Dr. Pradeep Poswal is a dedicated specialist in cardiac anaesthesia at Medanta – The Medicity in Gurgaon (Gurugram), one of India’s premier super-specialty hospitals renowned for its world-class Heart Institute.

As a cardiac anesthesiologist, he plays a pivotal, behind-the-scenes role in the high-stakes world of heart surgeries — ensuring patients remain stable, pain-free, and safe while the surgical team performs complex procedures like bypass surgeries, valve replacements, heart transplants, and minimally invasive cardiac interventions.

A Day in the Life of a Cardiac Anesthesiologist

Imagine this scene in the ultra-modern cardiac operating theatre at Medanta:

The patient, a 62-year-old gentleman with severe coronary artery disease, is wheeled in for a coronary artery bypass grafting (CABG). The lights dim slightly, monitors beep steadily, and the team is in perfect sync.

Dr. Poswal (leaning over to the patient with a calm, reassuring smile before induction):
“Mr. Sharma, I’m Dr. Pradeep Poswal, your cardiac anesthesiologist today. I know this feels overwhelming, but you’re in excellent hands. My job is to keep you completely comfortable, safe, and asleep while the surgeons work their magic on your heart. We’ll monitor every heartbeat, every breath — nothing gets past us. Any last questions before we begin?”

Patient (nervously): “Doctor saab, will I feel anything? My family is waiting outside…”

Dr. Poswal (gently): “You won’t feel a thing — I promise. You’ll drift off peacefully, and when you wake up in recovery, it’ll all be done. We’ve done this thousands of times here at Medanta. Breathe easy… let’s get started.”

Within moments, he expertly administers the precise cocktail of anesthetic agents tailored to the patient’s heart condition, age, and comorbidities. Advanced monitoring lines go in — arterial line, central venous catheter, transesophageal echocardiography probe — giving real-time views of the heart function.

As the surgeons open the chest and connect the heart-lung machine, Dr. Poswal orchestrates the delicate balance: managing blood pressure, anticoagulation, temperature, and organ protection during cardiopulmonary bypass. When challenges arise — like a sudden drop in cardiac output or arrhythmia — he’s the first to respond, adjusting infusions, administering inotropes, or guiding the team with calm authority.

Hours later, as the surgery concludes successfully, he carefully reverses the anesthesia, wakes the patient gently, and ensures a smooth transition to the cardiac ICU.

Dr. Poswal (in recovery, checking vitals):
“Mr. Sharma, surgery is over — your new grafts are working beautifully. Rest now; we’ll take it from here.”

Why Cardiac Anaesthesia is So Demanding

Cardiac cases are among the most challenging in anesthesiology. Patients often have poor heart function, multiple comorbidities (diabetes, hypertension, kidney issues), and the surgery itself involves stopping the heart temporarily. Dr. Poswal’s expertise lies in:

• Advanced hemodynamic monitoring
• Transesophageal echocardiography (TEE) interpretation
• Managing complex perioperative scenarios
• Collaborating closely with legends like Dr. Naresh Trehan and the entire Heart Team at Medanta

Professionals like him are the silent guardians — their precision and quick thinking often make the difference between a routine recovery and complications.

In the high-pressure environment of Medanta’s cardiac program (one of India’s busiest and most successful), Dr. Pradeep Poswal represents the quiet competence and compassion that keeps hearts beating strong — both during and after surgery. If you’re ever facing a heart procedure, knowing someone like him is on your team brings immense reassurance.