used to maintain the body temperature of newborn infants. This is best done so that the energy expended for metabolic heat production is minimized.

These lights emit light at wavelengths that are most effectively absorbed by bilirubin and can be customized by using varying proportions of blue, blue-green and green lights. Whereas double volume exchange transfusion is replacing the baby's total blood volume twice, leaving the intravascular amount the same.

A partial exchange transfusion is a procedure performed to correct polycythaemia or severe anaemia without hypovolaemia. This can be performed using either the one catheter or two catheter push pull technique.

Continuous Positive Airway Pressure (CPAP) is a means of providing respiratory support to neonates with either upper airway obstruction or respiratory failure. Respiratory failure constitutes either failure of ventilation or failure of lung function. 

Peritoneal dialysis is frequently required in NICU, and it is a fundamental, rational, safe and effective renal replacement therapy method in infants with Acute kidney injury and metabolic disorders.

Bedside echocardiography is often performed on our neonatal unit usually to diagnose or exclude a structural heart defect, but also to evaluate pulmonary haemodynamics and cardiac function. Cranial ultrasonography (cUS) is an excellent tool to detect the most frequently occurring brain abnormalities in preterm and full-term neonates, to study the evolution of lesions, and to follow brain maturation. X-ray examinations of the lungs is an important element in the evaluation of the neonates and their respiratory function. It is often necessary to perform a large number of X-ray examinations depending upon the infant's birthweight, gestational age and respiratory problems.

A central venous line is most often put in when a baby cannot get a percutaneous inserted central catheter (PICC) or midline central catheter (MCC). A central venous line can be used to give nutrients or medicines to a baby. It is only put in when babies need IV nutrients or medicines for a long time. Whereas peripheral arterial access readily allows sampling of arterial blood for arterial blood gas analysis, haematology and biochemistry and can also be used for removal of blood during exchange transfusion.

• Paediatric esophagoscopes, gastroscopes, bronchoscopes and colonoscopes.
• Paediatric and neonatal resectoscopes & cystoscopes.
• Paediatric and neonatal laparoscopic instrumentation.
• Robotic instrumentation
• State of the art Pathology, Microbiology and Histopathology with special immunohistochemistry analysis.
• Intensive care units that are back up with fully functional Neonatal Intensive Care
• Unit (NICU) and Paediatric Intensive Care Unit (PICU).
• A range of Paediatric Radiology services that include conventional radiology with an image intensifier for contrast studies, and sophisticated Ultrasounds, MRCP, CT scan, MRI, Nuclear scan, PET-CT scan etc.
• Intraoperative radiological services.

Outpatient Consultation for patients of all ages. Measures to detect, prevent and stop the progression of kidney diseases Close follow-up and advice on the management of different forms of kidney diseases (along with the team of social workers, nurses and renal dieticians).

Aster MIMS, Calicut for the first time in Kerala, introduces Robotic Surgery with da Vinci Robot- a highly advanced surgical Robot that performs minimally invasive surgeries with utmost precision. What can be called the next level in surgery, the da Vinci Robot has a multi-limbed surgical robot with tiny wrists that bend in all directions, offering precision, dexterity and fine manipulation beyond that of the human hand. The Surgeon performs minimally invasive surgeries by manipulating three robotic arms and a video camera that are inserted through small skin incisions, while seated in front of a computer console with a 3D video screen and controls.

ORI Fusion Digital Integrated Operation Theatres With 22 Operating Rooms that are on par with some of the largest in the world, Aster MIMS, Calicut for the first time South India, introduces ORI Fusion Digital Integrated Operation Theatres using Karlstorz OR1 Fusion - Asia Pacific’s first complete digital integration system. The integration enables real-time sharing of images, videos and medical reports, which not only facilitates virtual participation from any location in the world but also helps the rest of the surgical team to monitor the patient closely during the operative procedure, much to the benefit and safety of the patient undergoing the surgery. Aster MIMS, Calicut is also the first surgical facility in the state to offer Robotic Surgery using a high-precision da Vinci Surgery Robot.

CT scan-based radiotherapy planning CT Simulator CT –MRI fusion Image based interventional oncology (RFA, TACE).

The integration enables real-time sharing of images, videos and medical reports, which not only facilitates virtual participation from any location in the world but also helps the rest of the surgical team to monitor the patient closely during the operative procedure, much to the benefit and safety of the patient undergoing the surgery.

Management of acute febrile illnesses, Management of fever of unknown origin, Management of infections in the immunosuppressed, Comprehensive management of tuberculosis, HIV, Hepatitis B & Hepatitis C, infections in travelers (Travel Health Clinic), Outpatient Parenteral Antimicrobial Therapy(OPAT) for infections requiring prolonged intra-venous antibiotics, Adult Immunization Clinic.

Aster@Home is a unique idea that offers comprehensive health care services at home with the help of trained nurses and other medical professionals to take care of the elderly and those in need of personal care. We extend our wide range of services to those who underwent surgery, people living with a chronic condition and in need of care, or for assistance with activities of daily living.

• 8 bedded 1st stage room
• 3 LDR
• Labour suite with 1:1 nursing care
• Pain-less labour/ Epidural delivery
• Intrapartum monitoring with CTG is routinely provided
• Our gynaecologist is well-experienced with operative delivery
• Delivery attended by qualified gynaecologists on duty
• To give the best comfort to expecting mothers we have special options for obstetrics analgesia like epidural and Entonox
• Gynecologic Services.

• Arthroscopy clinic
• Knee & shoulder clinic
• Osteoporosis Clinic
• Minimally invasive spine surgeries
• Most advanced physiotherapy clinic.

The NICU is equipped with giraffe omniBed care stations, giraffe infant care incubators and high-end resuscitation warmers etc. Combining with state-of-the-art technology, innovative design and exceptional thermal performance it creates a healing environment to help newborns thrive.

(>23 weeks and above 400 grams)

The unit has an excellent blend of neonatologists trained in Canada, UK, and India. With this experience, the team has the ability to manage any extreme preterms (>350 gm and more than 22 weeks). The past experience data has shown excellent outcomes both short term and long term with the least mortality when compared to any top centres of the world.

