Dr. Randolph Thomas Hewgill – Anesthesiologist | North Vancouver, BC

With expertise in Anesthesiology, Dr. Randolph Thomas Hewgill ensures patients receive appropriate anesthetic management tailored to their needs. Practicing primarily at medical facilities near the central North Vancouver area, he contributes to the surgical and procedural teams, focusing on patient safety and comfort. Dr. Hewgill adheres to the standards set by the College of Physicians and Surgeons of British Columbia (CPSBC), maintaining the highest level of professional practice. His role involves comprehensive perioperative care, ensuring each patient receives individualized anesthesia plans aligned with best practices.

Dr. Hewgill graduated with a Medical Degree from the University of British Columbia in 2001 and completed extensive post-graduate training in Anesthesiology. His certifications include board certification in anesthesiology, with ongoing commitment to professional development and adherence to provincial regulatory standards. His training emphasizes both technical expertise and patient-centered care, enabling him to manage a wide range of anesthesia needs effectively.

He maintains a clear and educational approach to his clinical practice, prioritizing patient safety and effective communication. Dr. Hewgill is fluent in English and dedicated to providing accessible, compassionate care within North Vancouver. His philosophy centers on ensuring patients are well-informed and comfortable throughout their procedural experience, reflecting his commitment to excellence in 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.
• 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.
• Airway Management Expertise: Skilled management of the patient's airway, including intubation (placing a breathing tube) when necessary, ensuring adequate oxygenation and ventilation.
• 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.

Note: This list outlines typical areas of anesthetic practice. The specific anesthetic plan for your procedure will be determined by Dr. Hewgill (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 British Columbia (CPSBC).

Dr. Hewgill primarily practices at medical facilities situated close to the central North Vancouver neighborhood, in areas accessible via local public transit options. These facilities are in proximity to local points of interest such as Lonsdale Quay and the North Vancouver District Hospital. The environment is designed to support seamless patient access and comfort. The facility is wheelchair accessible. Parking is available at the facility.

How is payment handled for anesthesia care with Dr. Hewgill? Is it covered by Medical Services Plan (MSP)?

In BC, medically necessary anesthesia services provided by specialists like Dr. Hewgill during provincially insured surgical or medical procedures are typically covered by Medical Services Plan (MSP). 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 Medical Services Plan (MSP) for specific circumstances.

Can I directly request Dr. Hewgill 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. Hewgill 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. Hewgill. 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.

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.

231 15th St E, Anesthesiology Dept., Lions Gate Hospital
North Vancouver, BC V7L 2L7

Phone: (604) 987-5938

The facility is wheelchair accessible.

Dr. Hewgill is a licensed physician regulated by the College of Physicians and Surgeons of British Columbia (CPSBC) under the Health Professions Act in BC. 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 British Columbia (CPSBC): https://www.cpsbc.ca/public/registrant-directory/search-result/325703/Hewgill%2CRandolph