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Anesthesiologist in Riga

An anesthesiologist consultation before surgery, or regarding anaesthesia and pain relief during childbirth, is not only an essential safety requirement — it is an important step in receiving professional, individualised information about preparing for anaesthesia, what it involves and the period after the procedure. During the consultation, the anesthesiologist assesses your health and potential risks, helps choose the most appropriate type of anaesthesia or pain relief, and explains what to expect before, during and after anaesthesia.
Anesthesiologist
An anesthesia monitor showing stable patient vital signs

Who is an anesthesiologist?

An anesthesiologist and intensive care specialist is a medical doctor whose role is to ensure patient safety, pain relief and the stability of vital body functions during particularly sensitive medical procedures, including surgical operations and childbirth. The anesthesiologist ensures that the patient remains safe and free from pain during the procedure, and that recovery after anaesthesia, well-being and return to everyday life are as comfortable as possible.

When do you need an anesthesiologist consultation?

  • Before planned surgery: To assess your health and prepare the most suitable anaesthesia plan.
  • During pregnancy and preparation for childbirth: If you are planning a vaginal birth or a caesarean section, to discuss pain relief and anaesthesia options.

What is important to discuss at the consultation?

  • Previous operations and chronic health conditions.
  • Allergies and medicines you take.
  • Results of any previous tests, if available.

How does the anesthesiologist’s assessment work?

The anesthesiologist reviews your medical history, including previous surgery, chronic health conditions, allergies and medicines. If test results are available, the doctor reviews them and may order additional tests when needed.

In some cases, a targeted ultrasound assessment may be performed during the consultation — for example, when planning regional anaesthesia or analgesia for patients with spinal deformities, previous spinal surgery or physiological changes during pregnancy.

This assessment helps prepare a safe and appropriate anaesthesia plan before surgery.

FORTEMED anesthesiologists

The experience and professional knowledge of FORTEMED anesthesiologists help address every patient’s individual needs. Consultations are also available on Sundays.
Karina Dubovska, Dr.med.
Karina Dubovska, Dr.med.
anesthesiologist, resuscitator
Consults before operations and childbirth, evaluates the state of health before the operation and gives advice to pregnant women about anesthesia options and pain relief. Head of the Anesthesiology Service of the Riga Maternity Hospital, an anesthesiologist and reanimatologist with extensive experience in emergency and planned surgery, obstetrics and intensive care.
Aleksejs Gomoņecs
Aleksejs Gomoņecs
Algologist; anaesthesiologist, intensive care specialist
A knowledgeable algologist who is able to help patients suffering from pain in various parts of the body. He is able to accurately determine the cause of pain and choose the most appropriate treatment for headaches, back, chest, joint and soft tissue pain, as well as with oncological, neuropathic, post-operative pain and myofascial syndromes. 

Book a consultation

Choose the option that works best for you: book online or call us. We will help you find a suitable time for your consultation.

Frequently asked questions

How long before surgery is it recommended to see an anesthesiologist?
The anesthesiologist consultation should take place sufficiently close to the planned surgery date for the doctor to make an objective assessment of your current health. At the same time, the consultation should not be left until the last moment or scheduled only the day before surgery, as additional tests or consultations with other specialists may be necessary in some cases.

In practice, the best time for an anesthesiologist consultation is about one week before the planned operation. This leaves enough time for any necessary additional tests and, if needed, a repeat consultation with the anesthesiologist or another specialist. A consultation arranged too far in advance — for example, one and a half to two months before surgery — is usually not optimal either, as the patient’s health may change during that time.
Do I need an anesthesiologist consultation before surgery?
Even relatively minor surgical procedures are often performed using anaesthesia or sedation — let alone major operations, where anaesthesia is an integral part of treatment. Both surgery and anaesthesia involve certain risks, so before the procedure it is necessary to carefully assess the patient’s health, any coexisting conditions, medicines being taken and possible risk factors, and to choose the safest anaesthetic approach in advance. This is precisely why an anesthesiologist consultation before surgery is an essential part of patient safety.

Before childbirth, an anesthesiologist consultation is particularly important both for women planning a vaginal birth who wish to discuss pain-relief options and for patients scheduled for a planned caesarean section. During the consultation, the anesthesiologist thoroughly evaluates the expectant mother’s health, required investigations and possible anaesthetic risks, explains the available pain-relief or anaesthetic options and helps prepare in advance for different childbirth scenarios. This prior assessment helps reduce potential risks and provide the greatest possible safety for both mother and baby.
What happens at an anesthesiologist consultation?
During the consultation, the anesthesiologist thoroughly assesses the patient’s health, coexisting conditions, previous operations and anaesthetic history, medicines being taken, allergies, and the results of any necessary tests. The doctor evaluates possible anaesthetic risks and, taking into account the planned surgery or the course of childbirth, selects the most appropriate and safest anaesthetic or pain-relief method.

The patient also receives specific instructions on how to prepare for the procedure — including food and fluid intake, whether daily medicines should be continued or temporarily stopped, and information about the anaesthesia itself, waking up and the period after the procedure. It is also an opportunity to ask questions in advance and discuss the most suitable individual anaesthetic plan with the anesthesiologist.
Should I bring my test and examination results?
Yes, it is advisable to bring all available results from previous tests and examinations, hospital discharge summaries and other documents related to your health to the consultation. They help the anesthesiologist make a more comprehensive assessment of the patient’s health and potential anaesthetic risks.

To avoid forgetting anything important during the consultation, it is advisable to make a short list in advance of past illnesses, injuries and operations, previous experiences with anaesthesia, allergies, regularly taken medicines and other significant health-related circumstances. This helps make the consultation more precise and enables the doctor to plan anaesthesia or pain relief more safely.
Why does a pregnant woman need an anesthesiologist consultation?
An anesthesiologist consultation during pregnancy helps assess the expectant mother’s health in good time and discuss pain-relief and anaesthetic options for childbirth. In Latvia, epidural pain relief in childbirth is state-funded and is also available at the woman’s own request, so a consultation with an anesthesiologist lets her understand before delivery how this method works, how to prepare for it and what to expect during and after the procedure.

Even an uncomplicated vaginal birth may unexpectedly lead to an emergency caesarean section. For a planned caesarean section, spinal, epidural or general anaesthesia may be needed depending on the circumstances. For this reason, an anesthesiologist consultation before childbirth is strongly recommended to assess the woman’s general health and anaesthetic risks in good time.
Is it possible to have an anesthesiologist consultation at weekends?
Yes. FORTEMED’s anesthesiologist consultation schedule is designed flexibly, so that consultations are also convenient for patients who are busy on working days. During the working week, appointments often take place in the evening, and consultations are also available on selected weekends.

Current appointment times and available visits can be viewed in the FORTEMED online booking portal.

Prices

Anesthesiology services

Anesthesiologist's consultation before surgery
€80.00
Anesthesiologist's consultation before childbirth
€70.00
Electrocardiogram (ECG), as part of the consultation
€25.00
Anesthesiologist's consultation before surgery (weekend appointment)
€90.00