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About Anesthesiology
Each year Spectrum Anesthesiologists provide anesthetic care to over 55,000 patients.
Our anesthesiologists can be found at some of Maine’s busiest hospitals and health care facilities. We have developed special expertise in a number of areas including obstetrical, pediatric, cardiac, neurosurgical, general surgery/trauma, orthopaedic, and out-patient anesthesia as well as critical care.
Regardless of your need, Spectrum anesthesiologists are available 24 hours a day, 7 days a week to provide you with the best care.
Our Team
- John Kwock, MD
- Keila Maher, MD
- J. Richie Garcia, MD
- Eric Brown, MD
- Jennifer Evansmith, MD
- R. David Warters, MD
- Rodney Voisine
- William Sauer
- Ara Parseghian
- Ryan Mountjoy
- Jonathan Meserve
- Janette McGrath
- Jessica Hathaway
- Diane Hankes
- Patrick Hackett
- Margaret Brill
- Kevin Brill
- Arielle Butterly, MD
- Michael Brennan, PA-C
- William Boyd, MD
- Nancy Boulanger, MD
- Diana Wagman, PA-C
- Jennifer Thompson, MD
- William Swartz, MD
- Laurie Sutherland, MD
- Carolyn Starks, DO
- Gregory Sheehan, MD
- Leslie Schwab, MD
- (Anna) Katarina Sawtelle, MD
- Barbara Ryan, MD
- Malgorzata Rutkowski, MD
- Charles Roth, PA-C
- Irl Rosner, MD
- Ann Reardon, MD
- Kenneth Raessler, MD
- Paul Pultorak, DO
- Katherine Pope, MD
- Justin Poltak, MD
- Jason Pollard, MD
- James Pisini, DO
- Theodoros Papalimberis, MD
- Gary Palman, DO
- Orion Nohr, MD
- Nina Morrissette, MD
- Greg Morrissette, MD
- Robert Morrison, MD
- Kelly Morgan, MD
- Jessica McDermott, MD
- Brian McAllister, MD
- Bruce Malmer, MD
- John Makrides, MD
- Lucy Mack, FNP-C
- Russell Mack, MD
- Charles (Ted) Lord, MD
- Elizabeth Levesque, PA-C
- Paul Lennon, MD
- Sarah Lavoie, PA-C
- Denise LaRue, MD
- David Landry, MD
- Daniel Landry, MD
- Sarah Laduzenski, MD
- Theresa Kudlak, MD
- W. Daniel Kovarik, MD
- Richard Kirkpatrick, MD
- Sean Kelly, MD
- Cynthia Jenson, MD
- Peter Hubbs, MD
- Allen Hayman, MD
- Byron Hathcock, MD
- Andrew Grandin, MD
- Barry Gleason, MD
- Dale George, MD
- James Gagnon, MD
- James Flowerdew, MD, FAAP
- J Scott Ewert, MD
- Robert Epstein, MD
- Timothy Dutton, MD
- Kolleen Dougherty, MD
- Gary DiLisio, MD
- James DeCourcey, DO
- Carol Dean, MD
- John Darby, MD
- Craig Curry, MD
- Danielle Currier, PA-C
- Dana Crovo, MD
- John Crispin, MD
- Diane Cormier, FNP-BC
- Christopher Connors, MD
- Mark Aaron Cogen, MD
- Robert Cody, MD
- Angus Christie, MD
- Isaac Chemmanam, MD, MRCP
- Christopher Cary, MD
- Bryn Carpenter, MD
- Daniel Campos, MD, MPH
- Thomas Bolles, MD
- Robert Ascanio, MD
- David Andrews, MD
- John Allyn, MD
You and Your Anesthesiologist
Your Spectrum anesthesiologist will be involved with you before, during, and after your surgery.
Before Surgery
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 test 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.
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.
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.
For Your Informaiton
You may have lots of questions about an upcoming surgery. Find more answers in FAQs.
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.
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. You may click on the link below to view the resident physicians of Maine Medical Center’s Anesthesiology Residency Program. 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.
Meet the resident physicians who are currently training in Maine Medical Center’s Anesthesiology Residency Program.
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.
Education & Training Experience
The following video is provided to expectant mothers and their families as an educational tool to help better understand the role anesthesiology can play as part of the labor and delivery process.
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 us at (207) 482-7800.
- 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