Fellowship
Life as a critical care and adult cardiothoracic anesthesiology clinical fellow in Boston
PGY-6 (Cardiothoracic Anesthesia)
Adult Cardiothoracic Anesthesiology Fellowship Graduation
Last weekend, I attended my adult cardiothoracic anesthesiology fellowship graduation at the John F. Kennedy Presidential Library and Museum followed by our Brigham departmental anesthesiology graduation ceremony on Wednesday. At the latter event, I...
Rishi -
PGY-6 (Cardiothoracic Anesthesia)
The Most Important Person In The Operating Room
As a fellow, I’m often privileged to work with medical students and anesthesiology residents in the cardiothoracic operating rooms. Many of these individuals I’ve come to know through the ICU, but some of them...
Rishi -
PGY-6 (Cardiothoracic Anesthesia)
Life As A Cardiothoracic Anesthesiology Fellow
Here's a quick video summarizing the basics of my life as a cardiothoracic anesthesia fellow!
https://www.youtube.com/watch?v=JQYL577UQLQ
Drop me a comment with questions!
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Education
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 tend to center heavily around high dose opioids due to the hemodynamic...
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PGY-6 (Cardiothoracic Anesthesia)
Hepatorenal Recess – Morison’s Pouch
The hepatorenal recess ("Morison's pouch") is a potential space between the liver and right kidney. With small volumes of intraabdominal blood (hemoperitoneum), ascites, or even peritoneal dialysis, fluid accumulates in this recess which shows...
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PGY-6 (Cardiothoracic Anesthesia)
My Butterfly iQ Ultrasound!
After returning from the Society of Cardiovascular Anesthesiologists annual meeting in Chicago last week, I received my Butterfly iQ and have been using it over the last week!
https://www.youtube.com/watch?v=oEXUPM8d_38
Drop me a comment below with...
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PGY-6 (Cardiothoracic Anesthesia)
Surgical Steps In Pulmonary Thromboendarterectomy (PTE)
Patients with chronic thromboembolic pulmonary hypertension (CTEPH) present challenges from a surgical and anesthetic standpoint. They often have significant pulmonary collateral vessels to bypass obstructed pulmonary vessels. This, in turn, can increase bronchial vessel...
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PGY-6 (Cardiothoracic Anesthesia)
Transcaval Transcatheter Aortic Valve Replacement (TAVR)
For patients with difficult arterial access (namely calcified/narrowed femoral and subclavian arteries), a transcaval approach offers another alternative. In this technique, interventional cardiologists guide a catheter through the femoral vein into the abdominal inferior...
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