The unit is equipped with SLE Inosys Nitric Oxide (NO) delivery and monitoring system, which delivers Nitric Oxide. This is an advanced therapy for the management of babies with severe pulmonary hypertension. This modality is useful in babies born with a congenital diaphragmatic hernia and in those with severe meconium aspiration syndrome.

The unit is also unit is equipped with SLE6000 ventilators, the most advanced ventilators available so far. It provides invasive and non-invasive ventilation. The unit also provides advanced ventilation in the form of Nasal Intermittent Positive Pressure Ventilation (NIPPV), and High-Frequency Oscillatory Ventilation (HFOV).

The unit offers newborn resuscitation corners in the labour rooms and maternal OTs. The arrangement can also handle twin deliveries. These stations have inbuilt T-piece devices, air oxygen blenders, suction apparatus and timers.

Only a few NICUs in India is equipped with facilities like Amplitude integrated EEG, that is used to monitor subclinical seizures in cooled and seizure babies. It also helps the team to predict neurodevelopmental outcomes in birth asphyxia babies.

The NICU has a servo-controlled machine that enables the doctors to treat babies born with birth asphyxia. With this equipment, the temperature is reduced to 33.5°C and can be maintained at that level for 3 days. This treatment has been shown to significantly improve the outcomes in babies.

The team performs 2D echocardiograms, cranial and lung ultra-sonograms using the bedside sonogram machine. This is used to treat patients with PDA, PPHN, shock, IVH, PVL, air leak etc.

To maintain highly sterile conditions, the NICU is equipped with laminar flow hood for fluid preparation and TPN preparation. This keeps infection rates to minimum.

Aster Women and Children's Neonatal Transport Service is highly equipped with the intensive-care environment, it provides swift service for newborns in need of specialised critical care services. It is operated by a multidisciplinary team of experts who involve the usage of advanced technology.

On the arrival of Neonatal Transport Ambulance to Aster Women and Children hospital, the newborns are shifted to the Level 3B NICU where infants are put under the treatment curated by a highly trained team of Neonatologists.

The Neonatal Transport Service is available 24 hours a day, seven days a week.

Each transport unit includes:
•    Total body cooling therapy
•    Ventilation
•    Nitric oxide
•    Enhanced vehicle hydraulics to ensure a smoother ride
•    Ambient lighting to enhance relaxation
 

An EEG records the electrical activity of your brain via electrodes affixed to your scalp. EEG results show changes in brain activity that may be useful in diagnosing brain conditions, especially epilepsy and other seizure disorders.

A video EEG records what is happening when you have a seizure or event and compare the picture to what the EEG records at the same time.

Invasive EEG recordings are those recordings that are made with electrodes that have been surgically implanted on the surface or within the depth of the brain.

This is a procedure used intraoperatively to confirm the location and extent of epileptic tissue by recording electrical activity directly from the surface of the cerebral cortex.

MRI protocol for epilepsy is a group of MRI sequences put together to improve sensitivity and specificity in identifying possible structural abnormalities that underlie seizure disorders.

Positron emission tomography (PET) scans detect early signs of cancer, heart disease and brain disorders. An injectable radioactive tracer detects diseased cells. A combination PET-CT scan produces 3D images for a more accurate diagnosis.

A single-photon emission computerized tomography (SPECT) scan lets your doctor analyze the function of some of your internal organs. A SPECT scan is a type of nuclear imaging test, which means it uses a radioactive substance and a special camera to create 3-D pictures.

• Electrocardiogram (ECG)
• Echocardiogram
• Angiogram Imaging Tests:
  • Chest X-Ray
  • CT Scan
  • MRI Scans.
• Thoracoscopy
• Lung / Lymph Node Biopsy.

• UGI Endoscopy
• Colonoscopy
• Endoscopic Retrograde Cholangiopancreatography (ERCP)
• Enteroscopy
• Liver Biopsy
• Endoscopic Ultrasonography (EUS)
• Sigmoidoscopy
• Side Viewing Endoscopy.

• Hormonal assays
• Ultrasound
• ACTH stimulation test
• Thyroid scan.

• Urine test
• Blood tests
• Renal function tests- BUN, Creatinine, Na/K, Cl-GFR
• Ambulatory blood pressure monitoring
• Imaging tests:
  • Intravenous urography (IVU)
  • Voiding cystourethrogram (VCUG)
  • CT scan of the kidney and urinary tract.
• Renal angiography
• Kidney biopsy.

• Imaging tests:
  • CT
  • MRI.
• CT cisternography
• Cerebral arteriogram
• Neurosonography
• Myelogram
• Electromyography
• Intracranial pressure monitoring.

• Arthrography
• Bone scans
• Discography
• CT and MRI
• Electromyography
• X-ray
• Blood tests
• Bone scan.

• Neonatal Resuscitation
• Newborn care
• Immunisation
• Management of pediatric and neonatal emergencies.

• Cystoscopy
• Ureteroscopy
• Focussed ultrasonography
• TRUS
• CT scan.

We believe that world-class technology should be humane. As a conscientious healthcare provider who is also in education and research, in addition to investing in the best possible technology, we also work hard to stay ahead of the times to be among the first in the world to bring new, evidence based, approved therapies and technology to our patients.

• Dedicated Labor Delivery OTs
• State-of-the-art LDRP (Labor, Delivery, Recovery, and Postpartum) Rooms
• Obstetrical Ultrasound
• Vaccination Facility
• Emergency Ambulance
• 24X7 pharmacy, NABL accredited laboratory
• In-house blood bank
• Antenatal Yoga sessions
• Level-3 NICU
• Baby Shower Sessions
• Antenatal Classes - Educative classes by Experts on Pregnancy care, Diet, Exercises, Breastfeeding, New Born Care, Parenting etc.
• Individual and Family Counselling sessions - For emotional support during pregnancy.
• 24 *7 On Call Support, Prenatal WhatsApp Support groups.

