Dr Donald Innes
Who am I?
Hi my name is Donald Innes and I am an Australian Medical graduate (University of Newcastle). I gained my specialist qualifications with the Australian New Zealand College of Anaesthetists in 2003 and currently work across a number of major tertiary hospitals in Sydney, multiple larger private hospitals and a number of smaller centres.
My major interests include anaesthesia for paediatric surgery, thoracic surgery, ENT surgery, neurosurgery including craniofacial surgery and major orthopaedic surgery. I also participate in after-hours obstetric rosters. This case-mix and the complexity of many of my patients has shaped my practice.
As your anaesthetist I continuously monitor your heart and lung function as well as adequacy and depth of anaesthesia. How I do this varies enormously between patients - the requirements of a small baby are very different from those of an eighty year old. Most of what I do is not that difficult - indeed it could be said that you don't really need an anaesthetist until you really need one. What this means at the end of the day, is that I have the experience and skills necessary to look after you during your surgery and ensure you are safe.
So what do I need from you?
Please complete the Pre-Op Questionnaire. It is important that we know what medications you are on, particularly diabetic ones as well as blood thinners. The majority of medications should continue before and after your procedure; sometimes it is important to stop them or change them to something else. Herbal medications, particularly ones containing Gingko biloba, garlic, ginseng and fish oil can also cause problems (particularly bleeding) and it is wise to cease these 7 days pre-operatively unless explicitly told not to.
Fasting before surgery is important. Solids, milk and/ or formula (small children) should not be taken within six hours of surgery. Failure to observe this can result in a life threatening lung infection. Clear fluids (apple juice, water) can be taken up until two hours before unless you have bad reflux. Breast milk is intermediate and can be given up to 4 hours beforehand.
Please also bring your relevant x-rays/CT scans/MRI to surgery. Your surgeon may not always have them, and failure to have these available, may delay your surgery (especially for FESS, ACL repair, major ear surgery).
As per my "interests" I spend about 60% of my clinical time anaesthetising children. Obviously this is very different from the adult experience. Whilst it is unlikely your child is on any blood thinners or cardiac medications they are often on asthma medications or finishing a course of antibiotics. Both of these types of medications should always be given unless we tell you not to. The other important problem that children have is a respiratory tract infection just beforehand. This can significantly increase the risk to your child if it has spread to the lower respiratory tract and you should contact us a few days beforehand if this has occurred.
After your procedure I would appreciate you taking just a few minutes to fill out the Patient Experience Survey.
In closing, I look forward to meeting you and if you have any further questions look at my FAQ or please contact me by email (preferred) or phone.
Dr Donald Innes
Dr Donald Innes is an Anaesthetist based in NSW - Sydney Australia.