State-of-the-art neuro-critical care and intensive monitoring — because surgical excellence must be matched by exceptional post-operative management.
A great neurosurgical operation is only as good as the critical care that follows it. At Fortis Hospital, Manesar, our dedicated Neuro-Critical Care Unit (Neuro-ICU) is staffed 24/7 by trained neurointensivists and neuro-nursing teams equipped to manage the most complex post-operative and acute neurological cases.
State-of-the-art Neuro-ICU — continuous ICP and multi-parameter monitoring
Our Neuro-ICU is equipped with dedicated Intracranial Pressure (ICP) monitoring systems — an essential tool in the management of severe traumatic brain injury, post-operative brain swelling, subarachnoid haemorrhage, and any condition where raised intracranial pressure threatens the brain. A thin pressure catheter is placed into the brain's ventricle or parenchyma, providing continuous real-time readout of intracranial pressure on the bedside monitor. This allows the intensivist team to detect dangerous pressure rises immediately and institute targeted treatment — before irreversible brain damage occurs. ICP monitoring, combined with cerebral perfusion pressure (CPP) management, represents the current gold standard in neurocritical care for severe brain injury and is available at our centre 24 hours a day, 7 days a week.
Continuous monitoring of ICP, CPP, arterial blood pressure, oxygen saturation, EEG (seizure detection), temperature, and cardiac function at every Neuro-ICU bedside. Early warning systems alert nursing staff to any deterioration in real time.
24/7 intensivist coverage with specific training in neurological critical care. Management of post-operative craniotomy patients, stroke, brain haemorrhage, status epilepticus, Guillain-Barré, myasthenic crisis, and acute spinal cord injury.
State-of-the-art mechanical ventilators with lung-protective strategies, high-frequency modes, and non-invasive ventilation options. Weaning protocols specifically designed for neurological patients to minimise ventilator-associated complications.
Any neurological emergency — sudden deterioration, seizures, re-bleeding, airway compromise — is responded to within minutes by the on-site Neuro-ICU team. Dr. Agarwal is available 24/7 for emergency consultation and re-operation when required.
Our ICU follows internationally recognised neurocritical care protocols — targeting optimal cerebral perfusion pressure, normothermia, normonatraemia, normoglycaemia, and prevention of secondary brain insults. Every parameter is optimised for the brain.
Seamless collaboration between neurosurgeons, neurologists, neurointensivists, neuroradiologists, physiotherapists, speech therapists, and rehabilitation specialists — ensuring that the patient's journey from ICU to discharge is coordinated and continuous.
All patients after craniotomy, awake craniotomy, skull base surgery, and complex brain tumour resection are managed in the Neuro-ICU for the immediate post-operative period. Continuous neurological assessment, ICP monitoring where indicated, imaging at any sign of deterioration, and early physiotherapy mobilisation are standard.
ICP monitoring, CPP-guided management, osmotherapy, sedation, and surgical decompression when threshold criteria are met. Our TBI management follows the Brain Trauma Foundation guidelines — updated, evidence-based protocols that have been shown to improve survival and functional outcomes.
Post-thrombectomy stroke care, management of cerebral oedema after large hemispheric infarction, blood pressure management in haemorrhagic stroke, and post-aneurysm SAH vasospasm monitoring with transcranial Doppler and nimodipine therapy.
Complex spine surgery patients requiring close monitoring of neurological status, pain management, and early rehabilitation. Spinal cord injury patients receive ventilatory support, haemodynamic management, and early mobilisation protocols designed for SCI.
Continuous EEG monitoring for non-convulsive status epilepticus, aggressive anti-epileptic management, anaesthetic coma when required, and careful management of airway and haemodynamic stability in neurological emergencies.
Real-time ICP monitoring allows detection and immediate treatment of intracranial hypertension — osmotherapy (mannitol, hypertonic saline), head positioning, sedation, CSF drainage, and surgical decompression when medical measures fail.