LATEST POSTS

Lactate And Sepsis

It's always interesting to see how practitioners interpret the utility of lactate. Some find it completely useless, others think it's a marker of poor oxygen delivery, and a decent number trend lactates as a way to...

Starting My Last Week At Texas Heart Institute

Tomorrow morning, I begin my last week at Texas Heart Institute (THI). Had I chosen to stay in Houston, this is likely where I would have done my fellowships in critical care and adult...

Expanding Neck Hematoma Management

Neck hematomas are a life threatening albeit rare post operative complication of surgeries in the cervical spine and neck (thyroidectomy, carotid endarterectomy, etc.) The overwhelming majority of patients who undergo these types of surgeries...

Oxyhemoglobin Dissociation Curve

The oxyhemoglobin dissociation curve (ODC) is one of the most recognized teachings of basic physiology. It describes the relationship between the saturation of hemoglobin and the partial pressure of arterial oxygen. Intuitively, it makes sense...

PaCO2 Equation

I've previously written about the alveolar gas equation and oxygen delivery equation, both of which deal with the physiologic process of oxygenation. Now I want to discuss the important relationship between alveolar ventilation (VA), carbon...

Applications To Filter Blue Light On Windows, Android, and Apple Products

In the modern era driven by caffeine, electronics, and long work schedules, it's very difficult to promote good sleep hygiene. I'll admit using a combination of my laptop, smartphone, tablet, and desktop computer before...

Boston Trip – Apartment Hunting

I got home early this morning after spending Monday afternoon and Tuesday looking for places to live in Boston. It was a great opportunity for me to explore the city, navigate the (extensive) public...

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.