Dr. Brian Kiyoshi Nishimura – Anesthesiologist | Mississauga, ON

As a skilled Anesthesiologist, Dr. Brian Kiyoshi Nishimura plays a crucial role in patient safety and comfort during the perioperative period. Practicing primarily at facilities in Mississauga, ON, he contributes to the surgical and procedural teams, ensuring that each patient receives individualized and compassionate care. Adhering to the high standards set by the College of Physicians and Surgeons of Ontario (CPSO), Dr. Nishimura provides comprehensive care in Anesthesiology, focusing on maintaining safety, alleviating anxiety, and optimizing outcomes for patients undergoing various procedures.

Dr. Nishimura graduated with a Medical Degree from Queen's University in 1995 in Canada. He has been practicing as a specialist in Anesthesiology for over 24 years, since 2000. He is certified by the Royal College of Physicians and Surgeons of Canada, reflecting his commitment to maintaining the highest standards of professional excellence and ongoing education in his field.

His clinical philosophy is rooted in calmness, reassurance, and meticulous attention to patient safety. Dedicated to providing comfort and peace of mind, Dr. Nishimura speaks English fluently and strives to foster a reassuring environment for all patients in Mississauga. His approach emphasizes clear communication, compassionate care, and a thorough understanding of each patient's unique needs.

• Management of Anesthetic Emergencies: Rapid diagnosis and treatment of critical events or complications that may arise during anesthesia.
• Monitored Anesthesia Care (MAC) / Sedation: Providing varying levels of sedation (light to deep) and analgesia, combined with close monitoring of vital signs, for procedures not requiring general anesthesia.
• Intraoperative Monitoring: Continuous monitoring of vital signs (heart rate, blood pressure, oxygen levels, breathing) and anesthetic depth throughout the procedure to ensure patient safety.
• Regional Anesthesia Techniques: Numbing specific body regions using targeted nerve blocks (e.g., spinal, epidural, peripheral nerve blocks) for surgery or pain control, potentially allowing the patient to remain awake or sedated.
• Acute Postoperative Pain Management: Implementing strategies to manage pain immediately after surgery, utilizing multimodal approaches like regional blocks, IV medications, or patient-controlled analgesia (PCA).

Note: This list outlines typical areas of anesthetic practice. The specific anesthetic plan for your procedure will be determined by Dr. Nishimura (or an associate) in consultation with you and your surgeon/proceduralist based on your health and the requirements of the procedure. Subspecialty services like chronic pain management may require a separate referral pathway.

All medical services are provided in accordance with the standards of practice set by the College of Physicians and Surgeons of Ontario (CPSO).

Dr. Nishimura practices primarily at Toronto Western Hospital, located in the Mississauga City Centre near Square One. The practice is conveniently situated close to landmarks such as Iceland Mississauga Arena and Centennial Park on the west edge of the city. Accessibility is excellent via MiWay (Mississauga Transit), making it easy for patients to reach the facility. The practice location is wheelchair accessible. Parking is available at the facility, providing ease of access for patients attending appointments.

How is payment handled for anesthesia care with Dr. Nishimura? Is it covered by Ontario Health Insurance Plan (OHIP)?

In ON, medically necessary anesthesia services provided by specialists like Dr. Nishimura during provincially insured surgical or medical procedures are typically covered by Ontario Health Insurance Plan (OHIP). Pre-anesthetic consultations related to these procedures are also usually covered. Fees for specific uninsured services (e.g., certain non-medically required procedures, form completion) may apply based on provincial guidelines. Please confirm coverage with Ontario Health Insurance Plan (OHIP) for specific circumstances.

Can I directly request Dr. Nishimura for my anesthesia?

While you can discuss preferences with your surgeon, the assignment of an Anesthesiologist is typically managed by the hospital's anesthesia department or the surgical group based on scheduling, expertise required, and availability. Your surgeon arranges the necessary anesthesia care, which includes consultation with an anesthesiologist like Dr. Nishimura from the team covering your procedure.

How do my existing health conditions (e.g., heart problems, asthma, sleep apnea) affect anesthesia?

Existing health conditions are a key part of the pre-anesthetic assessment. Dr. Nishimura needs to know about all conditions like heart disease, lung problems (asthma, COPD, sleep apnea), diabetes, kidney disease, etc. This information allows he to choose the safest anesthetic drugs and techniques, anticipate potential issues, and optimize monitoring during your procedure. For example, adjustments might be made for sleep apnea or specific cardiac monitoring used for heart conditions.

Toronto Western Hospital
7 McLaughlin, 100 Queensway West
Mississauga, ON L5B 1B8

Phone: (905) 848-7628

The facility is wheelchair accessible.

Dr. Nishimura is a licensed physician regulated by the College of Physicians and Surgeons of Ontario (CPSO) under the Medicine Act, 1991 in ON. Anesthesia services are typically arranged through the hospital or clinic where your procedure is scheduled.

Verify registration with the College of Physicians and Surgeons of Ontario (CPSO): https://doctors.cpso.on.ca/DoctorDetails/Nishimura-Brian-Kiyoshi/0057297-68885