• Presently the department is headed by Prof. Ravinder Kumar Batra. At present, the Department provides protocolled anesthesia and ICU services to General Surgery, Obstetrics and Gynaecology, IVF, ENT, Orthopaedics, Urology, Paediatric Surgery, GI surgery, RP Centre of Ophthalmic theatres, CDER (Oral and Maxillofacial surgery), and JPNA Trauma center; it also provides peripheral anesthesia services to interventional radiology, MRI, CT scan, ECT, acute and chronic pain services, resuscitation and obstetric analgesia services.

  Over the years, along with the development of Medical Sciences, the Department has set up its own high standards in patient care, education, and research. All operation theatres are equipped with state-of-the-art anesthesia machines, facilities for invasive blood pressure and CVP monitoring, Entropy and BIS monitoring and coagulation monitoring, rapid fluid infuser for major surgery, and ultrasonography for regional anesthesia blocks and vascular access.

  The intensive Care Unit (AB 8 ICU) on the 8th floor, adjoining operation theatre is equipped with modern ventilators, multiparameter monitors, ultrasonography, an echocardiography machine, and a dedicated laboratory. The ICU caters to post-surgical and medical patients.

• The AB8 post-anesthesia recovery room (PACU) is the one of the state of the art recovery room and is equipped with multi-parameter monitors, patient-controlled analgesia (PCA)/opioid infusion pumps, anesthesia machine, and defibrillator machine for the emergency requirement.

• The Department of Cardiology at AIIMS was established under the leadership of Prof. Sujoy B. Roy. The department has developed excellent facilities for clinical care and has fully developed facilities for adult and pediatric interventions including coronary interventions, valvuloplasty, device closure of congenital shunts, and electrophysiology services (including radiofrequency ablation, pacemaker, bi-ventricular pacemaker and cardioverter defibrillator implantation). Laboratory testing facilities include treadmill testing, holter recording, echocardiography (including transthoracic, transesophageal, 3-D and fetal echocardiography), Tilt testing for syncope and electrophysiology testing including CARTO system mapping. The department has done pioneering work in the field of rheumatic fever and rheumatic heart disease including juvenile mitral stenosis, coronary artery disease including angioplasties, arrhythmias, cardiomyopathies and congenital heart diseases.

  Following are the names of the Heads of the Department of Cardiology since its inception:

  Prof. Sujoy B Roy

  Prof. Madan Lal Bhatia

  Prof. Rajan Tandon

  Prof. Harbans Singh Wasir

  Prof. Subhash Chand Manchanda

  Prof. Kewal Krishan Talwar

  Prof. K. Srinath Reddy

  Prof. Vinay Kumar Bahl

  Prof. Anita Saxena (Present Head of the Department)

• The department was set up by the late Prof K C Kandhari (HoD,1960-1970) and subsequently headed by late Prof L K Bhutani (1974-1996), Prof J S Pasricha (1996-1998), Prof R K Pandhi (1998-2001) and Prof Vinod K Sharma (2001-2020). Prof Neena Khanna has been heading the department since November, 2020.  

  Currently the department has 11 faculty members, 25 post-graduate students, 10 senior residents and 3 Ph D scholars.  

  The department is widely recognised for the quality and innovativeness of its teaching programme for both undergraduate and postgraduates and its contributions to patient care and research. The latter include advances in the diagnosis and treatment of pemphigus, vitiligo (using both medical and surgical techniques and phototherapy), air-borne contact dermatitis, mycetoma, drug reactions, epidermolysis bullosa, ichthyosis-associated rickets and dermatopathology, among others. Faculty members have authored several popular undergraduate and postgraduate textbooks that are used in centres around the world.  

  Members of the faculty have served in leadership positions in national and international professional organisations, provided consultations to governmental and non-governmental agencies, organised workshops and conferences, served on the faculty of meetings worldwide and as visiting professors at universities in other countries. 

  Services  

  Outpatient services  

  The Skin OPD is located on the third floor of the new Rajkumari Amrit Kaur OPD and caters to outdoor patients from Monday to Friday from 9:00 AM.

  An appointment is required to visit the department.The department treats adults and children with diseases of the skin, hair and nail, and sexually transmitted infections. We provide medical, surgical, phototherapy, laser and aesthetic services, as appropriate.

  The department also runs specialty clinics in the afternoon for leprosy, photodermatoses, dermato-surgery and aesthetics, pediatric dermatology, vitiligo and other pigmentary diseases, psoriasis and allergic diseases of the skin including urticaria, contact dermatitis and drug allergies. Patients are referred to the afternoon clinics after initial evaluation in the morning OPDs.