• Dedicated modern operating theatres.
• Dedicated digital catheterization lab with ECHO Navigation
• Electrophysiology lab-3D mapping, RF ablation.
• Echocardiography lab – 2D and 3D ECHO, Trans-esophageal ECHO.
• Advanced Fetal Heart Unit
• Adult Congenital Heart Disease Unit
• Pulmonary artery hypertension clinic
• BMU 40-blood monitoring unit, to enhance safety of complex surgeries during cardiopulmonary bypass (second installation in India).
• NIRS- Near Infra-Red Spectroscopy for advanced intraoperative brain monitoring to provide superior neurological outcomes in complex surgeries.
• ICE (Intra cardiac echocardiography)
• Exclusive pediatric cardiac ICU
• ECMO
• Cardiac CT and MRI

Cystoscopy is an important procedure used by our urology team to diagnose and treat a variety of urinary tract problems. It involves passing a thin, lighted instrument into the urethra and bladder and is generally performed in an outpatient setting. Cystoscopy is a medical procedure used in urology to look inside the urinary tract. The cystoscope can magnify the bladder and urethral lining, allowing the doctor to detect any abnormalities.

During a cystoscopy, the doctor may take biopsies of abnormal-looking tissue, remove stones, or insert a stent to keep the urethra open. The procedure is generally performed in an outpatient setting and takes anywhere from 5 to 30 minutes.

Cystoscopy can be used to diagnose various conditions such as bladder stones, urinary tract infections, and tumors. It can also be used to perform procedures such as cystolithotripsy, which involves the use of a laser to break up bladder stones so that they can be easily passed out of the body.

A cystoscopy can be used to diagnose and treat a variety of urinary tract problems, including urinary tract infections, bladder and kidney stones, and tumors. It may also be used to identify the cause of recurrent urinary tract infections, blood in the urine, or difficulty urinating.

Transurethral resection of the prostate (TURP): This is a procedure used to treat an enlarged prostate by removing tissue from the prostate through the urethra using a tool inserted through a cystoscope.

Transurethral bladder tumor resection (TURBT): This is a procedure used to remove tumors from the bladder through the urethra using a tool inserted through a cystoscope. This procedure is used to diagnose and treat bladder cancer, as well as other diseases of the urinary tract. It involves cutting out the tumor using a tool while the patient is under anesthesia, and can be used to treat early-stage bladder cancer.

(VIU) Cystoscopy (Cyst Lithotripsy):  This is a medical procedure that involves the use of an endoscope to examine and treat conditions affecting the lower urinary tract, which includes the bladder and urethra. During the procedure, a thin, flexible tube with a camera attached to its end is inserted through the urethra into the bladder, allowing the doctor to view the urinary tract on a monitor.

Cystolitholapaxy: Cystolitholapaxy is a procedure that involves the use of a cystoscope to remove bladder stones. The stones are broken up into small pieces using a laser or other instruments and then removed from the bladder. This procedure is minimally invasive and can be done in a doctor's office or outpatient setting. It is often used as an alternative to open bladder surgery, which is more invasive and requires a longer recovery period. The procedure is typically done under anesthesia and the stones are removed via a tube that is inserted into the bladder. The procedure typically takes around 30 minutes to an hour and patients can usually resume normal activities within a day or two.

Urethrotomy: Urethrotomy is a procedure in which urologists use a cystoscope to remove scar tissue from the urethra, which can cause blockages and difficulty urinating. The procedure typically involves inserting a small tube into the urethra and cutting away the scar tissue. Urethrotomy can be performed on an outpatient basis, and the recovery time is usually short. In some cases, the procedure may need to be repeated to ensure the blockage is completely removed.

In this procedure, the surgeon of our urology team makes insertion of a thin, flexible tube with a camera on the end (ureteroscope) through the urethra and into the ureter to examine the lining of the ureter and kidney. The ureteroscope allows the physician to view the ureter and kidney and identify any abnormalities, such as stones, tumors, or other blockages. The ureteroscope can also be used to take biopsies of the kidney and remove stones or other obstructions. This procedure is minimally invasive and allows for a detailed examination of the ureter and kidney without the need for open surgery.

It is a minimally invasive procedure carried out by our urologists with an endoscopic camera, which is inserted through the urethra and into the kidney. The camera is connected to a monitor, allowing the doctor to view images of the inside of the kidney. During the procedure, the doctor can obtain biopsy samples, remove stones, or perform laser treatments.

This procedure involves the insertion of a thin, flexible tube with a camera on the end (nephroscope) through a small incision in the back and into the kidney to examine the kidney for stones or other abnormalities.

Nephroscopy is typically done as an outpatient procedure and does not typically require anesthesia. The procedure usually takes between 30 minutes and an hour and a half, depending on the complexity of the medical problem. Following the procedure, the patient may have some discomfort and may need to stay in the hospital for observation.

Nephroscopy is used to diagnose and treat a variety of conditions including kidney stones, tumors, cysts, and infections. It can also be used to evaluate the function of the kidneys, ureter, and bladder

It is a medical procedure, in which our doctors use an endoscope to examine and treat conditions affecting the upper urinary tract, which includes the kidneys and ureters. During the procedure, a thin, flexible tube with a camera attached to its end is inserted through a small incision in the skin and guided through the urinary tract to the affected area.

Pre-Cutaneous Nephrolithotomy can be used to diagnose and treat conditions such as kidney stones, tumors, and blockages in the urinary tract. The procedure may involve the use of instruments to remove or break up the stones so that they can be easily passed out of the body. It is a minimally invasive alternative to traditional surgery that can offer faster recovery times and less scarring.

This is a non-invasive medical procedure used by trained and skilled surgeons of our urology department to break up kidney stones, bladder stones, or ureteral stones into small pieces that can be easily passed out of the body through urine. The procedure uses shock waves to break up the stones, eliminating the need for surgical incisions.

There are two main types of lithotripsy:

Extracorporeal Shock Wave Lithotripsy (ESWL): This procedure involves the use of shock waves generated outside the body, which are focused on the kidney stones to break them into smaller pieces that can be passed out of the body through urine.

