About
Dr. Paul-André Malenfant is a dedicated Anesthesiologist focused on providing safe and effective anesthesia care for surgical and medical procedures. Practicing primarily at facilities in Québec City, QC, he contributes to the surgical and procedural teams. He adheres to the high standards set by the Collège des médecins du Québec (CMQ) and is committed to ensuring patient safety and comfort throughout all phases of anesthesia management. Dr. Malenfant provides comprehensive care in Anesthesiology, addressing the unique needs of each patient requiring anesthesia for diverse surgical and diagnostic procedures.
He graduated with a Medical Degree in 2012 and holds specialty certification in Anesthesiology issued July 1, 2012, after completing extensive post-graduate medical training in the field. His education and certifications reflect a commitment to maintaining expertise and staying current with advances in anesthesia practice, ensuring high-quality care for his patients.
Dr. Malenfant’s clinical philosophy emphasizes clear and educational communication, prioritizing patient safety and comfort. Fluent in French, he is dedicated to providing accessible and compassionate care tailored to the needs of the Québec City community. His approach is centered on evidence-based practices and continuous improvement to uphold the highest standards of anesthetic care.
- Procedural Sedation (Outside OR): Administering sedation and monitoring for procedures performed outside the main operating rooms, such as in endoscopy suites or radiology.
- 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.
- 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).
- 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. Malenfant (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. Malenfant primarily practices at the Hôpital Saint-François-d’Assise in the Limoilou (Vieux-Limoilou) neighborhood of Québec City. The hospital is conveniently situated near shopping streets both inside and outside the walls, and is close to Église Saint-Jean-Baptiste. Accessible via the Réseau de transport de la Capitale (RTC), the facility is wheelchair accessible. Parking is available at the facility.
- How is payment handled for anesthesia care with Dr. Malenfant? Is it covered by Régie de l'assurance maladie du Québec (RAMQ)?
- In QC, medically necessary anesthesia services provided by specialists like Dr. Malenfant 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. Malenfant 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. Malenfant 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.
- What are the main types of anesthesia you might use?
- Dr. Malenfant 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.
Hôpital Saint-François-d’Assise
10 Rue de l'Espinay
Québec City, QC G1L 3L5
Phone: (418) 525-4444
The facility is wheelchair accessible.
Dr. Malenfant 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=12470