Recent Posts

October, 2015

  • 10 October

    Pre-Op Screen: Hyperventilation And The Bohr Effect


    Often times we hyperventilate patients in the operating room with the justification that a low PaCO2 will suppress a patient’s desire to take spontaneous breaths during surgery (ie, less of a chance the patient will “move”). While there is some merit behind this (the hypercarbic drive), I assure you that volatile …

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  • 4 October

    Finished With Neuroanesthesia – Back To Obstetrics


    I finished my CA-2 rotation in neuroanesthesia last week and am back on the labor and delivery (L&D) wing providing parturients with labor analgesia (epidurals, spinals, combined spinal-epidurals). This time, I’m a more senior resident and helping coordinate the overall work flow among the junior residents. Fortunately every single one …

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September, 2015

  • 30 September

    ALC 898 Audio El Capitan Hackintosh


    I was initially having problems getting my Z77X-UD5H motherboard’s onboard audio hardware (ALC 898) to work with Mac OS X El Capitan on my workstation. Although the VoodooHDA audio driver provided playback, the input was not functional (ie, no microphone), and I heard a lot of white noise when the volume …

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  • 23 September

    “Anesthesia Is More Complicated Than I Thought”


    Anesthesiology has a notorious reputation about being a “lifestyle” specialty where providers simply throw in a breathing tube, switch on some gas, and then pull up a chair and play on their tablets while waiting for the surgery to finish. Admittedly, when I first got started with medicine, I shared …

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  • 19 September

    28th Birthday


    I spent much of my 28th birthday on call at the county hospital and scarfed down an Oreo McFlurry at 3 AM in celebration before attending to intubations in the ICU and add-on surgical cases. After the shift, I slept till late this afternoon, woke up, played some video games, and …

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  • 15 September

    A Medical Nightmare

    Sample epidural tray

    Last night I had one of the most vivid and realistic dreams I can remember in detail. It started with an innocent gesture of humanism. A child had slipped in the middle of a busy intersection, and I tried to save him from colliding with an oncoming truck. Although I can’t …

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  • 13 September

    Barriers To Care

    Some of the Texas Medical Center atop a parking garage

    One of my favorite things about anesthesiology and critical care is the freedom I have to provide quality patient care. PACU and ICU nurses are top notch, pharmacists are always available with every medication I could possibly need, and as a provider, I’m given so much autonomy with very little …

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  • 8 September

    Swallow Your Pride – Remember The Patient


    Training institutions face an interesting dilemma in allowing relatively inexperienced trainees to practice their skills while trying to provide safe and effective patient care. Attending physicians have mentioned feedback from trainees along the lines of “Dr. X took the procedure away from me!” This conveniently leaves out any unsuccessful attempts made …

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  • 7 September

    What Drugs Are Used In General Anesthesia?


    After consenting my patients for general anesthesia, I’m occasionally asked what drugs will be used during surgery. Without going into too much detail, I refer to our agents by general classes: volatiles, narcotics, muscle relaxants, hypnotics, and reversals. The more medically-inclined patients will often ask for specific names too. Here are …

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