Specialties

Departmental Sections

 


  

Ambulatory & Outpatient Anesthesiology

Section Head and Medical Director – Timothy Harwood, MD

Timothy Harwood, MDThe Section on Outpatient and Ambulatory Anesthesiology provides service to over 10,000 patients per year in an 8 operating room suite at the main campus, and a 3 room suite at Davie Medical Center in Advance, NC. The section is composed of 5 primary faculty members with others contributing from the Regional Anesthesia section helping to provide care at Davie Medical Center. 

We employ a variety of regional blocks using ultrasound and nerve stimulator techniques to provide a wide breadth of regional anesthesia techniques to provide longer periods of pain relief after our orthopedic surgical procedures. In addition, our use of short-acting anesthetics and non-narcotic pain medicines helps ensure more rapid recovery and quality of the postoperative experience. 


 

Cardiothoracic Anesthesiology

Section Head – Thomas Slaughter, MD

Thomas Slaughter, MDThe Section on Cardiothoracic Anesthesiology provides care for patients requiring cardiac (heart), thoracic (lung), or vascular (blood vessel) surgery at Wake Forest Baptist Medical Center. The faculty within the Cardiothoracic Anesthesiology Section are highly experienced in providing care for both adult and pediatric patients requiring these types of surgeries. After college, each of our physician faculty has completed 4 years of medical school, 4 years of residency training in anesthesiology, and an additional 1-2 years specializing in Cardiothoracic Anesthesiology. In addition, our faculty are nationally recognized for their efforts to improve the care for patients undergoing cardiothoracic and vascular surgery through research and education endeavors.

Although the risk associated with receiving anesthesia remains low, cardiothoracic surgery carries greater risks than many other surgeries. Our faculty will employ state-of-the art monitoring technology to minimize any risk associated with your surgery. For example, during surgery on the heart, our faculty use echocardiography (imaging using sound waves) to monitor the function of the heart and heart valves. One activity that you, as a patient, can do to improve your chances of doing well with surgery is to quit smoking. Chemicals within cigarette and cigar products constrict (squeeze smaller) blood vessels in the heart and may even lead to a heart attack. Stopping smoking before your surgery will improve your health – even if you have smoked for many years. Should you have any specific concerns regarding the anesthesia for your upcoming surgery, please do not hesitate to contact our faculty within the Department of Anesthesiology.
  


 

Critical Care Medicine

Section Head and Medical Director, Adult ICUs - Keith Scott, MD 

Scott Louie KeithThe Section on Critical Care provides critical-care-specialist (Intensivist) care to all patients in our Neuro-Intensive Care and Cardiothoracic Intensive Care Units.  There are 11 faculty members in the Section. We work closely with our Neurologists, Neurosurgeons, and Cardiothoracic surgeons to ensure the delivery of the highest quality care to each of our patients. The exemplary quality of care provided has been recognized externally by receipt of the Beacon Award for Critical Care Excellence from the AACN.  There is an attending Intensivist available 24 hours, 7 days a week in these ICUs. Each of our Intensivists is board certified or eligible in Critical Care and/or Neurocritical Care.  Our Intensivists have varied training backgrounds and expertise and bring a wealth of experience to the bedside.  The areas in which our Intensivists have primary training and board certifications include Internal Medicine, Anesthesiology, Emergency Medicine and Neurology, and Pulmonary Medicine.  For our residents and fellows, this cross-training gives a range of experience not available any where else in the region. 



Inpatient General Anesthesiology

Section Head - Scott Miller, MD (photo below far left)
Director, Inpatient ORs - Randy Calicott, MD (photo below second from left)
Director, Pediatric ORs - Timothy Smith, MD (photo third from left below)
Director, Post-Anesthesia Care Unit - Lorraine Arias, MD (photo below far right)

Miller Scott AlanCalicott Randy WSmith Timothy EArias Lorraine M


Needing surgery for any reason is anxiety-provoking for most of us. We understand this concept exceedingly well because our profession, universally, is primarily dedicated to bringing people safely and comfortably through this experience. Providing anesthesia is our privilege and the dozens of anesthesiologists in our department have dedicated their lives to its proper performance. Your anesthetic will always be performed by a team headed by an anesthesiologist. All anesthesiologists are doctors of medicine who have completed four yours of medical school, 3 to 4 years of anesthesia residency, and many have done extra years of training in particular subspecialties to include neuroanesthesia, cardiac anesthesia, obstetric, pediatric, and regional anesthesia. 

