About
With expertise in Anesthesiology, Dr. Harold David Rosen ensures patients receive appropriate anesthetic management tailored to their needs. Practicing primarily at facilities in Toronto, ON, he contributes to the surgical and procedural teams, providing comprehensive care in Anesthesiology. His practice adheres strictly to the standards and guidelines set by the College of Physicians and Surgeons of Ontario (CPSO), ensuring high-quality, safe, and effective anesthesia services for all patients requiring surgical or medical procedures.
Dr. Rosen graduated with a Medical Degree from the University of Toronto in 1990 and has been practicing as a specialist in Anesthesiology for over 28 years since 1996. He is certified by the Royal College of Physicians and Surgeons of Canada, maintaining rigorous standards of certification and ongoing professional development to stay current with advancements in anesthetic practice.
His clinical philosophy is evidence-based and patient-centered, emphasizing safety, comfort, and effective pain management. Dr. Rosen is committed to delivering the highest standards of care, ensuring patient safety in Toronto. He speaks English and French, facilitating communication with diverse patient populations and healthcare teams.
- 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.
- Procedural Sedation (Outside OR): Administering sedation and monitoring for procedures performed outside the main operating rooms, such as in endoscopy suites or radiology.
- Pre-Anesthetic Assessment and Consultation: Thorough evaluation of patient health, medical history, medications, and surgical/procedural plan to create the safest and most effective anesthesia plan.
- Anesthesia for Outpatient/Ambulatory Surgery: Providing safe and effective anesthesia tailored for procedures where patients are expected to go home the same day.
- Management of Anesthetic Emergencies: Rapid diagnosis and treatment of critical events or complications that may arise during anesthesia.
Note: This list outlines typical areas of anesthetic practice. The specific anesthetic plan for your procedure will be determined by Dr. Rosen (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. Rosen primarily practices at the Ottawa Hospital - Riverside Site, located in the Bay Street Corridor (Discovery District) neighborhood of Toronto, near St. Lawrence Hall. The facility is conveniently accessible via TTC, including subway, streetcar, and bus services. The area is well-served by public transportation, facilitating easy access for patients. Parking is available at the facility, and the site is equipped with wheelchair accessibility to accommodate all patients' needs.
- How is payment handled for anesthesia care with Dr. Rosen? Is it covered by Ontario Health Insurance Plan (OHIP)?
- In ON, medically necessary anesthesia services provided by specialists like Dr. Rosen 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. Rosen 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. Rosen from the team covering your procedure.
- Why is it important to follow fasting instructions?
- Fasting (not eating or drinking) before anesthesia is critical for your safety. If there is food or liquid in your stomach during anesthesia, it could potentially come up into your throat and lungs (aspiration), which can cause serious lung complications. Following the specific fasting times given to you significantly reduces this risk.
- How will my pain be managed after the procedure?
- Effective pain management is a priority. Depending on the procedure, Dr. Rosen may use strategies like regional nerve blocks placed before or during surgery for prolonged numbness, patient-controlled analgesia (PCA) pumps, epidural infusions, or a combination of different types of pain medications (multimodal analgesia). The goal is to keep you comfortable to aid recovery and mobility. This plan is often coordinated with the surgical team.
- Should I take my regular medications on the day of the procedure?
- This depends entirely on the specific medication and instructions given to you. You MUST discuss all your regular medications with your surgeon and the anesthesia team during your pre-assessment. Some medications (like certain blood pressure pills) may be taken with a sip of water, while others (especially blood thinners, some diabetes medications) must be stopped or adjusted days beforehand. Never change your medication routine without specific instructions.
Ottawa Hospital - Riverside Site
555 University Avenue
Toronto, ON M5G 1X8
Phone: (613) 851-3426
The facility is wheelchair accessible.
Dr. Rosen 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/Rosen-Harold-David/0048511-62489