Home Lessons

Lessons

A collection of random things I’ve learned through my training

Positive End Expiratory Pressure (PEEP) and Cardiac Output

One of the cardiopulmonary challenges I constantly face as a cardiothoracic anesthesiologist and intensivist is balancing positive end-expiratory pressure (PEEP) with cardiac...

Do I Need A Magnet – Pacemaker/ICD Nomenclature

With the number of patients receiving permanent pacemakers (PPMs) and implantable cardioverter-defibrillators (ICDs) increasing each year, we'll see more of these devices in our...

High Dose Fentanyl Induction

The induction of general anesthesia in patients undergoing cardiac surgery is often times different than non-cardiac surgery. At many institutions, these inductions...

Safely Drawing Up And Labeling Medications

Every day as an anesthesiologist, I reconstitute, draw up, and administer antibiotics, hypnotics, narcotics, paralytics, inotropes/pressors, blood products, fluids, vasodilators, and a...

Improving Lung Deflation With Bronchial Blockers

Bronchial blockers allow us to perform lung isolation using a single lumen endotracheal tube. Compared to double-lumen tubes (DLTs) which are considered...

ABOUT RISHI

I'm a double board certified adult cardiothoracic anesthesiologist and intensivist looking to improve medical education, diagnostics, and patient safety while promoting team-based, patient-centered care.

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