   Day Care and Inpatient services  

  Patients requiring day care and admission to the hospital are admitted to the 30-bed D-I Ward located on the first floor of the Ward Block in the main Hospital. Patients are admitted after evaluation in the OPD or emergency department.

• The Department of Dietetics at AIIMS was established in the  year 1959.

• Diet is an important & integral part of curative & prevention health care management.

• Dietary services at AIIMS is the first public sector hospital to obtain Food Safety and Standards Authority of India (FSSAI) license.

• Dietary services are digitized through the E-Hospital software.

• Dietary Services in AIIMS Hospital involves three distinct categories :

  • Medical Nutrition Therapy

  • Food Service Management

  • Teaching, Training & Research

Vision

• To provide  exemplary medical nutrition therapy and hospital food services for patients. 

• To provide a healthy, hygienic, therapeutic diet to help patients to recover  fast. 

Role of Dietary Services

• To maintain good nutritional status of all patients.

• To educate patients about how diet plays a major role in the treatment of various diseases.

• To modify the daily diet pattern of patients to meet their requirement during various diseased conditions.

• To correct deficiencies especially in patients with prolonged hospital stay like cancer patients and critical care unit patients.

• Diet therapy in most instances is not a remedy in itself but is a measure which supplements or makes the medical or surgical treatment more effective.

• To take care of dietary needs of Indoor General ward & Private ward patients every day. There are various kinds of diets being sent to the patients based on Nutritional screening and Nutritional assessment done by the Dieticians.

The Department of Emergency Medicine was established in 2011. It was created with the vision of providing holistic and quality emergency medical care to all those who seek it.

 The missions of the department are:

To provide quality patient care in Emergency Medicine Department

To upgrade the Department to meet the international norms and standards in patient care

The Department of Hematology was established in January 1989. It is a unique department with clinical and laboratory faculty working together under one roof together for better coordination, resident training and research activities. It is the only department of its kind in the country. It provides clinical facilities in the OPD, day care centre and for indoor patients.

All India Institute of Medical Sciences responded to the challenges of population ageing in India by starting a weekly clinical service in 1993, later upgraded to daily service in August 2010, with focus on establishment of service, human resource development and patience

Care It was the vision and efforts of Prof. (Dr.) A B Dey which led to the establishment of a separate academic department in January 2012 then He became first Head of the Department and expanded its clinical services to provide holistic care with physiotherapy, counselling and dietary services and started a weekly Memory clinic for dementia patients

The Department of Forensic Medicine and Toxicology started functioning in year The Department is planning to set up a facility which could manage approximately 1000 dead bodies simultaneously and will have all the necessary infrastructural, manpower, resources, residential and transportation facilities related to Forensic Human Identification related to any disaster and Dignified Management of the Dead. At present there is no such single centre nationwide which could handle the management of the dead efficiently as a unified centre in case of a mass disaster. The High-throughput design will encompass all aspects of the management of the dead, starting from recovery of the bodies to final burial rites, including support to the affected families and communities. The setting up of such a facility will require a significant amount of time, until which additional facility for handling 100 bodies in case of disaster will be established along with the present mortuary set-up.

The Department of Obstetrics and Gynecology, at All India Institute of Medical Sciences, New Delhi was established in the year 1958 under Dr P K Malkani. It is currently under the leadership of Prof Sunesh Kumar who envisions making the department an apex centre of patient care, research and education in the country.

Over the years the department has grown keeping pace with the ever-increasing advances in the field of medicine. Currently the department has a state of the art set up and expertise in the fields of Gynecological oncology, In Vitro Fertilization & Reproductive Medicine, Fetal medicine, High risk obstetrics and Gynecological endoscopy.

In addition to providing the latest in patient care, the department under a dynamic leadership, strives to maintain a high standard of research and also train the young doctors to become experts in the field.

As a part of commitment towards the National Family Planning program, the department has an active family planning unit, which offers all the modalities of reversible and permanent methods of contraception. The Department also has an active role in the management of the Comprehensive Rural Health Centre at Ballabgarh and the outreach OPD and operation facilities for gynecologic cancer patients at National Cancer Institute, Jhajjar.