Laser Lithotripsy: This procedure involves the use of a laser to break up kidney stones into small pieces that can be easily passed out of the body through urine.

Lithotripsy is a non-invasive procedure and does not require any surgical incisions, reducing the risk of infection and complications associated with surgery. Lithotripsy has a high success rate in breaking up kidney stones and ureteral stones, making it an effective treatment option for these conditions. It is generally an outpatient procedure, and patients can usually return to their normal activities within a few days after the procedure. Lithotripsy is a safe and effective treatment option for kidney stones, bladder stones, or ureteral stones, and offers many advantages over traditional surgical methods.

TRUS stands for Transrectal Ultrasound, and it is a type of imaging technique that is commonly used by our urologists to visualize the prostate gland. A TRUS-guided biopsy is a procedure that involves taking small samples of tissue from the prostate gland using a biopsy needle under the guidance of transrectal ultrasound.

The procedure is usually performed in an outpatient setting and typically takes around 30-45 minutes to complete. Before the procedure, the patient is usually given a mild sedative to help them relax and reduce any discomfort they may experience during the procedure.

During the procedure, the patient lies on their side, and a lubricated ultrasound probe is inserted into the rectum. The probe emits sound waves that bounce off the prostate gland, creating a real-time image of the gland on a monitor. The urologist uses this image to guide a biopsy needle to the areas of the prostate gland where abnormalities are detected.

The biopsy needle is inserted through the rectal wall and into the prostate gland, where it takes small samples of tissue. The number of tissue samples taken varies depending on the size and location of the abnormalities detected. Typically, 10-12 samples are taken.

After the procedure, the patient may experience some mild discomfort and bleeding from the rectum, but this usually resolves within a few days. Results from the biopsy are usually available within a few days to a week, and the urologist will discuss the results with the patient and recommend further treatment if necessary.

MR-TRUS (Magnetic Resonance-Transrectal Ultrasound) guided biopsy of the prostate is a type of diagnostic procedure used by our doctors to detect and diagnose prostate cancer. It combines the use of magnetic resonance imaging (MRI) with transrectal ultrasound (TRUS) to guide the biopsy needle precisely to the suspicious areas of the prostate gland.

During the procedure, the patient is placed in an MRI scanner, and images are taken of the prostate gland. The MRI images are then used to create a 3D map of the prostate, which helps the urologist identify the suspicious areas for biopsy. The patient is then moved to a TRUS machine, and a probe is inserted into the rectum. The TRUS machine uses sound waves to create images of the prostate gland, and the 3D map created from the MRI images is overlaid onto the TRUS images to guide the biopsy needle precisely to the suspicious areas.

The combination of MRI and TRUS allows for more accurate identification of suspicious areas within the prostate gland. The 3D map created from the MRI images helps to guide the biopsy needle more precisely to the suspicious areas of the prostate, increasing the chances of detecting cancer. The use of MRI imaging can help to identify areas of the prostate that are more likely to cause complications during biopsy, such as bleeding or infection. This information can be used to avoid these areas during the biopsy procedure.

• Dedicated modern operating theatres.
• Dedicated digital catheterization lab with ECHO Navigation
• Electrophysiology lab-3D mapping, RF ablation.
• Echocardiography lab – 2D and 3D ECHO, Trans-esophageal ECHO.
• Advanced Fetal Heart Unit
• Adult Congenital Heart Disease Unit
• Pulmonary artery hypertension clinic
• BMU 40-blood monitoring unit, to enhance safety of complex surgeries during cardiopulmonary bypass (second installation in India).
• NIRS- Near Infra-Red Spectroscopy for advanced intraoperative brain monitoring to provide superior neurological outcomes in complex surgeries.
• ICE (Intra cardiac echocardiography)
• Exclusive pediatric cardiac ICU
• ECMO
• Cardiac CT and MRI

• ENT Consultation
• Nasal Endoscopy
• Flexible Laryngo Bronchoscopy
• Examination Under Microscope
• Routine ENT Surgeries
• Endoscopic and Microscopic Ear Surgeries
• Endo laryngeal and Microlaryngeal Surgery
• Functional Endoscopic Sinus Surgery
• Endoscopic skullbase surgery
• Head & Neck surgeries
• Cochlear Implant Surgery
• Sleep apnoea-related surgeries
• Audiology services
• Speech and Language Therapy (SALT)
• Speciality Clinics- Allergy & Sinus, Vertigo, Speech & Swallowing, Smell & Taste, Head & Neck, Skullbase Conditions Clinic.

Antenatal Yoga sessions

Our fertility specialists conduct thorough medical examinations, tests, and assessments to identify the underlying causes of infertility. They evaluate factors such as hormone levels, sperm quality, egg production, and reproductive organ health. Aster Centre for Fertility offer a range of diagnostic tests to evaluate fertility factors in both partners. These include hormone level testing, semen analysis, ovarian reserve testing, hysterosalpingography (HSG) to assess fallopian tube blockages, and ultrasound imaging. We also offer genetic testing that helps identify any underlying genetic conditions or chromosomal abnormalities that may impact fertility or increase the risk of inherited disorders in offspring. These tests may include carrier screening, preimplantation genetic testing (PGT), or other specialized genetic evaluations. 

Aster Fertility Centre provide various ART procedures to assist with conception. These include in vitro fertilization (IVF), where eggs and sperm are combined in a laboratory ICSI – where selected sperms are injected into the egg and then transferred to the uterus, or intrauterine insemination (IUI), where sperm is directly inserted into the uterus.

We offer counseling and emotional support to individuals and couples throughout their fertility journey. Dealing with infertility can be emotionally challenging, and these services can provide guidance, coping strategies, and a safe space to discuss concerns and emotions.

Aster Centre for Fertility also offers services for individuals who wish to preserve their fertility for future use. These includes freezing eggs, sperm, or embryos, particularly for those facing medical treatments such as chemotherapy that may impact fertility. 

