Dual Fellowship Match! Brigham and Women’s Hospital & Harvard Medical School

This afternoon while traveling home on the light rail, I received a notification on my smartwatch. An email notification which, for a brief moment, made me freeze. "Congratulations" was the subject line. I have now...

My Changing Views About Anesthesiology

In high school, I distinctly remember viewing the field of anesthesiology as one for the weaklings. Something that's easy. Something which requires knowing a few drugs, some simple procedures, and having the luxury of...

Why Does Oxygen Therapy Cause Hypercapnia In COPD?

Ask young physicians why patients with chronic obstructive pulmonary disease (COPD) tend to retain CO2 (hypercapnia) when given oxygen therapy. I bet the majority will claim that supplemental oxygen depresses one's "hypoxic drive" to breath. In other words,...

Dual Fellowship Training – Critical Care and Adult Cardiothoracic Anesthesiology

It's fairly rare for anesthesia residents to pursue a dual fellowship, but for those who do, the combination of critical care and adult cardiothoracic anesthesiology is common. After being asked by family members and friends...

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,...

What Is A Left Ventricular Assist Device (LVAD)?

Ventricular assist devices (VADs) can support the right (RVAD) and left (LVAD) ventricles and were initially utilized as mechanical circulatory support devices for bridge-to-transplant (BTT) in heart failure. Modern continuous flow VADs are also being used for destination...

First Year Of Anesthesiology Residency (CA-1) In Retrospect

Today marks the end of my first year of clinical anesthesia (CA-1) and wanted to reflect on things I learned. While my intern year was filled with lessons inherent to becoming a new physician, my CA-1 year...

The Handoff Process

Intraoperative handoffs of anesthesia care to other providers are commonplace whether it's for breaks or at shift change. While there's no "correct" way to do this, I've outlined the approach I take. Provide a brief...

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