In AIIMS, the Department of Nephrology along with the Department of Surgery provides kidney transplantation facility to patients suffering from End Stage Kidney Disease (ESKD) since 1972, as per the Certificate of Registration granted by appropriate authorities, from time to time. We follow the Transplantation of Human Organs Rules, 1995 and the subsequent amendments (as and when amended). The information related to the procedure for kidney transplantation at AIIMS is as under. All this information is broad general information for patients and family to understand the process of kidney transplantation at AIIMS. For a specific individual patient, it is always better to discuss with a nephrologist. I. Registration of Patients for Transplantation Patients with chronic kidney disease (CKD) have to first attend Renal Clinic AIIMS, run by the department of Nephrology. Initial evaluation is done to know the cause of kidney disease, its severity, its reversibility (if any) and co-existing conditions (comorbidities). Subsequently, patients are advised renal replacement therapy (RRT) if they have End Stage Kidney Disease, a stage when a patient cannot be maintained on medical treatment alone (CKD-5D). RRT consists of hemodialysis, Continuous Ambulatory Peritoneal Dialysis (CAPD) and/or Kidney transplantation. It is a patient and family decision whether they want life-long dialysis (either hemodialysis or CAPD) or kidney transplant. Medically, a patient is advised to have a kidney transplant ONLY when he/she is fit for transplant. Every patient of ESRD may not be fit for kidney transplant and in that case he/she has to remain on life-long dialysis. Some important contraindications for transplantation include: 1) Advanced Coronary artery disease or Cerebrovascular disease 2) Active infection 3) Untreated Malignancy In case of coexisting conditions, patients are treated appropriately before consideration for kidney transplantation. Other investigations needed for transplantation are also carried out. If he/she has any other associated illness, then that illness is investigated in detail and appropriately treated on its own merit, before kidney transplant may be possible. Thus, even though a patient wants a kidney transplant and a donor is available and tested, he/she may have to wait for transplant to solve these issues first before kidney transplant is done. It is important to note that all registration and work-up of patients for kidney transplant is done by the Department of Nephrology. II. Donor Registration for transplantation Patients of ESKD are counseled to bring donors for registration as per existing laws of the country. A detailed history is taken and a complete physical examination is done. This is followed by initial laboratory investigations to assess fitness. Subsequently, detailed tests to assess kidney function and vascular anatomy are done. All these tests are done in a stepwise manner so it takes some time. The patient is included in the waiting list once the patient’s donor is physically examined and initial screening tests are normal. The date of initial registration, when the donor comes with the blood group report and found physically fit on initial screening, is taken for the purpose of seniority. Donor work-up takes about 4-8 weeks, since 2 the tests are done step by step and involve multiple other departments of AIIMS. To save time, some of the tests may be done from other clinics or hospitals, if the donor wishes. However, certain tests have to be done in AIIMS only for the sake of reliability. In case a medically fit living donor is not available in the family, the patient’s name is registered in the cadaver (deceased) donor kidney transplantation waiting list. Cadaver list contains basic details and contact number of patients. Waiting time and medical fitness are two most important criteria for consideration of seniority for cadaver transplant. Timing of cadaver transplant is totally uncertain, and this waiting time for cadaver transplant cannot be predicted for any patient. When a cadaver donor is available, patients are called as per their seniority and medical criteria like blood group etc. III. Who can be Living Donor By Indian Transplant Act and rules, grandparents, parents, sibling, children, grandchildren and spouse, so defined as “near relative” can be donor and if any one of these is prospective donor, very few document formalities for kidney transplant are required. If the donor is other than this, defined as “other than near relatives” whether distant relative or any friend, then there are other formalities required as per law for evaluation of donor. One of them is identity confirmation from the state appropriate body to which the donor belongs. This also takes some time. Further details can be obtained from medical social service officers, who handle such types of kidney transplant document formalities. IV. Inclusion in the Dialysis Programme at AIIMS Since AIIMS has a waiting list for kidney transplant, all patients have to wait for many months and during this time they have to remain on maintenance dialysis. Since facilities for hemodialysis at AIIMS are limited (the department of nephrology has only 13 hemodialysis stations), it is not possible to include all patients registered for kidney transplant with us in our hemodialysis programme immediately. A waiting list of all such patients registered for kidney transplantation is maintained according to the date of registration of the living donor. Patients are included in our dialysis program as per their seniority in the waiting list. Currently we are able to include patients in our dialysis programme only a few days to weeks prior to the scheduled date for kidney transplantation. Patients in the cadaver donor waiting