Our primary concern is patient safety, always. We are continuously assessing and monitoring every patient in our care to make certain everything that proceeds in the safest manner possible. From this foundation of safety ensures our other primary objectives: patient education and preparation for procedures, prevention, and treatment of pain and nausea, and assurance of a complete lack of awareness for procedures requiring complete or “general” anesthesia.

All anesthetics performed here will have a preoperative assessment completed before proceeding that includes a thorough review of all pertinent medical history, the explanation of all anesthetic options and the acquisition of your informed consent to proceed once all of your questions are answered. Upon completion of the procedure, patients are followed in a recovery area to ensure a safe emergence, optimize any nausea relief and transition pain treatment from surgery through to your next destination.
 



Neuroanesthesiology

Section Head – John Reynolds, MD

Reynolds John EdwardShould you require a neurosurgical procedure, our anesthesia department has an entire section dedicated to providing care in this unique arena. This includes any procedure on your head, neck, brain, spine, or spinal cord. We are comfortable with the considerations required for these cases because we focus on them every day.  The most unique aspect of neuroanesthesia is the requirement to emerge quickly regardless of case duration.  We accomplish this by altering the ratios of intranevous pain medications and inhalational gases. Our sole purpose is to make the procudure as safe and comfortable as possible.   

Should you have any questions regarding neuroanesthesia, you may contact me at 336-716-4498. 



Obstetric Anesthesiology

Section Head – Robert D’Angelo, MD (Forsyth Medical Center)

D'Angelo Robert

The 14 members of the Section on Obstetric and Gynecologic Anesthesiology provide anesthesia coverage for 7,000 obstetric deliveries and 3,000 gynecologic surgeries per year. Approximately 80% of vaginal deliveries utilize regional analgesia, and over 90% of patients receive spinal or epidural anesthesia for cesarean section. In-house call by faculty and resident physicians ensures top-level service 24-hours a day. The section is internationally known for its research on spinal and epidural anesthesia and analgesia. Faculty members are board certified by the American Board of Anesthesiology and have completed fellowships in obstetric anesthesia. Physicians come from all over the country to train within the Section on Obstetric and Gynecologic Anesthesiology.

 


Pediatric Anesthesiology

Section Head - Douglas Ririe

Ririe Douglas G

The section on pediatric anesthesia provides care for children requiring anesthesia and sedation for surgery and non-surgical procedures in the Brenner Children’s Hospital at Wake Forest Baptist Medical Center. The Brenner Children’s Hospital (located within the Medical Center) provides outstanding pediatric care and facilities and functions as an independent pediatric hospital within a large general hospital environment. More than 4,500 children are admitted to Brenner Children's Hospital each year. In addition, more than 21,000 pediatric subspecialty visits occur annually at the hospital-based outpatient clinics. Over 6000 cases each year are managed by eight Board Certified pediatric anesthesiologists. Pediatric anesthesiologists are physicians with a minimum of one year of specialized fellowship training and advanced certification in the perioperative care of children. This ensures the safest care for infants and children undergoing anesthesia and the optimal emphasis on the impact of the different psychological, physical, and physiological needs of children from newborns to teenagers. Surgical cases are comprised of all forms of general, urologic, orthopedic, ophthalmologic, plastic and reconstructive, otolaryngologic, cardiothoracic, and neurosurgical procedures. Services are also provided for children requiring specialized cardiology, pulmonary, gastroenterology and radiology services, to name a few. Our objectives are to keep children safe and to make the hospital experience as pleasant as possible and minimize the stress of surgery and procedures for children and families requiring our services. This involves helping manage your child’s anxiety before surgery as well as his or her pain after surgery. In addition, this involves addressing questions you have about your child’s procedure and keeping you informed about your child's condition. Our pediatric anesthesiologists are available 24 hours a day providing optimal pediatric care for children whenever needed. Brenner Children's Hospital Pediatric Anesthesiology

 



Pediatric Critical Care

Section Head  and Medical Director, Pediatric Intensive Care Unit and Respiratory Care – Thomas Nakagawa, MD