•    Electrocardiogram (ECG)
•    Echocardiogram (ECHO)
•    Holter Monitor
•    Remote Monitoring
•    Event Recorder
•    Implantable Loop Recorder
•    Head-Up Tilt Table Test (HUTT)
•    Stress Test
•    Cardiac Electrophysiology (EP) studies
•    3D Mapping
•    Diagnostic & RF Ablation
•    Cryoablation
•    Hybrid Operation Theatres
 

Aster Hospital stands out as one of India's top-notch medical facilities, boasting cutting-edge medical equipment, state-of-the-art technology, and advanced infrastructure.

Investigations for Endocrinology & Diabetology

• Hormonal assays
• Ultrasound
• ACTH stimulation test
• Thyroid scan
• All hormonal stimulation & inhibitory dynamic tests
• Diabetic Retinal screening and management
• Diabetic foot tests
• CT/MRI tests
• Dexa scan

The Department of Gastroenterology offers outpatient and inpatient consultations. Our Gastroenterologists perform comprehensive evaluations to diagnose various gastrointestinal disorders.  assess patients' medical history, perform physical examinations, and order appropriate diagnostic tests such as laboratory tests, imaging studies (such as X-rays, ultrasounds, or CT scans), endoscopic procedures (such as upper endoscopy, colonoscopy, sigmoidoscopy, or enteroscopy), or other specialized tests to determine the underlying cause of symptoms.
Considering the factors such as the patient's overall health, medical history, and preferences; treatment options are suggested which may include lifestyle modifications, dietary changes, medications, and minimally invasive procedures. A regular follow-up is done to assess treatment response, adjust medications or therapies as needed and address any concerns or new symptoms that may arise.
 

The Department of Gastroenterology offers outpatient and inpatient consultations. Our Gastroenterologists perform comprehensive evaluations to diagnose various gastrointestinal disorders.  assess patients' medical history, perform physical examinations, and order appropriate diagnostic tests such as laboratory tests, imaging studies (such as X-rays, ultrasounds, or CT scans), endoscopic procedures (such as upper endoscopy, colonoscopy, sigmoidoscopy, or enteroscopy), or other specialized tests to determine the underlying cause of symptoms.
Considering the factors such as the patient's overall health, medical history, and preferences; treatment options are suggested which may include lifestyle modifications, dietary changes, medications, and minimally invasive procedures. A regular follow-up is done to assess treatment response, adjust medications or therapies as needed and address any concerns or new symptoms that may arise.
 

Also known as Esophagogastroduodenoscopy (EGD) involves the insertion of an endoscope through the mouth for internal examination. It is commonly used to evaluate symptoms such as persistent heartburn, difficulty swallowing, nausea, vomiting, diarrhea or unexplained weight loss. It helps identify conditions like GERD, gastritis, peptic ulcers, celiac disease (gluten sensitivity), and gastrointestinal cancers.

It is primarily used for colorectal examination. It involves the insertion of an endoscope through the rectum to visualize the entire colon and rectum. It allows direct visualization and sampling of tissues (biopsies) for further analysis. This involves examining the large intestine for abnormalities like hemorrhoids (Piles), anal fissures, polyps, inflammatory bowel diseases (Ulcerative colitis, and Crohn’s), intestinal tuberculosis, cancer, etc. A colonoscopy also allows for the biopsy or removal of suspicious lesions and is a crucial tool in colon cancer screening and prevention.

It is a non-invasive procedure that involves swallowing a small capsule containing a camera to capture images of your digestive tract, particularly the small intestine. It's typically used to diagnose lesions located in the small intestine that are not accessible to conventional endoscopy. This procedure is beneficial because it does not require surgery or anesthesia, and it is a less invasive way to diagnose diseases and abnormalities of the digestive tract. Furthermore, the images captured by the camera allow for a more accurate diagnosis.

ERCP combines endoscopy with fluoroscopy to diagnose and treat disorders of the bile ducts and pancreas including bile duct stones, strictures (Narrowing), leaks, and cancer. It involves the insertion of an endoscope through the mouth, passing through the stomach and duodenum to access the bile ducts and pancreatic ducts. ERCP is used to remove obstructions and perform interventions such as stent placement or tissue sampling in cases of biliary or pancreatic diseases.

This diagnostic procedure combines endoscopy and ultrasound to obtain detailed images and information about the digestive tract and the surrounding tissue and organs. It involves the insertion of an endoscope equipped with an ultrasound probe through the mouth or rectum, providing high-resolution images of the digestive tract wall layers and surrounding structures. It is used for various indications, including diagnosing bile duct stones, bile duct strictures, chronic pancreatitis, evaluating gastrointestinal cancers, evaluating pancreatic lesions, guiding fine-needle aspirations for tissue sampling, and assisting in the placement of drainage devices. It is also used to obtain tissue biopsy from the abdomen and mediastinum(chest) for diagnosis (histological examination). 
 

FibroScan is a valuable tool for assessing liver fibrosis, typically used in conjunction with other clinical and laboratory evaluations to provide a comprehensive assessment of liver health. The results of FibroScan, along with additional tests and patient history, help gastroenterologists and hepatologists in diagnosing liver diseases, monitoring disease progression, and determining appropriate treatment strategies.
The FibroScan procedure involves the use of a specialized ultrasound probe to measure liver stiffness. The patient lies on a table, and the probe is placed on the skin surface over the liver. The probe sends a vibration through the liver, and the resulting shear wave speed is measured. The liver stiffness is then calculated based on the speed of the shear waves, which correlates with the degree of fibrosis.
It's primarily used to assess the presence and extent of liver fibrosis, a condition often associated with hepatitis, alcoholic liver disease, fatty liver, and chronic liver diseases (cirrhosis of the liver).
It is a non-invasive, quick, convenient, and repeatable procedure that reduces the need for Liver Biopsy. 
 

This covers a range of procedures, such as polypectomy (removal of polyps), endoscopic dilation (stretching of a narrowed area), variceal band ligation, hemostasis (stopping bleeding) for ulcer bleeds, esophageal and duodenal stenting, helping treatment of many GI disorders without the need for invasive surgery.