list have to take dialysis outside this hospital since their transplant waiting period is unpredictable; and AIIMS cannot dialyse patients for an indefinite period of time due to paucity of facilities. V. Approximate cost of kidney transplantation (ABO compatible): Cost of transplant is dependent upon many factors and for a particular patient the cost cannot be confirmed at the beginning. AIIMS does not provide kidney transplants on some package basis. However, there are various components of cost, which are as follows: 3 Hemodialysis (3/wk) in AIIMS + Medicines Rs.20,000/- per month Donor work-up Rs.20,000/- Recipient (Non-sensitized) work-up Rs.35,000/- Recipient (Sensitised) work-up Rs.50,000/- Induction therapy (if required) Rs.1,50,000/- Expenditure at the time of transplantation for surgical disposable items Rs.45,000/- CMV Prophylaxis (6 months) Rs.64,000/- Post Kidney transplantation medicines approx. Rs.20,000/- per month for the first year Rs.2,40,000/- (for the first year) Note: The above cost does not include the cost of hemodialysis outside AIIMS, prior to inclusion in the hemodialysis programme at AIIMS. For ABO incompatible kidney transplantation, additional expense of Rs.3,40,000/- is required. Additional Cost/s (as needed): Kidney transplant is a specialized treatment and patients are on specific medications. Because of this, patients are at risk of developing complications, some of them may be serious and require costly treatment. It is difficult to predict which patient will develop such complications. There is significant cost involved in management of such complications like  CMV disease  Anti-rejection therapy with monoclonal antibodies, plasmapheresis etc.  Antifungal treatment for fungal infections VI. Financial Assistance from various government agencies Poor patients may apply for various government sponsored illness assistance funds or to Ayushman Bharat Scheme of Government of India, for which they should contact the hospital social service officers. VII. Blood Requirement Four to six units of blood needs to be arranged for transplant surgery, though all may not be utilized in every case. VIII. Kidney Transplant Counselling: All patients with ESRD are explained the various modalities of RRT in the Renal Clinic. Subsequently detailed counselling is given in the Renal Transplant Counselling Clinic 4 (RTCC). Besides, the Department of Nephrology organizes regular public education programmes, including School Health programmes focusing on kidney disease and transplantation. Public lectures are held on World Kidney Day in the second week of March every year. IX. Waiting period for Living Transplantation At present AIIMS is doing two transplants in a week; and in view of the large number of patients registered for kidney transplant, the current waiting period is about four months. X. Procedure for Registration in cadaver transplant waiting list: 1. Patients with ESRD on regular dialysis (maintenance hemodialysis or chronic peritoneal dialysis for at least for 3 months) are registered for cadaver transplant. They must first register in the Renal Clinic, AIIMS. 2. Preferably, there should be no suitable living donor available 3. Patients on maintenance hemodialysis have to continue taking hemodialysis outside AIIMS 4. Necessary pre-transplant investigations are done 5. Patients are investigated for associated illnesses. If present, associated illnesses are treated appropriately. Patients with untreated associated illness cannot be registered for cadaver transplant. 6. In order to remain in the active cadaver transplant waiting list, the patients must follow up in the Renal Clinic, AIIMS at least once every three months, or as and when required on medical grounds. 7. Patients must report any new illness to the department in the Renal Clinic or RTCC, so that the illness can be assessed and managed. Otherwise the illness may make the patient unfit for renal transplant. No specific waiting period can be specified for patients in the cadaver transplantation waiting list, since it is totally unpredictable when a cadaver donor may be available, who is suitable for a particular patient. Procedure of calling patients at the time of availability of cadaver donor When there is possibility of cadaver donor, department of nephrology starts contacting patients listed for cadaver renal transplant. For one available cadaver kidney, the department usually calls five patients. Patients are contacted as per the blood group of potential donor, and as per the seniority of patients decided from the date of registration for cadaver renal transplant. Those patients who respond to the telephonic call, and are willing for renal transplant at that point of time are required to come to AIIMS urgently. Once 4-5 patients come to hospital within the stipulated time, they are clinically examined for their fitness for renal transplant. Then investigations are sent to assess their fitness. In the meantime, if patients need pre-operation dialysis, dialysis is started pending arrival of the investigation reports to avoid waste of time. When all investigations are available, fitness of patients is reassessed. Patient who is unfit is sent back. In the meantime, surgical teams also assess patients from the point of view of 5 surgical fitness. The senior most patient who is medically and surgically fit is given the kidney so as to have the best outcome. It is possible that a person called for cadaver transplant at one time may not be called next time as patients senior to him may be willing to come in emergency next time when cadaver kidney is available. It basically depends upon the fact that on a particular day, which patients responded to the phone calls and were willing to come for emergency cadaver renal transplant.