Dr. Melanie Krista Toman – Anesthesiologist | Oshawa, ON

As a skilled Anesthesiologist, Dr. Melanie Krista Toman plays a crucial role in patient safety and comfort during the perioperative period. Practicing primarily at facilities in Oshawa, ON, she contributes to the surgical and procedural teams by providing expert anesthetic care that adheres to the standards set by the College of Physicians and Surgeons of Ontario (CPSO). Her focus is on ensuring optimal patient outcomes through meticulous planning, monitoring, and management of anesthesia during a variety of procedures.

Dr. Toman graduated with a Medical Degree from the University of Ottawa in 2008 and has been practicing as a specialist in Anesthesiology for over 11 years since 2013. 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 is grounded in an evidence-based approach, prioritizing patient safety, comfort, and individualized care. She is dedicated to continuous improvement in anesthetic practices within Oshawa and speaks both English and French to better serve her diverse patient population.

• 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.
• 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).
• 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.
• 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.

Note: This list outlines typical areas of anesthetic practice. The specific anesthetic plan for your procedure will be determined by Dr. Toman (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. Toman primarily practices at the Fred A Litwin Family Centre located in the Vanier, McLaughlin West neighborhood of Oshawa. The facility is situated near the Oshawa Public Libraries (McLaughlin Branch) and is easily accessible via Durham Region Transit (DRT). The location offers convenient access for patients from the surrounding community. The facility is wheelchair accessible. Parking is available at the facility.

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

In ON, medically necessary anesthesia services provided by specialists like Dr. Toman 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. Toman 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. Toman from the team covering your procedure.

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.

What about nausea and vomiting after anesthesia?

Postoperative nausea and vomiting (PONV) can occur, but Anesthesiologists like Dr. Toman 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.

Fred A Litwin Family Centre in
3L-400, Box 34, 1 Hospital Ct, Genetic Medicine at UHN & Mt Sinai
Oshawa, ON L1G 2B9

Phone: (905) 576-8711

The facility is wheelchair accessible.

Dr. Toman 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/Toman-Melanie-Krista/0250933-89011