About
With expertise in Anesthesiology, Dr. Stephen Rose James ensures patients receive appropriate anesthetic management tailored to their needs. Practicing primarily at facilities in Mississauga, ON, he contributes to the surgical and procedural teams, adhering to the high standards set by the College of Physicians and Surgeons of Ontario (CPSO). Dr. James provides comprehensive care in Anesthesiology, focusing on optimizing patient safety and comfort during procedures involving anesthesia.
Dr. James graduated with a Medical Degree from Universidad Iberoamericana (UNIBE) in 2001 in the Dominican Republic. He has been practicing as a specialist in Anesthesiology for over 15 years, since 2009. His training includes extensive postgraduate medical education in anesthesiology, encompassing a broad range of clinical skills and subspecialty knowledge necessary for safe and effective anesthesia delivery.
He adopts an evidence-based and patient-centered approach to anesthetic care, emphasizing safety, efficacy, and individualized treatment plans. Committed to maintaining the highest standards of practice, Dr. James speaks English and Spanish, ensuring effective communication with a diverse patient population in Mississauga. His clinical philosophy centers on patient safety, thorough assessment, and the application of current best practices to achieve optimal outcomes.
- Fluid and Blood Product Management: Administering intravenous fluids and blood products as needed during procedures to maintain hemodynamic stability.
- 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.
- Anesthesia for Outpatient/Ambulatory Surgery: Providing safe and effective anesthesia tailored for procedures where patients are expected to go home the same day.
- Procedural Sedation (Outside OR): Administering sedation and monitoring for procedures performed outside the main operating rooms, such as in endoscopy suites or radiology.
- 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).
Note: This list outlines typical areas of anesthetic practice. The specific anesthetic plan for your procedure will be determined by Dr. James (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. James primarily practices at Georgetown Hospital, located in the Meadowvale, Meadowvale Village North neighborhood of Mississauga. The hospital is conveniently situated near Dixie Outlet Mall and Erindale Park, making it accessible and easy to reach. Patients can access the facility via MiWay (Mississauga Transit), which provides reliable public transportation. The hospital is wheelchair accessible, ensuring ease of access for all patients. Parking is available at the facility, offering convenience for patients driving to appointments.
- How is payment handled for anesthesia care with Dr. James? Is it covered by Ontario Health Insurance Plan (OHIP)?
- In ON, medically necessary anesthesia services provided by specialists like Dr. James 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. James 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. James from the team covering your procedure.
- What are the main types of anesthesia you might use?
- Dr. James 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 if I have allergies or previous bad reactions to anesthesia?
- It is absolutely crucial to inform Dr. James 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.
- What's the difference between an Anesthesiologist and other anesthesia providers?
- In Canada, an Anesthesiologist is a medical doctor (MD) with extensive postgraduate specialty training (typically 5+ years after medical school) covering all aspects of anesthesia, critical care, and pain management. They lead the anesthesia care team. Other professionals, like respiratory therapists or specialized nurses, may assist under the direct supervision of the Anesthesiologist.
Georgetown Hospital
9-6400 Millcreek Dr, Department of Paediatrics
Mississauga, ON L5N 3E7
Phone: (905) 288-1045 | Fax: (905) 858-2144
The facility is wheelchair accessible.
Dr. James 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/James-Stephen-Rose/0259256-92083