Clinical Services

Department of Anesthesiology & Clinical Care

Houston Methodist offers the full scope of anesthesia services. The following specialty services are offered at Houston Methodist:
  • In-house, 24-hour obstetric anesthesia 
  • Cardiac anesthesia
  • Pediatric anesthesia for certain specialty procedures

Cardiovascular Intensive Care Unit (CVICU)
The Department of Anesthesiology provides support to the Cardiovascular Intensive Care unit of Houston Methodist DeBakey Heart & Vascular Center. Under the leadership of Medical Director Faisal Masud, MD, FCCP, the interdisciplinary staff of the 40-bed cardiac surgical unit provides care for patients who have had one or more of the following surgical procedures: 

  • Coronary artery bypass
  • Cardiac valve repair or replacement
  • Aortic aneurysm repair (thoracic or abdominal)
  • Heart and lung transplant and various other vascular/thoracic surgical procedures

The majority of the patients in the CVICU have advanced hemodynamic monitoring and vasoactive medication support.

Neuro Intensive Care Unit (NICU)
Anakara Sukumaran, MD, Michael Zwillman, MD,Drew Ludwig, DO and Rick Day, MD, specialize in the care of critically ill patients in the Neuro Intensive Care Unit (NICU). This team of physicians provides intensive, coordinated care to NICU patients and performs bedside procedures for invasive monitoring in critically ill patients.
These physicians work closely with each patient's physician and continually monitor the patient and their treatment plans for the day and immediate future. In addition to the intensivist physician, the multi-disciplinary team includes, clinical pharmacologist, respiratory therapist, rehabilitation specialist, medical social worker, discharge planner and other specialists, as needed.

Anesthesia Pre-Operative Evaluation Clinic (APEC)
Houston Methodist Hospital's Anesthesia Preoperative Evaluation Clinic (APEC) looks forward to providing you with safe, effective preoperative care. Our mission is to make your treatment at Houston Methodist as comfortable and safe as possible.
In some cases, existing medical conditions may impact anesthesia. Not addressing a pre-existing medical condition until just before a surgery will cause a delay in - and possibly a cancellation of - your surgery. For your safety, you will be evaluated by our Anesthesia Preoperative Evaluation Clinic (APEC) three to five business days before your surgery.

The APEC pre-operative evaluation is performed in under an hour and there is no charge for the evaluation itself. Charges, however, will result from any laboratories or tests that are required. For more information or questions call us 713.441.5035 or email us at

How to Set Up Your APEC Pre-Operative Evaluation in the Texas Medical Center
Before your procedure

Once your doctor’s office has scheduled you for your procedure at Houston Methodist Hospital (on Fannin Street), please complete the insurance/financial and anesthesia clearance process. Before you begin, please gather all of your information: Previous surgeries, physicians and their contact information, insurance information, list of medications, including over-the-counter medications, herbals and other supplements. Proceed by doing one of the following:

  • Expedite the process by completing the online form.
  • OR
  • Download both the Patient Access form (pdf) and the Anesthesia Pre-Operative Evaluation Clinic form (pdf), print and fill them out in full. Fax them in advance to 713.441.5308 or scan and email them to You will receive a follow up call from the APEC within 3 business days of receipt of these forms. The APEC form is also available in Spanish: Anesthesia Pre-Operative Evaluation Clinic form (Spanish)
  • OR
  • Register in person with Patient Access on the first floor of the Houston Methodist Outpatient Center at minimum 3 days prior to your procedure.

If you have any question about this process, please call APEC at 713.441.5035.

The morning of your procedure

  • Wear loose-fitting clothes and leave valuables at home.
  • Remove all your jewelry including your piercings.
  • Please do not wear contact lenses. Wear glasses or bring your contact storage case and solution.
  • Bring a list of your current medications and over the counter supplements including doses and how often you take each one.
  • Do not eat (including gum or mints) or drink after midnight, except a sip of water for taking medications.
  • Dentures, partials and hearing aids need to be removed prior to your surgery. Please bring your cases to store them in.
  • Shower or bathe with antimicrobial (CHG) soap as directed. Downloadable instructions:
    • Reducing Risk of Hospital Infection (pdf)
    • Reducing Risk of Hospital Infection - Spanish (pdf)
  • Bring your CPAP or BIPAP mask.

When you arrive at the hospital
  • You will be greeted by our staff and taken to a patient room.
  • You may be asked to change into a gown and an IV may be placed in your arm.
  • Before your procedure, you will speak with your doctor, an anesthesiologist or CRNA and the nurse who will be present for your procedure.
  • Your procedure start time is an estimate. If we anticipate delays, we will keep you updated.

During your procedure
  • The room may be cool. Warm blankets are available at your request. 
  • Monitoring equipment such as a blood pressure cuff and EKG leads will be placed. 
  • Your nurse will remain present during your procedure to ensure that your needs are met. 
  • Your family or friends will be in the family room. 
  • Your doctor will notify them when your procedure is over.

After your procedure
  • You will remain on monitors at this time and the nurse will prepare you for transfer back to a patient room.
  • You may briefly have a visitor while in recovery. The family room liaison will bring in visitors.
  • If you are an Outpatient, make sure a responsible adult is available to accompany you home on the day of your procedure. We recommend that they stay with you for 24 hours after your procedure.


Contact and Directions

Registration and Patient Access
Houston Methodist Outpatient Center
6445 Main Street, 1st Floor
Houston, TX 77030
Anesthesia Preoperative Evaluation Clinic
Houston Methodist Outpatient Center
6445 Main Street
Houston, TX 77030
Hours: Monday-Friday, 10:00am - 5:00pm
Appointment Scheduling: 713.441.6504
Registration & Patient Access: 713.394.6805
General Information: 713.441.5035
Fax: 713.441.5308
Walk-ins are welcome; however, appointments are recommended for expedited service.


Anesthesia Billing Questions or Estimates
Greater Houston Anesthesiology
TMHPO ICU Physicians
P.O. Box 4578
Houston, TX 77210-4578
Main line: 713.620.4040
Account questions call: 713.441.4347