Therapeutic endoscopy refers to a set of minimally invasive procedures performed using a colonoscope to treat various gastrointestinal conditions. It involves interventions such as removing polyps or tumors, dilating strictures, placing stents, treating bleeding lesions, and delivering targeted therapies. Therapeutic endoscopy offers a less invasive alternative to surgery, allowing for precise and effective treatment while minimizing patient discomfort and recovery time. It plays a crucial role in managing a wide range of gastrointestinal disorders and improving patient outcomes.

Therapeutic endoscopic ultrasound (EUS) is a specialized procedure used in gastroenterology for therapeutic purposes. It combines endoscopy with ultrasound imaging to visualize and guide interventions within the gastrointestinal tract and adjacent organs. Therapeutic EUS enables the drainage of fluid collections, placement of drainage stents, injection of therapeutic agents, delivery of radiofrequency ablation for tumor treatment, and sampling of deep tissue lesions. It provides a minimally invasive approach for targeted interventions, aiding in the management of pancreaticobiliary disorders, gastrointestinal tumors, and other complex gastrointestinal conditions. We can also diagnose and treat conditions such as draining cysts, celiac plexus block for pain management in chronic pancreatitis, pancreatic cancer and place stents in the bile or pancreatic ducts, and EUS-guided gastrojejunostomy. 

Recognizing the critical role of diet in gastrointestinal health, our registered dieticians provide comprehensive nutritional assessments for our patients. Nutritional assessment and counseling are essential components of our gastroenterology care. Our dieticians help in identifying malnutrition, planning appropriate dietary interventions, managing symptoms, supporting treatment and recovery, preventing complications and monitoring treatment response. By addressing nutritional needs, our dieticians optimize patient outcomes and improve the overall quality of life for individuals with gastrointestinal disorders. This involves evaluating dietary habits, understanding nutritional needs and developing personalized nutrition plans. This service is particularly beneficial for patients managing conditions such as celiac disease, irritable bowel syndrome (IBS), and inflammatory bowel disease (IBD).
Patient comfort and safety are at the core of all our services. We ensure each patient understands their procedures, addressing their concerns with compassion and respect. We're here to guide you through every step of your healthcare journey, always prioritizing your comfort, safety, and well-being. We as a department continue to evolve as new research and innovations emerge and to better understand and treat gastrointestinal disorders. With a focus on early detection, effective management, and patient education, we strive to improve the quality of life for individuals living with gastrointestinal conditions.
 

• Pulmonary function tests
• Diffusion capacity of lungs for carbon monoxide (DLCO)
• Six minute walk test (6MWT)
• Fractional exhaled nitric oxide testing (FENO)
• Skin prick test (Allergy testing)
• Sleep studies(Polysomnography)
• CPAP titration studies

Emergencies can strike at any time, and our dedicated ambulance service is always ready to respond swiftly. Our fleet of modern Advanced Cardiac Life Supporting ambulances is staffed with experienced paramedics, nurses, and doctors, ensuring that you receive the highest level of medical attention from the moment you reach out to us. In times of urgent medical need, our Emergency Department stands ready 24/7, staffed by a dedicated team of highly trained medical professionals, including emergency physicians, nurses, and support staff. Equipped with the latest advancements in medical technology, our facility ensures swift and accurate diagnosis, prompt intervention, and compassionate care for patients of all ages. The emergency room also provides Ambulance services 24*7 to pick up critically ill patients from their homes for treatment at the hospital.

At the emergency department of Aster Whitefield Hospital, we recognize the urgency of emergencies. Our specialized 12 bedded emergency room is designed to provide rapid assessments, diagnoses, and treatments, minimizing precious moments lost during critical situations. Our trained medical staff is adept at handling a wide range of medical emergencies, ensuring that you receive the care you need promptly. It's equipped with ultramodern ER beds (which can move the patient throughout the hospital including elevators without the need to shift the patients on a transport stretcher), spine boards with cervical collars, ventilators, central suction and all medical gases, bedside Ultrasonography, and X-ray machines, multipara monitors, Defibrillators, ECG machines, infusion pumps, warmer machines and most importantly trained casualty medical officers and ER nurses (available 24*7).In Addition, the hospital also has an isolation room to separate Active Tuberculosis and infectious disease patients.

Time is of the essence in emergencies. Our hospital offers immediate access to highly skilled doctors and medical specialists who are experienced in handling critical cases. Their expertise ensures that you receive accurate diagnoses and tailored treatment plans without delay. In the realm of emergency medical care within our hospital, the significance of swift and proficient intervention cannot be overstated. Recognizing that time is a precious commodity during emergencies, we take immense pride in providing instant access to a cadre of exceptionally skilled doctors and seasoned medical specialists. These experts are adept at navigating the complexities of critical cases, ensuring that each moment counts towards securing your well-being.

The crux of our approach lies in the immediacy of access to these professionals. The instant you arrive at our emergency department, a network of highly qualified doctors is primed to spring into action. These medical specialists possess a wealth of experience in managing a wide spectrum of urgent medical scenarios, from trauma and cardiac incidents to intricate neurological challenges. Their honed expertise empowers them to swiftly and accurately assess your condition, facilitating precise diagnoses that serve as the bedrock for tailored and effective treatment plans.

The synergy between swift action and expert knowledge not only expedites the decision-making process but also minimizes the critical period between assessment and intervention. This proactive approach translates into an enhanced likelihood of positive patient outcomes. As you navigate the uncertain terrain of a medical emergency, the presence of these skilled practitioners offers reassurance that every facet of your health is being meticulously addressed.

Our ICU is equipped with cutting-edge technology and state-of-the-art medical equipment to provide intensive and comprehensive care. Within our emergency department at the Aster Whitefield Hospital, our commitment to excellence is exemplified by our fully equipped Intensive Care Unit (ICU). The ICU stands as a bastion of advanced medical care, furnished with the latest technology and the most modern medical equipment that collectively form the backbone of our intensive and comprehensive patient care.

At the heart of our ICU lies a dedicated team of critical care specialists, nurses, and unwavering support staff, all tirelessly devoted to ensuring that patients requiring critical attention receive nothing short of the highest standard of medical care. With unwavering availability around the clock, this team brings together a harmonious blend of expertise, experience, and empathy, positioning them to manage even the most intricate medical challenges.

