About
As a skilled Anesthesiologist, Dr. Kristine Louise Marmai plays a crucial role in patient safety and comfort during the perioperative period. Practicing primarily at facilities in London, ON, she contributes to the surgical and procedural teams, ensuring adherence to the standards set by the College of Physicians and Surgeons of Ontario (CPSO). Dr. Marmai provides comprehensive care in Anesthesiology, focusing on optimizing patient outcomes and safety during various medical procedures.
Dr. Marmai graduated with a Medical Degree from the Schulich School of Medicine and Dentistry in 2005 and has been practicing as a specialist in Anesthesiology for over 14 years since 2010. She is certified by the Royal College of Physicians and Surgeons of Canada, demonstrating her commitment to maintaining high standards of clinical excellence and ongoing professional development.
Her clinical philosophy centers on delivering professional, evidence-based, and patient-centered anesthetic care. She is dedicated to ensuring the safety and comfort of her patients in London, speaking fluently in English. Dr. Marmai collaborates closely with surgical teams to tailor anesthetic plans that meet individual patient needs, emphasizing safety, efficacy, and compassionate care.
- 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.
- Intraoperative Monitoring: Continuous monitoring of vital signs (heart rate, blood pressure, oxygen levels, breathing) and anesthetic depth throughout the procedure to ensure patient safety.
- Procedural Sedation (Outside OR): Administering sedation and monitoring for procedures performed outside the main operating rooms, such as in endoscopy suites or radiology.
- 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. Marmai (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. Marmai primarily practices at the St. Thomas Elgin General Hospital located in the Downtown London area, specifically serving the North London East neighborhood. The hospital is situated near various plazas to the North and South, with easy access via the London Transit Commission (LTC) bus services. The facility is wheelchair accessible. Parking is available at the facility.
- How is payment handled for anesthesia care with Dr. Marmai? Is it covered by Ontario Health Insurance Plan (OHIP)?
- In ON, medically necessary anesthesia services provided by specialists like Dr. Marmai 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. Marmai 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. Marmai from the team covering your procedure.
- What are the main types of anesthesia you might use?
- Dr. Marmai selects the safest and most appropriate anesthetic based on your health and the procedure. Options include:
- General Anesthesia: You'll be completely unconscious and unaware.
- Regional Anesthesia: A specific body part is numbed (e.g., spinal/epidural for lower body, nerve block for arm/leg). You might be awake or sedated.
- Monitored Anesthesia Care (MAC)/Sedation: Medication helps you relax and feel drowsy, often used with local anesthetic by the surgeon.
The choice will be discussed with you beforehand.
- What is the role of an Anesthesiologist?
- An Anesthesiologist is a specialist medical doctor (physician) extensively trained in anesthesiology, critical care medicine, and pain management. They are responsible for developing the anesthesia plan, administering anesthetic drugs, ensuring your safety and vital functions (like breathing, heart rate, blood pressure) are stable during a procedure, managing any medical emergencies that arise, and overseeing your immediate recovery and pain control afterwards.
- What if I have allergies or previous bad reactions to anesthesia?
- It is absolutely crucial to inform Dr. Marmai during your pre-anesthetic assessment about any known allergies (to medications, latex, food, etc.) and any previous experiences (good or bad) with anesthesia or sedation. This information helps tailor a safe plan and avoid agents you may react to.
St. Thomas Elgin General Hospital
339 Windermere Road, Department of Diagnostic Imaging
London, ON N6A 5A5
Phone: (519) 685-8500
The facility is wheelchair accessible.
Dr. Marmai 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/Marmai-Kristine-Louise/0219976-82538