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Department of Anesthesiology

Subspecialties

The Department of Anesthesiology provides services using the most modern methods and instrumentation to all surgical patients and to patients of the following anesthesia subspecialties: ambulatory, cardiac, critical care, neurosurgical, obstetric, pain management, pediatric, and post-anesthesia care. Outpatients receive consultations during regular office hours.

Ambulatory Anesthesia

A preoperative screening clinic is directed by the Department of Anesthesiology for complete presurgical consultations and evaluation of patients scheduled for ambulatory surgery and day of surgery admissions. The patients are given the opportunity to discuss with the anesthesiologists the anesthetic plan and concerns regarding the upcoming procedure. Appointments are made through the Admitting Office.

Cardiac Anesthesia

The division of cardiac anesthesiology provides anesthetic care for cardiothoracic surgery in both the adult and pediatric population on a round-the-clock basis. Consultation is provided in the postoperative management of all cardiac surgical patients. Transesophageal echocardiography is used on most patients and joint teaching rounds are conducted by Cardiology and Anesthesiology.

Critical Care Medicine

An anesthesiologist is co-director of the Medical-Surgical ICU. Critical Care Medicine manages the care of patients who are critically ill as a result of medical or postoperative complications such as septic shock or who suffer from Adult Respiratory Distress Syndrome. Intensive care monitoring, both invasive and non-invasive, as well as specialized cardiac care for high risk cardiac patients hospitalized for non-cardiac surgery are provided on this service.

General Anesthesia

Anesthesia care, both general and regional, is available by in-house staff, 24 hours a day, at SUNY Downstate Medical Center and affiliate hospitals. Preadmission testing is encouraged. Appropriate monitoring is utilized for high-risk patients, and postoperative care, including intensive care, is available.

Neurosurgical Anesthesia

Adult and pediatric neurosurgical anesthesia services are provided at SUNY Downstate Medical Center and its affiliate hospitals by the anesthesia attending staff. Electrophysiologic monitoring with evoked potentials and computerized assisted EEG is available.

Obstetrical Anesthesia

The division of Obstetrical Anesthesia provides 24-hour in-house coverage at the three primary affiliates of SUNY Downstate Medical Center. Consultation is available for both in-patients and out-patients. We offer post-Cesarean section analgesia in conjunction with the Pain Management Service. We encourage patients with questions about obstetrical anesthesia to contact one of the members of the division.

Pain Management Center

The department provides a comprehensive, multidisciplinary outpatient pain management program utilizing physical treatment procedures such as nerve blocks, trigger-point injections, pharmacotherapy, and transcutaneous electrical nerve stimulation as well as psychological interventions such as relaxation training, hypnosis, cognitive behavior modification and individual therapy. An inpatient unit treats acute postoperative pain.

Pediatric Anesthesia

The Division of Pediatric Anesthesia practices in concordance with the Division of Pediatric Surgery as well as other surgical subspecialties with pediatric populations. General anesthesia as well as regional techniques are provided for intra-operative and post operative care on both routine and emergent cases 24 hours a day. Ambulatory surgery and postoperative pain management are also available to our pediatric patients.