Anaesthesia & Intensive Care

Vision

Our vision is to be the centre of excellence in anaesthesia and critical care.

Mission

Our mission is to provide the highest standard of anaesthesia, intensive care, pain management and related services for the community and to successfully integrate this with all the other clinical disciplines of the hospital, in a manner that is holistic, humanitarian and patient-centred with an emphasis on human dignity.

Objectives

1. To provide comprehensive perioperative anaesthesia service and integrate this with other clinical service in the hospital.

2. To promote patient centred care through the establishment of anaesthesia clinic and day of surgery admission.

3. To provide effective and safe pain relief for all patients undergoing surgery.

4. To continue to improve the outcome and survival of patients who are treated in the critical care unit.

5. To become centre of excellence for subspecialty training in anaesthesia in particular intensive care, pain, regional anaesthesia and neuroanaesthesia.

6. To provide quality training for post graduate training in anaesthesia for both local and overseas training programmes.

7. To assist local universities in the training of medical students in anaesthesia.

8. To be the leading training centre in the post basic intensive care nursing.

9. To establish formal training programme for anaesthetic nurses in peri operative care and for medical student in haemodynamic monitoring and respiratory care.

10. To be the coordinating centre for the National Audit for Adult Critical Care Units (NAICU).

11. To conduct clinical trials as well as to collaborate in research activities both local and international.

Organisation Chart

Services

The Department of Anesthesia and Critical Care provides a wide range of anaesthetic services to facilitate procedures for the multi-disciplinary units in Hospital Kuala Lumpur. The scope of anaesthetic services provided by our department include the following:

1. OPERATION THEATRE SERVICE

1.1 Anaesthesia for elective and emergency surgery for general surgical and subspecialty surgical services.

1.2. Anaesthesia for various procedures outside operation theatre such as MRI, CT scan, interventional and diagnostic radiology, radiotherapy, electroconvulsive therapy, dermatological laser treatment, endoscopy and other procedures in out of OT environment.

1.3. Anaesthesia for daycare surgery and day of admission surgery

2. ANAESTHESIA CLINIC

2.1. Anaesthesia Clinic for pre-operative evaluation for patients undergoing surgery and various procedures.

2.2. Anaesthesia Allergy Clinic for screening and diagnosing patients with possible allergy to anaesthesia drugs.

2.3. Pain Clinic for managing and treating patients with chronic pain. We also provide interventional procedure for pain management.

3. ACUTE PAIN SERVICE

The service is operational 24 hours daily by anaesthesia specialist and medical officer on daily rotation. Ward rounds are carried out twice a day by the APS team.

3.1. Acute Pain Service to provide pain relief for postoperative cases.

3.2 Pain service for as non-surgical cases such as post trauma, which is referred to us.

3.2 Pain service for cancer pain, which has not yet been referred to oncology or palliative unit

4. INTENSIVE CARE UNIT

The Kuala Lumpur Hospital General Critical Care Unit is a Level 3 ICU with facilities for 30 beds. Located on the third floor of the main block of the hospital where it was formerly known as Ward 10. Our Critical Care Unit receives more than 1000 admissions a year with an average length of stay of 5 days.

4.1. Managing critically ill patients in General ICU (GICU)

4.2. Co-managing critically ill patients in peripheral ICU such as Cardiac Care Unit (CCU), Cardiac Rehabilitation Ward (CRW), Neurosurgical ICU (NICU), Urology & Nephrology ICU (UNICU) and Medical High Dependency ward (MHDW)

4.3. Co-managing ventilated patients in ward, including patients awaiting transfer to GICU and patients with guarded prognosis.

5. SUPPORT SERVICE

Support service ensures availability and maintenance of essential equipment such as ventilators and medical gas for the whole hospital.

5.1, Respiratory and Haemodynamic Unit (RHU)

5.2. Medical Gas

Clinic Schedule

ANAESTHESIA CLINIC

The anaesthetic clinic is located in the 7th floor of the SCACC building. Consultation is provided by a consultant anaesthesiologist as well as anaesthesiology medical officers.

Anaesthesia Clinic Schedule

Contact number: 03 26155555 ext 1133/ 1134

Anaesthesia Allergy Clinic Schedule

Contact number: 03 26155555 ext  1133/ 1134

Pain Clinic

Contact number: 03 26155555 ext 1576

Client Charter

1. All patients who require anaesthesia service shall be attended to within an acceptable time frame.

2. All patients for anaesthesia shall be seen by the anaesthetist preoperatively and given appropriate consultation and advice. They will receive safe anaesthesia, adequate pain relief and other postoperative care such as intensive care if required.

3. Critically ill patients who fulfil admission criteria shall receive intensive care management in the General ICU.

4. Family members will be informed of the progress of the patient regularly.