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Lessons

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

Total Intravenous Anesthesia (TIVA)

Total intravenous anesthesia (TIVA) traditionally refers to general anesthesia maintained by intravenous medications without using inhaled volatile (“gas”) anesthetics. To safely accomplish...

Transitioning Off Insulin Infusion

Glycemic control in the perioperative and ICU settings is an incredibly important consideration for me! As a cardiac anesthesiologist, I routinely start...

Pacing Swan-Ganz Catheter

Throughout my training, I've placed countless pulmonary artery ("Swan-Ganz") catheters for cardiothoracic surgeries and in the ICU to help guide the diagnosis...

The ‘Q’ In “V/Q Mismatch”

You can't read about pulmonary physiology without encountering the topic of V/Q mismatch, otherwise known as ventilation-perfusion mismatch. In fact, of the...

Fluid Warmers

Hypothermia has a profound impact on the entire body - it compromises the immune system leading to a higher risk of post-operative wound infections,...

ABOUT RISHI

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