As a core clinical department of B&B Hospital, a trusted name in tertiary healthcare in Nepal—we are a highly specialized, precision-driven team dedicated to delivering world-class anesthesiology and critical care with uncompromising patient safety. Our department reflects B&B Hospital’s long-standing commitment to clinical excellence, academic leadership, and ethical medical practice.

Our team functions with clarity, control, and confidence in high-acuity and time-critical environments, where every decision matters. Driven by continuous learning and innovation, we stay aligned with the latest techniques, advanced equipment, modern pharmacology, and globally accepted, evidence-based practices in anesthesiology and critical care. The Department of Anesthesiology and Critical Care at B&B Hospital offers the following advanced services:

General Anesthesia

At B&B Hospital, over 4,700 major, intermediate, and minor surgical procedures are safely conducted each year under general anesthesia. These include complex and high-risk surgeries such as arthroplasties, arthroscopies, laparotomies, and advanced laparoscopic procedures. Our practice is supported by state-of-the-art airway management systems, contemporary anesthetic agents, and advanced mechanical ventilators, ensuring optimal physiological control and superior perioperative outcomes.

 

Total Intravenous Anesthesia

Total intravenous anesthesia is routinely employed at B&B Hospital for selected intermediate and minor procedures including orthopedic, plastic surgical debridement, general surgical, and urological interventions. Nearly 2,000 procedures annually are performed using this refined technique, allowing precise anesthetic depth control, enhanced hemodynamic stability, and faster postoperative recovery.

 

Monitored Anesthesia Care or Intravenous Sedation

Monitored anesthesia care is widely utilized at B&B Hospital for minimally invasive diagnostic and therapeutic procedures such as endoscopy, colonoscopy, MRI, and similar interventions. When required, it is seamlessly combined with local or regional anesthesia to maximize patient comfort, procedural safety, and efficiency.

 

Regional Anesthesia

The department performs approximately 2,000 neuraxial blocks annually, including subarachnoid and epidural anesthesia, along with nearly 800 ultrasound-guided peripheral nerve blocks. These advanced regional anesthesia services at B&B Hospital support major, intermediate, and minor surgeries—either as primary anesthesia or in combination with general anesthesia—providing superior pain control, reduced systemic drug exposure, and early postoperative mobilization.

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Pain Medicine Services 
The Pain Medicine Services at B&B Hospital operate under the Department of Anesthesiology as a specialized, multidisciplinary unit dedicated to the evaluation and management of acute, chronic, and cancer-related pain. In alignment with B&B Hospital’s patient-first philosophy, our focus extends beyond symptom control to restoring function, dignity, emotional well-being, and long-term quality of life.
Pain is recognized as a complex, multidimensional condition requiring early diagnosis, individualized planning, and timely intervention. Our approach emphasizes pre-emptive and multimodal analgesia, opioid-sparing strategies, and precision-guided interventional procedures to prevent pain chronicity and functional decline.
 

Our Approach


• Evidence-based, outcome-driven, patient-centered care consistent with B&B Hospital standards

• Seamless collaboration with surgery, orthopedics, oncology, neurology, and rehabilitation departments

• Strong emphasis on functional recovery and sustainable quality-of-life outcomes

• Ethical, rational analgesic use with a firm commitment to opioid stewardship


As a tertiary referral center, B&B Hospital ensures continuity of care—from diagnosis and intervention to long-term follow-up—supported by clinical expertise, advanced infrastructure, and compassionate service.

B&B Hospital - Excellence in Care. Leadership in Healing.