The Critical Care unit at ASUTOSH integrates many specialties and diverse technologies, offering the possibility of survival to patients who are acutely and critically ill. Creating a Critical Care unit that meets international standards is a complex process. This is because Critical Care is a specialty that crosses traditional departmental lines typically seen in hospitals and also draws from a wide range of specialties including Anesthesiology, Internal medicine, Pediatrics, Surgery, etc. Critical Care unit represents the apex of technical advancements in medicine. Such units integrate many specialities and diverse technologies, offering the possibility of survival to patients who would otherwise may not survive. It is therefore obvious that the role of the Critical Care services is vital and crucial to a tertiary care hospital, as the Critical Care unit contributes immensely to survival of acutely and critically ill patients. The Critical Care Unit is designed and managed based on the fact that methodical organisation of Critical Care services influences important overall outcome measures such as mortality, length of stay, infection rates and overall resource utilisation. This means that a lot of emphasis is also placed on areas like nurses training, standardizing care through clinical pathways, identification of ethical and economic issues pertaining to Critical Care, managing the in-hospital environment, infection control and end of life care.