Nakagawa Thomas A

The pediatric intensive care unit (PICU) at Brenner’s Children’s Hospital is a state-of-the-art, high-level, 11-bed unit with a separate 7-bed intermediate care unit. The PICU has 9 full-time board-certified pediatric intensive care specialists who provide 24-hour in house coverage caring for critically ill and injured children ranging in age from birth to 21 years of age. The PICU averages 530 admissions per year.  Additionally, over 1000 children are admitted to the intermediate care unit. The intensivists provide consultation and care for surgical patients and manage medical patients collaborating with pediatric surgical and medical sub-specialists. The intensivists are actively involved in the cardiac surgery program caring for infants and children with congenital heart disease. Additionally, the intensive care team is involved in the management of medical emergencies, neurosurgical diseases, pediatric trauma, airway management, mechanical ventilation, vascular access, and ECMO. A pediatric sedation service run by the pediatric intensivists provides IV anesthesia for more than 1,000 children each year who require sedation for various procedures such as burn debridement, diagnostic and therapeutic lumbar punctures, endoscopy and colonoscopy, wound closures, hearing and ocular exams, and central line placement. A pediatric mobile intensive care team is available 24 hours a day to provide transport of critically ill and injured children to Brenner Children’s hospital.    PICU BROCHURE.



Perioperative Medicine

Section Head - Angela F. Edwards, MD (below left)
Medical Director, Preoperative Assessment Clinic, Daniel Forest, MD  (below right)

Edwards Angela FForest Daniel J
The Preoperative Assessment Clinic (PAC) is an innovative, efficient, and newly remodeled, patient-friendly clinic. The PAC provides preoperative preparation and evaluation for over 16,000 ambulatory surgery patients each year. Evidence-based testing is utilized to choose tests wisely and avoid unnecessary "routine" testing. The Anesthesiology Department has an attending anesthesiologist, physician assistants, nurse practitioners, and residents ensuring patients are ready for surgery.  Anesthesia and Internal Medicine services work together to ensure patients receive complete perioperative care.  While we routinely obtain our own testing, including noninvasive cardiac and pulmonary tests, a variety of consultants are available for more complex patients. An electronic Preoperative Assessment system is currently in use with electronic consents and signatures in the clinic.
  



Regional Anesthesia and Acute Pain Management

Section Head - Robert Weller, MD

Weller Robert SThe Section on Regional Anesthesia and Acute Pain Management (RAAPM) has 2 complementary focuses to its provision of patient care, resident education, and clinical research. The first is the application of regional anesthetic techniques for surgery with an emphasis on peripheral nerve blockade and continuous catheter techniques. The faculty in this section work closely with residents during a dedicated month-long RAAPM rotation to provide patients with 2000-3000 peripheral nerve block procedures a year. Each resident places and manages 60-100 regional anesthetics during this month of intensive training which also includes the management of continuous thoracic and lumbar epidural regional anesthetics.

The Acute Pain Service (APS) is a division of the Section of Regional Anesthesia and Acute Pain Management, which manages all inpatient pain management problems and conditions ranging from perioperative pain management, trauma-related pain, chronic pain, and cancer-related pain. The APS cares for both adult and pediatric patients, with 24 hour a day, 365 days a year management and consultation service. Over 150 new patient consultations are seen per month. Continuous epidural analgesia, continuous peripheral neural blockade, IV patient-controlled analgesia, and opioid and non-opioid analgesic therapies are widely used with an emphasis on multimodal analgesic regimens and preventative patient care facilitating postoperative and post-injury rehabilitation. Resident and fellowship level education through twice daily attending rounds, didactic discussions, and case presentations, as well as clinical research are integral components of the APS.   Choosing Regional Anesthesia at Wake Forest Medical Center

Quick Reference

Preoperative Assessment Clinic

Main Campus PAC
336-716-3245
Pharmacy Technician
336-716-5836

Hours
Mon-Fri, 7 am-5 pm
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Spotlight

Regional Anesthesia

Regional anesthesia is part of our routine at Wake Forest Baptist Medical Center. Hundreds of our patients benefit from regional anesthesia every month.

Last Updated: 12-22-2014
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Disclaimer: The information on this website is for general informational purposes only and SHOULD NOT be relied upon as a substitute for sound professional medical advice, evaluation or care from your physician or other qualified health care provider.