Welcome to the Loudoun Anesthesia Associates, LLC (LLA) web site. Our group has been responsible for anesthesia services at Loudoun Hospital Center (LHC) and the CountrySide Ambulatory Surgical Center (CASC) for over 10 years. LAA consists of Anesthesiologists and Certified Registered Nurse Anesthetists (CRNA). The physician anesthesiologists and nurse anesthetists work as a team to provide anesthesia care. All of our anesthesiologist and CRNA's are U.S. trained and board certified.

Our mission is to provide quality and compassionate healthcare accessible to the entire Loudoun community. We support the mission of the hospital and our group through managerial and business leadership and expertise. We are dedicated to the creation of a continually improving quality healthcare team that exceeds the expectations of our patients, physician colleagues and hospital leadership.

Our team of providers are dedicated to:

• Creating and maintaining a safe perioperative environment;
• Creating a pleasant experience for our patients;
• Fostering open and comprehensive communication between our physician and nursing colleagues;
• Facilitating efficient and cost effective OR utilization

LAA has a broad range of responsibilities in their association with the hospital. In addition to the operating rooms at LHC and CASC, LAA covers a busy obstetric unit called The Birthing Inn. LAA also provides anesthesia for radiology procedures such as MRI, CAT scans, and interventional radiology. Some of the different types of surgical subspecialties we handle include:

• Ambulatory Care Anesthesia
• Orthopedic Anesthesia
• Acute Pain Management
• Chronic Pain Management
• Anesthetic Consultative Services
• Thoracic Anesthesia
• Obstetric Anesthesia
• Pediatric Anesthesia

Meeting the Anesthesiologist

When your surgeon schedules your surgery at Loudoun Hospital a nurse from the Surgical Services Preoperative Department will contact you. The pre-operative nurse will inquire about your medical history. Some preoperative testing including an EKG, blood work, and medical clearance may be required before the day of surgery depending on your medical history and age. These tests help to assure a safe anesthetic. You may be asked to see your primary care physician to complete these tests. Alternatively, you will be asked to come to the hospital to have an EKG done or blood drawn. On the day of surgery, after signing in with registration, you will be brought to a pre-op room where you will be admitted and an IV will be started. During this time a member of the anesthesia team will come and speak with you about your anesthesia. In some instances, you will have a choice of anesthesia for your surgery. These choices will be discussed and a decision will be made concerning the best type of anesthesia for your case. There are four main types of anesthesia from which to choose.

General anesthesia provides loss of consciousness.

Regional anesthesia involves the injection of local anesthetic to provide numbness, loss of pain or loss of sensation to a particular region of the body. Regional anesthetic techniques include spinal blocks, epidural blocks and arm and leg blocks. Medication can be given to make you drowsy and blur your memory.

Monitored anesthesia care (MAC) consists of local anesthetic injections as well as the use of medications to make you drowsy. As with other types of anesthesia, you are sedated, your anesthesiologist will monitor your vital body functions. Some insurance companies may not pay for this type of anesthesia unless they feel it is medically necessary. We recommend that you check with your insurance, prior to surgery, to discuss coverage benefits.

Local anesthesia, which provides numbness to a small area, may be injected by your surgeon.

Your anesthesiologist will discuss the risks and benefits associated with the different anesthetic options. When the surgeon is ready you will be sedated and brought to the operating room for your case. During the case an anesthesiologist or CRNA will be with you all the time.

It is our sincere hope that you learn a great deal more about LAA and Anesthesiology by viewing our web site. Quality patient care is our number one priority.