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The Department of Anaesthesia, Laksha hospitals provides comprehensive anaesthesia care, which includes preoperative, postoperative, critical care and pain relief services. It functions from a suite of germ free; laminar flow operating theatres equipped with ceiling mounted microprocessor controlled anaesthesia workstations, multiparameter monitors and volumetric infusion devices. The Department follows internationally recognized protocols and guidelines to ensure patients’ well being and safety during the preoperative period. Patients range from octogenarians with multiple co-morbid diseases to infants with cranio-facial and congenital disorders. Orthopaedic anaesthesia forms the backbone of major surgical procedures i.e. arthroplasty, spine and trauma surgeries. It involves a high degree of skills in advanced techniques such as fibre optic intubation for complex airway problems, hypotensive anaesthesia, haemodilution, one lung ventilation and invasive haemodynamic monitoring. Other advanced techniques include nerve stimulator and sonographic aided peripheral nerve blocks, laryngeal mask airway, single puncture needle through needle technique, central neural blockade and neuromuscular monitoring.