LATEST POSTS

Frank-Starling Curves

The Frank-Starling law of the heart is one of the most important intrinsic properties of cardiac muscle. It states that a change in venous return (preload) confers a change in the force of cardiac contraction (stroke...

Vasopressin – The Forgotten Pressor

Vasopressin, otherwise known as antidiuretic hormone (ADH), is a peptide hormone synthesized in the hypothalamus and released by the posterior pituitary gland. Its physiologic effects include vascular smooth muscle constriction (via V1 receptors, PLC-IP3...

Treating A Number With Bicarbonate

Once a patient's arterial pH falls below ~7.10, many of our resuscitative measures (namely vasoactive agents) fail in the face of worsening acidemia. While we attempt to correct the underlying etiology of acidosis, sometimes...

Upgrading GTX 660 Ti to 980 Ti

My NVIDIA Geforce GTX 660 Ti has been running strong for five years, but I had an opportunity to upgrade at an incredible price point this morning... so I bit. 🙂I didn't opt for...

Reinforced Endotracheal Tubes

When I first started my anesthesiology training, I almost always used a reinforced endotracheal tube (ETT) for cases where my patient would be positioned prone for an extended period of time. One can imagine that in this...

Pre-Operative Oral Multimodal Analgesia

More and more institutions are beginning to implement "enhanced recovery after surgery" (ERAS) protocols which include a multimodal analgesia regimen where opioids are only a part of the equation. Multimodal analgesia is just that...

What Does Gtt Mean?

Medical jargon is riddled with abbreviations, many of which are universally understood and some of which are very specialized. Yes, I'm looking at you, ophthalmology and ob/gyn. 😛Due to this variability, providers utilize abbreviations...

ABOUT RISHI

Anesthesiology chief resident physician at Baylor College of Medicine and future combined fellow in critical care and cardiothoracic anesthesiology at Harvard looking to improve medical education and patient safety with technology and quality initiatives.