Our ICU is a place where innovation converges with compassion. From advanced monitoring systems to specialized life-support equipment, every facet of these units has been meticulously designed to accommodate the intricate needs of critically ill patients. This amalgamation of technology and human touch underpins our commitment to ensuring that every patient receives personalized care that is second to none.

Emergencies can encompass a wide range of medical issues. At Aster Whitefield, we are proud to offer access to a comprehensive team of super specialists from various medical disciplines. This allows us to provide well-rounded and specialized care for even the most complex cases, ensuring that all aspects of your health are addressed. In our multispeciality hospital's emergency department, we understand that emergencies can arise in various forms and require specialized expertise to ensure the best possible outcomes. Our streamlined communication systems allow our medical team to quickly consult with the relevant specialist, ensuring that even the most complex cases are evaluated promptly and accurately

Emergencies often require a collaborative approach that spans multiple medical disciplines. Our super specialists work seamlessly together, sharing insights and perspectives to develop comprehensive treatment plans. This collaboration eliminates potential gaps in care and enhances the likelihood of successful outcomes.

Our team covers a broad spectrum of medical expertise, ensuring that no matter the nature of the emergency, our patients receive targeted and precise care. Certain emergencies demand specialized interventions that go beyond general medical knowledge. Whether it's a rare cardiac condition, a complex neurological issue, or a critical pediatric case, our super specialists bring their advanced skills and techniques to the forefront, ensuring that patients receive the precise care they need.

Emergencies don't adhere to a schedule, which is why our team of super specialists is available 24/7. Whether it's the middle of the night or during a holiday, you can rest assured that our experts are on standby to provide immediate and specialized care when you need it the most.

Under our roof, you will find all the necessary diagnostic services, including radiology, pathology, and blood services. Our in-house facilities enable us to swiftly conduct vital diagnostic tests, allowing our medical professionals to make informed decisions about your care on time. Patients who exhibit signs of being seriously ill but are not in immediate danger of life or limb will be triaged to "acute care" or "majors", where they will be seen by a physician and receive a more thorough assessment and treatment. Examples of "majors" include chest pain, difficulty breathing, abdominal pain, and neurological complaints. Advanced diagnostic testing may be conducted at this stage, including laboratory testing of blood and/or urine, ultrasonography, CT, or MRI scanning. Medications appropriate to manage the patient's condition will also be given. Depending on the underlying causes of the patient's chief complaint, he or she may be discharged home from this area or admitted to the hospital for further treatment.

Patients whose condition is not immediately life-threatening will be sent to an area suitable to deal with them, and these areas might typically be termed as prompt care or minors areas. Such patients may still have been found to have significant problems, including fractures, dislocations, and lacerations requiring suturing.

In our Emergency department of the hospital, the commitment to adherence to international protocols is a cornerstone of our emergency medical services. Our foremost priority is the health and well-being of our patients, and we ensure that they receive top-notch medical care during critical times.

We have meticulously designed and implemented stringent international protocols that guide our emergency medical services. These protocols are based on the latest medical research, global best practices, and expert consensus, ensuring that our medical team is equipped with the most advanced and effective approaches.

Adhering to international protocols we are also having access to cutting-edge medical equipment and technology. Our hospital has the latest diagnostic tools, monitoring devices, and life-saving equipment to ensure that our medical team can provide prompt and accurate assessments and interventions.

Our commitment to international protocols doesn't end after the initial emergency response. We have a robust quality assurance system in place that involves regular reviews and audits of our emergency medical services. This continuous evaluation allows us to identify areas for improvement and refine our protocols over time.

Medico-legal cases at Aster Whitefield Hospital are handled by the Emergency department. These cases involve medical situations with legal implications, such as accidents or assaults. The hospital's team follows a meticulous protocol, ensuring thorough documentation of injuries, collecting evidence, and preserving the chain of custody. Prompt medical care is administered while collaborating with legal authorities to ensure a seamless process. The goal is to provide comprehensive medical assistance while adhering to legal requirements, prioritizing both patient well-being and legal obligations.

Electrocardiography (ECG or EKG) : EKG is an essential diagnostic tool used in cardiology to detect heart conditions and abnormalities. It is a non-invasive and painless procedure that visualizes the heart's electrical activity. Interpretation of an EKG requires specialized training and expertise, and the results can provide valuable information about heart health. It records the heart's electrical activity and produces a visual representation of the heart's rhythm. The EKG machine is composed of electrodes placed on the patient's chest, arms, and legs. These electrodes detect the electromagnetic impulses generated by the heart and transmit them to the EKG machine. This displays the information on a graph.

Aster offers you cutting-edge tools and methods to diagnose your cardiac issue. At Aster, we employ modern technology to assist cardiologists in diagnosing heart conditions and managing patients easily. The readily available tests, modern treatments, and amenities help you resume your healthy life. The non-invasive cardiac diagnostic tests offered at Aster Hospital include:

l CT coronary angiography (CTCA)

This non-invasive imaging technique helps your cardiologist visualize the coronary arteries and assess the blood flow within them. It's a computed tomography (CT) scan, focusing on the heart and its blood vessels. It provides detailed images of the coronary arteries that supply blood to the heart muscle.

l Cardiac catheterization

It is also known as cardiac cath. It is an invasive procedure that helps to diagnose and treat various cardiac conditions. During this procedure, the expert cardiologist inserts a thin, flexible tube into a blood vessel, often through the groin or the wrist. They are then guided to the heart and its blood vessels.

l Electrocardiogram (ECG or EKG)

This is a common diagnostic test that records the electrical activity of your heart. This valuable diagnostic tool assesses your heart's rhythm and detects various heart conditions. During an ECG, electrodes are placed on your skin in specific parts of your chest, arms, and legs. These electrodes pick up the electrical signals produced by your heart and patterns are generated on paper.

