All the surgeries, except cardiac surgeries are conducted in main OT and all types of anasthesia given.Total 8 opration theaters are present including sepic OT and Neurosurgery OT . There are seprate OT's for various specialities. The Anasthesia Department has five consultants and five residents.

The Department of Anaesthesia had organized the Annual Anaesthesia Meet and the Dr. S. C. Sheth Oration Awards ceremony on 31st October 2003.

The Dr. S. C. Sheth Oration Award was conferred on Dr. D. K. Bhattacharya, the consultant anaesthesiologist and Director of Pain Management Services in the Children's Hospital of Michigan, Detroit. Dr. Bhattacharya talked on pain management for children, while the cardiac anaesthesia team of Nanavati Hospital talked on anaesthesia management of cardiac patients at the Hospital.

The function was very well attended – participants included senior consultants from hospitals, private anaesthesiologists, and also consultants of Nanavati Hospital. More than 100 delegates attended the meeting.

Mrs. Sheth was invited to be the chief guest, and Shri Nana Patekar did the honour of presenting the plaque to Dr. D. K. Bhattacharya. The function was held at the Sun N' Sand Hotel, and was followed by a cocktail dinner.

List of services in the department.
• Preoperative check ups.
• Intra & Post OP monitroring.
• Post Operative Pain management.

Equipment Details.
• Cardiac Monitors
• Multipara Monitors
• Body Warmers / Fluid Warmers
• Ventilators in each OT
• Pressure monitoring systems
• Neuromuscular monitoring systems.

Inaugurated on April 4th 1986, by Mother Teresa, the Dr. Balabhai Nanavati Hospital Hospital Blood Bank provides 24 hours all services required for the provision and collection of safe blood. In addition to blood collected at the Centre, blood donation camps are also organised where donors can voluntarily donate blood.

Dr. BALABHAI NANAVATI HOSPITAL TRUST HOSPITAL IS THE ONLY HOSPITAL IN MUMBAI TAKING CARE OF SUCH A LARGE NUMBER OF THALASSEMIC CHILDREN.

The Blood Bank is affiliated to the Federation of Blood Banks, and is also a Member of the State Council for Safe Transfusion.

The Blood Bank ensures that all donated units are screened for serology tests like HIV, HBSAG, HCV, VDRL and malaria, as per FDA directives. Over the last year, all these tests have been automated - the automation of the Elisa test has reduced the steps of aliquating and rebelling. Specimen adding dilution, and other steps in the process, till report generation and print out, has helped to ensure that results are standardised and controlled.

Issue of Blood
Blood is issued to ward patients, OTs against the replacement and against Voluntary Donor Card and blood is also given to the Federation Blood Banks on a credit/debit basis, and to private Nursing Homes either against a donor credit card or replacement basis, with service charges.

59 thalassemia-affected children at present are receiving blood transfusions on a regular basis free of cost; once, twice or three times a month.

State of Art component lab at Kapoorben Vasanji Lathia Blood bank of Nanavati Hospital started in September 2005.

Earlier whole blood was exclusively used for transfusion. Currently the patients is administered only that constituent in which he or she is deficient. By this the patient gets maximum benefits at minimum risk and the components thus saved are conserved for other patients.

The term blood component includes various part of blood that are separated by conventional technology like centrifugation, freezing and thawing etc. , or by cell separator machines. When more sophisticated chemical or manufacturing processes are involved, the term plasma derivative or fraction is used.

Modern technology of blood collection in double triple or quadruples plastic bags has made it possible to utilize single unit of blood for several patients suffering from different diseases. For instance, by using a triple bag, an anaemic patients receives red cells, another one suffering from thrombocytopenia gets platelets and plasma after the separation of the cryoprecipitate for haemophiliac patients can be utilized for preparation of other fractions.

For preparation of platelets, blood is not to be stored in refrigerator otherwise these will aggregate and result in loss of functional utility. The processing of blood for platelets is done soon after collection. It is preferable to transfuse platelets after preparation but these can be stored at room temperature (22c) for a period of 5 days. Constants shaking throughout the period of storage is essential.

Blood Product	Storage Conditions	Shelf Life
Platelets	Incabiter + 22 C with constant agitation	5 Days
Fresh Frozen Plasma	-20 C to -30C	12 Months
Cryoprecipitate	Below -30C	12 Months

All components are issued to Hospital and other hospital and Nursing Homes against services charges, subject to availability.

NAME	COM. SLIP NO.	S.W.A. & I CLASS (Rs.)	S.W.B. & II CLASS (Rs.)	II CLASS (Rs.)	SEMI FREE (Rs.)	O.P.D / REFD (Rs.)
FFP	4201001	800	725	650	575	650
Platelet	4201062	600	550	500	450	500
Cryo Peci	4201003	650	600	550	500	550

A Complex of Eight Dedicated Operation Theatres

The hospital prides itself of eight dedicated, advanced Operation Theatres with modern services enabling round-the-clock treatment and care of the patients. The hospital boasts of a highly skilled team of Surgeons from all streams, Interventional Radiologists, ER physicians, critical care experts and specialized nurses who work in unison to administer the most comprehensive care.

The State-of Art newly renovated Main Operation Theatres are equipped with high-tech facilities like : -

• Special imported antifungal, antibacterial wall & protective cladding from USA inside Operation Theatres and Peripheral area to minimize the theatre maintenance and infection rate. Jointless vinyl flooring in each Operation Theatre.
  

• Surgical area has been isolated from staff rooms to minimize surgical site infection in accordance with international standards and CDC guidelines.
  

• Operation Theatre has been provided with a dedicated Air Conditioning system having ‘HEPA’ Filters, Laminar flow and positive air pressure, Precise temperature and relative humidity control.
  

• Imported Control Panel in each Operation Theatre with continuous monitoring of vital parameters.

• Operation Theatre is provided with closed circuit camera and music system.

Medical Equipment

• Central Monitoring System with Remote Server Access and patient backup installed in Doctors room for simultaneous/direct online view of Patient parameters from each Operation Theatre as well as through internet.
  

• High end Drägger system of Anesthesia and monitors with capability to transfer data to Central Station with dedicated Internet browser. Connection to PACS (Picture Archiving & Communication System) for easy DATA access.
  

• Highly advanced vessel sealing system like Force Triad (Covidian), Harmonic scalpel and Bi-clamp (ERBE) for highly advanced laparoscopic, Thoracoscopic and complicated open surgeries.
  

• Motorized Pendant as per compliance with international standards.
  

• Belmont (Japan) Operation Theatre Tables with full functioning of patient movement during surgery.
  

• Dr. Mach (USA) LED lights (white Balanced) with attached Inline Camera system for live surgery relays.
  

• Stryker Endoscopic System with High Defination (3chip) Camera, LED Light Source, Insufflator and high Defination Monitor and OR1 system as per international standards.

• Highest level of standardization system,

• Dedicated, efficient and helping nursing staff.

• Expert, efficient and dedicated surgical team to deliver quality care to our patients are the key factors in an endeavour to implement the six sigma system with highest level of functioning, minimized defect rate and increased competency.