“…4 Ultrasound guidance and fast track cardiac anesthesia has become the standard of care. 5,6 MCVTC was facilitated by autologous blood transfusion device, Nitric Oxide, Thromboelastograph and cerebral oxymetry for the first time in Nepal for cardiac anesthesia services. Extracorporeal Membrane Oxygenator (ECMO) was used in cardiac surgical patients for the first time in 9 th September, 2009 in Shahid Gangalal Heart Center.…”