Home Lessons Page 20


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

Ventilation Modes Change Cardiac Output

Take a deep breath. Your diaphragm is contracting downward increasing your intrathoracic volume with a resulting decrease in pressure according to Boyle's Law. This...

Heparin Rebound

To minimize the risk of thrombosis on the heart-lung machine, 3-4 mg/kg IV heparin boluses are administered to patients prior to initiating cardiopulmonary bypass. Many...

Maintain Coronary Perfusion!

Maintaining coronary perfusion pressure (CPP) is arguably the most important objective in cardiac anesthesiology. CPP is defined as the difference between aortic diastolic pressure...

Hypotension With Initiation Of Cardiopulmonary Bypass

Cardiopulmonary bypass (CPB) circuits are typically primed with ~1500 cc of volume (crystalloid, colloid, and/or blood). If a 70 kilogram male (~ 5 liter...

“The Patient Is Moving!”

Patient movement is a normal, reflexive response to a stimulus not completely blunted by a "light" anesthetic. This does NOT mean the patient is...


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.