Types of Specialties
Perioperative Surgical Care
As healthcare continues to evolve and change, Orange Coast Anesthesia continues to be at the forefront of innovation and adaptation to provide the highest quality care to every patient. OCA has adopted and implemented ASA’s Perioperative Surgical Home (PSH) concept to enhance value and achieve improved patient experience and better overall health care. Our anesthesiologists lead a comprehensive care team in this multidisciplinary approach to patient care which optimizes health care value. As the leaders, OCA anesthesiologists guide the surgical process for individual patients in coordination with the surgeons and the surgical team.
Once a determination is made that a patient needs surgery, OCA anesthesiologists will assess the patient with respect to preexisting comorbidities that may lead to complications during a procedure to plan coordinated care between specialties. With the assistance of dedicated perioperative nurses, our anesthesiologists will guide patients and their families in determining the “best practice” and “next steps.” We will then coordinate the individualized surgical plan and map out the postoperative recovery period based on each patient’s needs while considering each patient’s underlying conditions. Orange Coast Anesthesiologists lead the team in following established guidelines in taking care of our patients during the entire perioperative period, including the preoperative, intraoperative, postoperative and post-discharge care. This has resulted in our patients receiving the highest quality individualized care with better patient satisfaction, improved outcomes and shorter hospital stays. Patients not only go home sooner, but also return to daily life and full functional status sooner.
A select number of Orange Coast Anesthesia physicians are on the cardiothoracic team providing 24 hour service for both elective and emergent cardiothoracic procedures. A number of our OCA anesthesiologists on this team have completed an extra year of training in Cardiothoracic Anesthesiology at some of the best programs in the nation. In addition to their primary board certification by the American Board of Anesthesiology, some of our members have secondary board certification by the National Board of Echocardiography in Advanced Perioperative Transesophageal Echocardiography. Orange Coast Anesthesia physicians have the expertise, training, competency and compassion needed to provide the highest quality care for each of our patients.
Our Cardiothoracic anesthesiologists provide service for coronary artery bypass grafting, heart valve surgery, surgery on the aorta, as well as thoracic surgery. Our anesthesiologists also provide services in the cardiac catheterization laboratories for Electrophysiology and Cardiac Implantable Devices. Given the complexity and intensity of these cases, OCA physicians maintain a very close relationship with the cardio-thoracic surgeons as well as the cardiologists in order institute preoperative, intraoperative, and postoperative protocols needed to ensure our patients have great clinical outcomes and core quality measures.
Acute Pain Management
Orange Coast Anesthesia’s Pain Management Service is led by anesthesiologists who have spent an extra year training at some of the best Pain Fellowship programs in the nation. We recognize the importance of adequate pain control in our surgical patients. OCA physicians believe that postop pain management begins in the pre-operative period. The plan is tailored to each individual patient based on the surgical procedure and the patient’s needs. Our anesthesiologists use a multimodal regimen, including opioid and non-opioid analgesics and peripheral nerve blocks as indicated. This plan is individualized using evidence based clinical practice guidelines to promote effective and safe postoperative pain management.
OCA’s physicians offer thoracic epidural catheter placement for thoracic and upper abdominal procedures, as well as for patients with rib fractures. Thoracic epidural anesthesia provides superior perioperative analgesia compared to parenteral opioids. It has also been shown to decrease post-operative complications in select patients. Thoracic epidural infusions are continued for several days post-operatively and are managed by a qualified anesthesiologist on the Acute Pain Service.
OCA’s physicians also offer regional anesthesia when indicated. Regional anesthesia decreases opioid consumption and provides great postoperative pain control. Many of our patients are able to be discharged to home with great pain control on the day of surgery.
OCA’s acute pain management physicians are dedicated to providing multi-modal approach to perioperative pain management. Perioperative regional anesthesia has been shown to improve patient outcome and improve patient satisfaction. Our anesthesiologists are committed to providing the highest quality care in order to achieve optimal, safe pain control for all of our patients.
Orange Coast Anesthesia physicians provide 24 hour anesthesia services for both elective and emergent neurosurgical and neuro-interventional procedures. OCA anesthesiologists on the neurosurgical team provide optimum and efficient care for patients undergoing procedures for intracranial hemorrhage, intracranial aneurysms, arteriovenous malformations, brain tumors, hydrocephalus, diseases of the spine, and spinal cord injuries. Our neurosurgical anesthesiologists also provide care outside of the operating rooms in interventional radiology for neuro-diagnostic and neuro-therapeutic procedures.
OCA’s neurosurgical anesthesiologists have perfected their care of the neurosurgical patient to include techniques which facilitate intraoperative neurophysiologic monitoring. Our anesthesiologists take leadership roles and work closely with all the neurosurgical team members in order to ensure that our patients receive the most efficient and the highest quality care in order to have the best outcomes.
All of our Orange Coast Anesthesia physicians are trained and experienced in the field of obstetrical anesthesia. OCA anesthesiologists provide 24-hour service for our laboring patients. A majority of our laboring patients choose to receive labor epidurals to manage their pain during labor. All of our anesthesiologists have the expertise needed to provide the highest quality anesthesia services needed for laboring patients as well as elective and emergent c/sections.
OCA physicians support each mother’s choices for pain management during labor. All of our anesthesiologists are proficient at placement of labor epidural catheters, and are able to provide combined spinal/epidural analgesia (CSE) techniques for labor pain. Our anesthesiologists are experts at neuraxial and as well as general anesthesia for cesarean sections. OCA physicians work closely with obstetricians and laboratory/blood bank personnel to ensure our patients receive the individualized highest quality care that each patient deserves. This will not only keep our patients and their family members happy, but also great outcome is ensured for both the mother and the baby.
Orange Coast Anesthesia physicians have at least 3 or more years of trauma anesthesia experience. OCA physicians are trained at level I and II trauma and regional burn centers alongside with the trauma and burn teams. OCA trauma anesthesiologists provide comprehensive anesthesia care at Orange County Global Medical Center which is a level II trauma receiving center.
OCA trauma anesthesiologists are available 24/7 for any emergency traumas which may need anesthesia services. Our anesthesiologists have the superior skills and training needed in order to take best care of these critical patients. Our physicians are dedicated to responding efficiently and proficiently given that early intervention leads to better outcome.
OCA is committed to providing the highest care for our patients. OCA requires all of its physicians are to have Advanced Trauma Life Support (ATLS) certification. Our trauma physicians are also required to regularly review the American College of Surgeons’ Trauma Quality Improvement Program (ACS TQIP), Best Practice Guidelines such as: Geriatric Trauma Management, Massive Transfusion in Trauma, and Management of Traumatic Brain Injury. We encourage our physicians to continue its efforts in collecting data and reporting to the ACS TQIP and the National Trauma Data Bank (NTDB) to help (1) get feedback about the center’s performance, (2) identify institutional characteristics that the trauma center staff can implement to improve patient outcomes, (3) provide the hospital with accurate national comparisons, (4) provide education and training to help trauma staff improve the quality of data and accurately interpret benchmark reports, and (5) network and share information about best practices with other trauma professionals. OCA anesthesiologists aim for constant quality improvement and learning through combined anesthesia-trauma team morbidity and mortality conferences.
Perioperative Surgical Care
Acute Pain Management