Concierge Anesthesia Services for Distinguished Surgical Practices
Hospital-Level Safety
Physician-Led Care
Fully Mobile Model
ASC & Office-Based Expertise
Calm. Precise. Physician-led Anesthesia.
Meet Andrea Toufexis Esch, DO
Andrea Toufexis Esch, DO is a double board-certified anesthesiologist. Her approach is grounded in precision, trust, and a seamless perioperative experience for both patients and surgical teams.
Dr. Esch founded EschTIVA R&D with the guiding philosophy that every patient should be treated with the same level of care, safety, and respect that healthcare professionals expect for themselves and their families. She also believes that surgery day should be a surgeon’s happiest, and most stress-free day, supported by a collaborative surgical team.
Anesthesia for Distinguished Surgical Practices
If your practice is interested in mobile anesthesia services, ASC coverage, or development of an office-based surgical suite, we would welcome the opportunity to discuss how we can support your surgical team.
Serving
Tampa ~ St. Petersburg ~ Sarasota
Ambulatory Surgery Center Coverage
Hospital-Grade Anesthesia, Delivered to Your Surgical Suite
• outpatient surgical anesthesia
• efficient case flow and turnover
• complex airway management including nasal intubation
• multimodal pain and recovery protocols
Mobile Anesthesia Services
Our fully mobile anesthesia service supports office-based procedures and outpatient surgical facilities
We provide:
• Anesthesia monitoring and equipment
• Board-certified anesthesiologists AND experienced RNs for pre-op and post-op care
• Rapid recovery protocols for ambulatory surgery
• Seamless integration with existing surgical teams
This model allows surgeons to maintain complete control of their surgical schedule while offering patients a highly refined experience.
Surgical Suite Development
Expertise in Level II & Level III Surgical Suites
For practices expanding into office-based surgery, we provide support in establishing Level II and Level III accreditation. Our support includes:
• anesthesia system design
• equipment planning
• regulatory and accreditation guidance
Advanced Anesthetic Techniques
Neuro-Protective Anesthesia
Our anesthetic approach prioritizes rapid recovery and neurologic protection.
We utilize Total Intravenous Anesthesia (TIVA) and BIS monitoring known for:
• rapid emergence
• minimal postoperative cognitive effects
• lowest risk of PONV
• reduced environmental impact
