About
With expertise in Anesthesiology, Dr. Juliane Guay ensures patients receive appropriate anesthetic management tailored to their needs. Practicing primarily at facilities in Montréal, QC, she contributes to the surgical and procedural teams, always prioritizing patient safety and comfort. Her practice adheres to the high standards set by the Collège des médecins du Québec (CMQ), ensuring that each patient receives care that meets rigorous professional and ethical guidelines.
Dr. Guay graduated with a Medical Degree in 2020 and holds a specialty certification in Anesthesiology issued July 1, 2020. She completed extensive post-graduate medical training in Anesthesiology, gaining in-depth knowledge and hands-on experience in all aspects of perioperative care, pain management, and critical care. Her certification underscores her commitment to maintaining excellence in her specialty and staying current with evolving practices.
Her clinical philosophy emphasizes a calm and reassuring approach, fostering a sense of trust and ease for her patients. Dedicated to ensuring the highest standards of safety, Dr. Guay is committed to providing compassionate, attentive care throughout the perioperative experience. She speaks fluent French, facilitating clear communication and comfort for her diverse patient population in Montréal.
- General Anesthesia Administration: Inducing and maintaining a controlled state of unconsciousness ('sleep') using intravenous or inhaled medications, ensuring patient comfort and immobility during major surgery.
- Fluid and Blood Product Management: Administering intravenous fluids and blood products as needed during procedures to maintain hemodynamic stability.
- 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.
- Airway Management Expertise: Skilled management of the patient's airway, including intubation (placing a breathing tube) when necessary, ensuring adequate oxygenation and ventilation.
- Anesthesia for Outpatient/Ambulatory Surgery: Providing safe and effective anesthesia tailored for procedures where patients are expected to go home the same day.
Note: This list outlines typical areas of anesthetic practice. The specific anesthetic plan for your procedure will be determined by Dr. Guay (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 Collège des médecins du Québec (CMQ).
Dr. Guay primarily practices at the Centre Hospitalier de l'Université de Montréal (CHUM), located in the vibrant Ville-Marie East (Quartier Latin, Village) neighborhood of Montréal. The facility is in close proximity to St. Mary's Hospital Center, making it convenient for patients in the area. Accessible via the Société de transport de Montréal (STM), including Métro and bus services, patients can reach the hospital easily. The facility is wheelchair accessible. Parking is available at the facility.
- How is payment handled for anesthesia care with Dr. Guay? Is it covered by Régie de l'assurance maladie du Québec (RAMQ)?
- In QC, medically necessary anesthesia services provided by specialists like Dr. Guay during provincially insured surgical or medical procedures are typically covered by Régie de l'assurance maladie du Québec (RAMQ). 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 Régie de l'assurance maladie du Québec (RAMQ) for specific circumstances.
- Can I directly request Dr. Guay 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. Guay from the team covering your procedure.
- Is it possible to wake up during general anesthesia?
- Awareness under general anesthesia is extremely rare with modern techniques and monitoring used by Anesthesiologists like Dr. Guay. Specialized monitors help track the depth of anesthesia, and drug doses are carefully adjusted throughout the procedure to ensure you remain safely unconscious and unaware.
- What happens in the recovery room (PACU)?
- After your procedure under general or regional anesthesia/sedation, you will be taken to the Post-Anesthesia Care Unit (PACU), also known as the recovery room. Specially trained nurses will closely monitor your breathing, heart rate, blood pressure, oxygen level, and level of consciousness as you wake up. They will also manage any immediate pain or nausea under the guidance of the anesthesia team.
- What about nausea and vomiting after anesthesia?
- Postoperative nausea and vomiting (PONV) can occur, but Anesthesiologists like Dr. Guay use strategies to prevent it, especially for patients at higher risk. This may include specific anesthetic techniques, administering anti-nausea medications before, during, or after the procedure, and ensuring adequate hydration. If you do experience nausea, effective treatments are available in the recovery room.
CHUM
1051 rue Sanguinet
Montréal, QC H2X 3E4
Phone: (514) 890-8000
The facility is wheelchair accessible.
Dr. Guay is a licensed physician regulated by the Collège des médecins du Québec (CMQ) under the Medical Act in QC. Anesthesia services are typically arranged through the hospital or clinic where your procedure is scheduled.
Verify registration with the Collège des médecins du Québec (CMQ): https://www.cmq.org/en/directory/physicians?number=20350