Background: Intensive care unit of any hospital is the most important department managing critical patients and is extremely resource and man power intensive. The study was conducted with an aim of bringing about changes in practice and guidelines to improve outcome. Methods: All patients admitted from 01 Jan 2018 till 31 Dec 2018 were included in the study. Data pertainining to demography, ventilatory support and mortality outcome were recorded. Results: Total of 720 patients were admitted during the study period. Medical specialties had more number of cases (67%) than surgical specialties (33%). Mortality was higher among medical (40%) than surgical cases (26%). Overall mortality in our ICU was 35.8%. Conclusion: Neurosciences contributed to major ICU workload. Positive outcome was better among surgical than medical patients. Overall mortality was slightly higher in our ICU than other ICUs of the same region.