Aster has top medical facilities, the latest diagnostic equipment, and techniques to help understand your cardiac condition. Rest assured that at Aster, you will get access to several modern medical technologies that can help doctors plan the best possible treatment plan for congenital cardiac ailments and help them manage adult and pediatric patients with the best outcome.

Reasons to test for congenital heart disease

• Insulin dependent diabetes in mother

• Family history of heart defects

• Abnormality of other organs

• Twin to twin transfusion

• Sjogren's syndrome

• Systemic Lupus

• Rubella

• Hydrops

• Increased nuchal translucency

• if the doctor detects a faulty fetal heartbeat

The mother is advised tests like:

Fetal echocardiogram:

This is a special type of ultrasound done similar to detect the shape, position, size and working of a developing heart to check for defects. It is generally advised between 18-24 weeks of pregnancy. Unfortunately, in some cases the problem is evident only after the baby is born.

Other tests may include:

• Chest X-rays
• MRI
• ECG
• Pulse oximetry: It checks for oxygen saturation of blood using a simple pulse oximeter on the fingernail.
• Heart CT scan
• Stress tests: These tests check for abnormalities when your heart is at optimal capacity. These tests are done on a treadmill or stationary bicycle.
• Transesophageal ECG
• Cardiac Catheterisation: Catheters are inserted from a leg vein to the heart, to view and check for heart defects.

Most cases of CHD may need some medical intervention at some point in life.

The treatment protocols for CHDs largely depend on the severity of the defect and the symptoms affecting the quality of life.

Treatment options include the following:

Medications to help treat

• Irregular heart rate
• Blood pressure
• Prevent the formation of blood clots
• Efficient pumping of the heart
• Implantation of heart devices
• Cardiac defibrillators
• Pacemakers

Catheter/ minimally invasive heart procedures

A small camera and instruments are inserted via a vein in the leg up to the heart, which helps the surgeon correct heart defects.

Open-heart surgeries

These are performed well, non-invasive, or minimally. Invasive procedures don’t help. Open-heart surgeries usually repair or replace heart valves, close holes or widen blood vessels.

Heart transplant

A heart transplant is done when there is no other way to correct the heart defect, or it is too severe. A healthy donor heart is replaced in place of the diseased heart.

At Aster, we provide the best services so that a heart attack can be diagnosed at the earliest and the best form of treatment can be provided to the patient. Healthcare professionals usually diagnose a heart attack by the symptoms, as well as by physical examination, which includes checking pulse rate, blood oxygen levels, and blood pressure. One or more of the following methods are generally used for diagnosis:

• The healthcare provider assesses the medical history of the patient and checks for the symptoms they are experiencing.

• Blood tests may be required to confirm the diagnosis. At the time of a heart attack, the heart muscle cells are damaged, leading to the release of a chemical marker, a cardiac troponin, in the bloodstream. 

• Electrocardiogram is one of the first tests that is recommended for anyone who complains of chest pain.

• Echocardiogram generates a picture of the inside and outside of the heart, which helps get an idea about blood flow through the heart.

• Angiograms show the areas that have little or no blood flow.

• Computed tomography (CT) scan shows a detailed scan of the heart.

• Heart MRI uses powerful magnetic field and a computer to create an image of the heart

• Nuclear heart scans are very similar to angiography. In this, a radioactive dye is injected into the blood. Then computer-enhanced methods like computed tomography and positron emission tomography scans are used to visualize the heart.

Heart attack is a medical emergency that needs to be treated urgently. The treatment usually involves restoring blood flow to the affected heart muscle as soon as possible. This can be done by various methods, like taking medications and surgery. Some of the most common methods of treatment that are useful are:

Supplementary oxygen

Supplementary oxygen is usually given to people who have trouble breathing or have low blood oxygen levels. One may use a cannula or a face mask to breathe. This increases the amount of oxygen that circulates in the blood and reduces the strain on the heart.

Medications 

Anti-clotting medications like aspirin are usually prescribed. Medications like nitroglycerin usually provide relief from chest pain and dilate the blood vessels so that blood can pass through it easily. Thrombolytic agents are usually given within 12 hours after having a heart attack. Heart attacks often cause disturbance in the normal rhythms of the heart. This can be a life-threatening condition that needs urgent attention. Finally, medicines to alleviate pain are given.

Percutaneous coronary interventions

Percutaneous coronary interventions make use of a catheter placed inside the blood vessel, usually through a vessel in the upper thigh or wrist. This procedure helps restore blood flow and improve the overall outcome of the patient. Most hospitals measure their ability to deal with emergencies like heart attack with a parameter called “door-to balloon time.” This is the average it takes for a patient who wants to undergo this procedure to reach the hospital and get it. 

Coronary artery bypass grafting

Procedures like coronary artery bypass surgery are reserved for patients who have severe blockage in the coronary arteries. This surgery involves taking a blood vessel from any part of the body and making an alternative pathway for the blood

We combine our expertise in the areas of patient-care, clinical research and academics in order to provide the highest level of specialised services to our patients.

• CRM (Canalith Repositioning Manoeuvres) for Posterior Canal, Horizontal Canal & Anterior Canal BPPV.

• Liberatory Positioning Manoeuvres in case of Cupulolithiasis variety of BPPV.

• VNG guided CRM in Complex BPPV.

• Medical treatment for Vestibular Migraine, PPPD, Meniere’s disease, Vestibulopathy, Vestibular Paroxysmia & Labyrinthitis.

• Medical treatment for Sudden Sensorineural Hearing Loss.

• Medical treatment for Tinnitus.

• Intra Tympanic injections for Sudden Sensori Neural Hearing Loss, Meniere’s disease.

• Surgical treatment for Superior Canal Dehiscence, Otosclerosis & Peri lymphatic Fistula.

• Surgical Treatment for Pulsatile tinnitus in Sigmoid Sinus Dehiscence / Diverticulum.

• Individualised Vestibular Rehabilitation Therapy (Balance regaining Exercises) for PPPD, U/L, B/L & Presby Vestibulopathy, Neuro Ocular Vestibular Dysfunction (Movement Sensitivity Dizziness) and decompensated BPPV & Vestibular Migraine impending PPPD