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Critical care medicine has been recognized as a superpeciality in most of the developed countries and in some developing countries. There is only 15.2 intensive care unit (ICU) beds per 100,000 and 7.2 ICU beds with ventilator. Most of ICU are open run by anaesthesiologist, internist and surgeons. Most of ICU that provides high level of care is concentrated at Kathmandu. There is a lack of well equipped ICU, intensivist, nurses outside Kathmandu valley therefore, patients are referred to Kathmandu and India for critical care management that add cost to patient and increases the mortality and morbidity of patients. There are only few intensivist in Nepal who has done their training in critical care and practicing critical care. B &C Medical College at Birtamode is only hospital outside the kathmandy valley that is providing critical care services by intensivist who has done three years formal training in critical care medicine. This has lead to decrease in mortalily,morbidity and increase the quality of care to patient of eastern part of Nepal.

Neurocritical Care in Eastern Nepal: Challanges and Opportunities