Recent Posts

Backup Your Data!

Over the years, I’ve helped my colleagues with recommendations for gadgets (namely laptops and smartphones) and software, peripherals, and technical problems along the way. The worst scenario was when they approached me with missing data due to a corrupt hard drive or stolen device. They often assumed data was automatically backed …

Read More »

Furosemide and Venodilation

Furosemide (Lasix) is a loop diuretic that works on the Na/K/2Cl cotransporter in the thick ascending loop of Henle. It’s a medication we routinely use in the hospital for patients with congestive heart failure exacerbations (CHF) who are retaining extra fluid in their distal extremities, lungs, abdomen, and other dependent …

Read More »

Day Before My Last In-Training Exam!

Tomorrow morning at 8 AM, I’ll begin the last in-training exam (ITE) of my anesthesiology residency. My initial lack of motivation to study has been largely replaced by desperation fueled by watching many of the junior residents cramming review books and doing practice questions. I still feel like I peaked …

Read More »

Central Line Versus Peripheral IV Flow Rates In Resuscitation

The indications for central venous catheters (CVCs) include invasive hemodynamic monitoring, transvenous cardiac pacing, hemodialysis, lack of peripheral venous access, administration of vasopressors, nutritional support, and in some texts…. volume resuscitation. It’s this last one that bothers me. Yes, some CVCs like multi-lumen access catheters (MAC) can be wonderful for massive resuscitation, …

Read More »

Trusting Diagnostic Test Results

As healthcare providers, we routinely rely on monitors, lab results, imaging studies, and a myriad of other diagnostic tests to diagnose new medical problems and monitor responses to therapy. Before interpreting the conclusions or results of these tests, we must ask a simple question – can you trust the test?

Read More »

Exit Pixel C – Enter iPad Pro

About a week ago, I sold my Pixel C and its keyboard for ~$500 on Swappa, and in return, I decided to purchase an iPad Pro 9.7″ with Apple’s Smart Keyboard. Why would an Android fanboy make such a move?

Read More »

Why Did You Become An Anesthesiologist Instead Of A CRNA?

I had a site commentator ask this important question yesterday. Let me preface my response by saying that I don’t intend to compare physician anesthesiologists to nurse anesthetists in any capacity. We both have our respective roles in the team-based approach to perioperative care. My decision to pursue anesthesiology was made …

Read More »

Anesthesia For Awake Craniotomies

I finally had the opportunity to do an asleep-awake-asleep craniotomy today! This type of procedure aims to preserve portions of the eloquent cortex – parts of the brain that are critical for speech, language, motor function, and localization. Patients are awake for brain surgery. I wanted to give a play-by-play of …

Read More »