Dr Ireland

MB BS (UWA 1980) FFARACS (1988) FANZCA (1992)


I was fortunate to have trained in Perth, Western Australia, where I maintain my registration and accreditation to most metropolitan private and government non-teaching hospitals.


Whilst qualified to provide anaesthesia for all circumstances, my current commitments are predominantly paediatrics, ENT, plastic surgery (both aesthetic and reconstructive), urology, ophthalmology & general surgery. I am actively involved both organizing and participating in Quality Improvement activities. I provide post graduate teaching in anaesthesia and maintain an active interest in renewing my education and skills.


Besides clients with HBF & GMF insurance whom HBF & GMF chooses to fully rebate their accounts, all other patients/parents will receive itemized accounts unless you are public patients or entitled to Worker’s Compensation, ICWA, Department of Veteran’s Affairs.


I currently try to interview my patients by phone to ascertain their requirements and plan the safest anaesthesia. I would appreciate if you would assist by forwarding your contact details and making yourself available for incoming calls. These interviews usually require up to 5 minutes of your time.


I will ask you most if not all of these questions:

  • Have you had any adverse reactions to anaesthesia?
  • Has anyone in your family had an adverse reaction to anaesthesia
  • What are you allergic to and what was the reaction?
  • What are the names of your medications, inhalers, vitamins & supplements? I will be especially interested in your blood pressure, diabetes and blood thinning pills.
  • What are your medical illnesses, especially in relation to heart, lungs, blood pressure and diabetes?
  • Are you a snorer, have you had a sleep study or do you suspect you may have sleep apnoea?
  • What artificial or implanted materials may you have, including pacemakers and laparoscopic gastric bands?
  • Are you regularly exposed to cigarette smoke?
  • Do you have any chest pains?
  • Do you have any breathing difficulties?
  • Do you currently have a cough or cold?
  • Do you have any loose or false teeth, caps or dentures. I will caution you by informing you “All your teeth are at risk of damage, albeit the likelihood is very rare”
  • Do have any reflux and if so is it brought on by what you do or what you eat?
  • Do you have any liver or kidney disorders?
  • Do you have any bleeding disorders?
  • Do you have any difficulties opening your mouth?
  • Do you have any difficulties bending your head backwards?
  • How tall are you?
  • How much do you weigh in kilograms?


I will visit and examine you on the day of your anaesthesia and discuss any relevant information. Should you wish to contact me this may be arranged through my staff by contacting them during business hours Monday to Friday on 9367 8311. Out of hours you may contact me through the hospital you will be visiting by leaving them your contact details and asking them to forward them on to me with a brief message of relevant information.


I require my patients to cease all food 6 hours prior to the proposed commencement of the list. For patients having morning anesthesia please cease ALL intake after 2am except clear fluids (e.g. water, lemonade &/or cordial) which may be drunk until 6am. For patients having afternoon anaesthesia please cease all intake from 7am except clear fluids which may be drunk until 11am. If you have a bottle fed child then formula feeds must cease 6 hours prior to the list and breast feeds must not be consumed after 3 hours prior to the list.


Should you be regularly exposed to cigarette smoke, it is in your best interests to avoid any exposure for a minimum of 8 hours prior to your anaesthetic.


I need you to continue most medications up to AND INCLUDING the day of your anaesthetic. Please contact me early if you are on diabetic or blood thinning agents (including aspirin and many arthritis medications), I may need to give your specific advice for the 7 days prior to your anaesthetic.


Should you require pain relieving medications for your surgery then it is best if you take them as prescribed unless you suffer any adverse consequences. Commonly you will be asked to continue Paracetamol every 6 hours until you require no more pain relief. Should this be insufficient then you should continue your Paracetamol and add Celecoxib every 12 hours. If this is insufficient you should continue your Paracetamol and Celecoxib and add in Tramadol every 6 hours. Should this be insufficient you should continue your Paracetamol, Celecoxib and Tramadol and add in Oxycodone every 4 to 6 hours. Should you be concerned at any stage don’t hesitate to contact me through the hospital you attended or my rooms during business hours on 9367 8311.