Recent Posts

August, 2016

  • 22 August

    Android 7.0 Nougat Released!


    Woohoo! The official release of Android Nougat is finally upon us, and fortunately for Nexus owners, the factory images are already available to download. Because of the new developer preview series Google implemented starting with this release of Android, I’ve been running early versions of Nougat for the last four …

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  • 21 August

    Acute Hemodynamic Management – Aggressive Undertreatment

    Neuroanesthesia prep

    I’ve become accustomed to titrating many short acting medications to manage hemodynamics in the ICU and operating room arenas. I like to factor in a patient’s comorbidities and “test” their response to small doses of vasoactive medications, so I have an idea what to do if more severe circumstances arise. …

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  • 13 August

    Pre-Op Screen: Maintain Coronary Perfusion!

    Normal intracardiac pressures (Image: Tufts)

    Maintaining coronary perfusion pressure (CPP) is arguably the most important objective in cardiac anesthesiology. CPP is traditionally defined as the difference between aortic diastolic pressure (AoDP) and left ventricular end-diastolic pressure (LVEDP).

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  • 13 August

    Pre-Op Screen: Hypotension With Initiation Of Cardiopulmonary Bypass


    Cardiopulmonary bypass (CPB) circuits are typically primed with ~1500 cc of volume (crystalloid, colloid, and/or blood). If a 70 kilogram male (~ 5 liter blood volume) is placed on CPB, one would expect his hematocrit to drop by 30-40% (hemodilution) with a subsequent decrease in systemic vascular resistance (SVR) –  the …

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  • 7 August

    Finished With Week 1 Of VA Cardiothoracic Anesthesia

    Ready to perform general anesthesia!

    I’m finished with my first week of cardiothoracic anesthesiology at the Veterans Affairs Hospital, and its been wonderful! Compared to my last month at Texas Heart Institute, the VA usually does only 1-2 cardiothoracic cases each day giving me ample time to practice echocardiography and read about cardiac physiology. I’ve …

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  • 6 August

    The Patient Belongs To Everyone In The Operating Room

    Outside the operating rooms at Texas Children's Hospital

    Surgical disciplines meet with patients, decide what operation(s) to perform, discuss the risks/benefits, and manage post-operative admissions with follow-ups. Undoubtedly, it’s a time and labor intensive job, and as a perioperative physician myself, I have an undying respect for my surgical colleagues.

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July, 2016

  • 31 July

    Onto VA Cardiothoracic Anesthesia


    As a PGY-4, I have two months on the cardiothoracic anesthesia service at Texas Heart Institute (THI) and just finished my first on a memorable note. I was on call yesterday and had the privilege of working alongside an incredible clinical fellow to do a heart transplant case. This is …

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