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Subspecialty Anesthesia


Anesthesiology




About Spectrum Anesthesiology

Members of the Surgical Team

Spectrum AnesthesiologyAnesthesiologists are an integral part of the surgical team. Spectrum anesthesiologists are highly skilled in all aspects of anesthetic care, as well as the principles of internal medicine and critical care. In addition, Spectrum Medical Group's Anesthesiology Division brings in-depth subspecialty expertise to the care of patients throughout Maine. No other anesthesiology group cares for as many Maine patients.

Most people know very little about their anesthesiologist. We hope this web site will help introduce you to our physicians and our unique qualifications as a group. When you, a family member, or other loved one need anesthetic care, we want you to feel confident that Spectrum Medical Group is providing you with the highest level of anesthesiology services available anywhere in Maine.

You and Your Spectrum Anesthesiologist

Spectrum anesthesiologists develop individual anesthetic plans for each patient. Prior to your procedure, a Spectrum anesthesiologist will review your medical history and evaluate your current condition, order any necessary tests and discuss the anesthesia options appropriate for your surgery or procedure.

You will always meet your anesthesiologist prior to your procedure. The anesthesiologist will discuss the risks associated with the administration of anesthesia and help you to make an informed decision about the anesthetic plan. At all times, you should feel free to ask the anesthesiologist any questions you may have.

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Types of Anesthesia

During any type of anesthesia, the anesthesia provider is in continuous attendance, and you are continuously monitored with specialized equipment in order to detect any problems and ensure that your anesthetic course goes smoothly and safely.

General Anesthesia

Under general anesthesia, anesthetic drugs are administered intravenously (IV) or through a breathing mask or tube. You are unconscious and not aware of the surgery or your surroundings.

Regional Anesthesia

With regional anesthesia, the anesthesiologist injects medication around a nerve area that affects only a specific portion of your body. You may remain awake during the procedure or the anesthesiologist may give you a sedative. Spinal anesthesia for surgery and epidural relief of labor pain are common examples of regional anesthesia.

Local, with Monitoring (Also called MAC-Monitored Anesthesia Care)

With this approach, your surgeon or anesthesiologist injects a local anesthetic into your skin and tissues to numb a specific area for a procedure. In addition, sedation may also be given to allay anxiety and provide greater comfort.

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The Role of the Anesthesiologist During Surgery

A Spectrum anesthesiologist is personally responsible for your care throughout your surgery. The anesthesiologist directs your anesthesia care and manages your vital functions. Heart rate, blood pressure, heart rhythm, body temperature, and breathing are all continuously monitored. The anesthesiologist is also responsible for fluid and blood replacement, if necessary, during your surgery.

The anesthesiologist develops an anesthetic plan for each patient. Any medical condition, such as diabetes, asthma, high blood pressure, arthritis, or heart problems is carefully taken into consideration. Anesthesiologists have a strong background in internal medicine and critical care and, as such, are uniquely qualified to treat both sudden medical problems during surgery and chronic conditions that may need treatment during surgery.

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After Surgery

Once you leave the operating room, a Spectrum anesthesiologist continues to oversee your recovery in the post-anesthesia care unit (PACU). The anesthesiologist directs the PACU nursing staff who monitor your condition and vital signs as the anesthesia wears off. The anesthesiologist and your surgeon work together to determine when you are ready to go home. Either your anesthesiologist or surgeon will prescribe any necessary medication to allow you to remain comfortable at home.

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Available 24 Hours a Day 7 Days a Week

Your surgeon will always know how to reach us.  A Spectrum anesthesiologist is always on call and ready to address patient needs at the most critical times. Our specialized training means that we are ready to handle any situation from the smallest premature baby to the most elderly patient, from the simplest surgery to the most complex surgical emergency.

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State-of-the-Art Programs

  • Sedation for the Child Having an MRI Test. If sedation is recommended for your child during an MRI exam (at a facility where Spectrum anesthesiologists practice), a Spectrum anesthesiologist will be with him or her before, during, and after the anesthestic is administered.
  • Vertebroplasty
  • Sedation for Endoscopic Retrograde Cholangiopancreatography (ERCP). . ERCP is performed for either diagnostic or therapeutic procedures. Using an endoscope, your physician can view your entire hepatobiliary system. ERCP is a less invasive procedure than surgery.
  • Intraoperative Transesophageal Echocardiography (TEE) for Cardiac Surgery

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About Spectrum Anesthesiologists

Our anesthesiologists have had four years of medical education with an additional four, and in many cases five, years of anesthesiology residency training. Many of our anesthesiologists have additional subspecialty or fellowship training in the areas of pain management, critical care medicine, and cardiac, pediatric, neurosurgical and obstetric anesthesia.

Spectrum anesthesiologists are committed to providing superior-quality anesthesia care to our patients. This includes regular attendance at national conferences and participation in teaching programs at Maine Medical Center, St. Joseph Hospital, and Southern Maine Medical Center. In addition, the Anesthesiology Division has an established and rigorous quality improvement program where quality of care and resource utilization is regularly evaluated.

In addition to the physician anesthesiologist, the anesthesia care team may include an anesthesiology resident or nurse anesthetist. The anesthesiology resident is a graduate physician (MD or DO) who is pursuing postgraduate training in anesthesiology and care of the critically ill. A nurse anesthetist is a registered nurse (RN) who has completed two additional years of training in the administration of anesthesia and is certified by national examination.

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Focus on Quality

Spectrum Anesthesiology physicians and staff work together to promote continuous quality improvement. Quality of care delivered to patients, improved efficiency with which care is provided, and resource utilization are all within our focus.

We welcome patient comments and feedback as an important element in helping us to improve our services. If you would like to provide us with comments, please call, write, or e-mail us at kelly.andrews@mckesson.com

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