PGY-6 (Cardiothoracic Anesthesia)
My experiences as a clinical fellow in adult cardiothoracic anesthesiology
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The Denervated Heart
The concept of a denervated heart is a significant consideration in patients receiving orthotopic heart transplants. When these donor hearts…
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Surgical Steps In CentriMag Biventricular Assist Device (BiVAD) Placement
CentriMag devices are implanted for acute right and/or left-sided circulatory support but often times used for extended periods of time…
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Surgical Steps In HeartMate 3 LVAD Placement
Left ventricular assist devices (LVADs) like the HeartMate 3 are routinely being implanted as a mechanical circulatory bridge-to-transplant (BTT) or…
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Bubble Study On Transesophageal Echocardiography
A “bubble study” is often utilized to confirm the presence of shunting across the interatrial septum (IAS) via patent foremen…
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Passed The Critical Care Echocardiography Examination!
Yesterday while at work, I received an email from the National Board of Echocardiography stating that I passed my critical…
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My Perioperative Transesophageal Echocardiography (TEE) Image Acquisition Sequence
According to the guidelines from the American Society of Echocardiography (ASE) and Society of Cardiovascular Anesthesiologists (SCA), a comprehensive transesophageal…
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Surgical Steps In Heart Transplantation
Orthotopic heart transplantations (OHTs) are some of my favorite procedures as a cardiothoracic anesthesiologist! After establishing general endotracheal anesthesia (GETA)…
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United Network for Organ Sharing (UNOS) 2018 Heart Transplant Listing Guidelines Revision
Here’s a table I created that summarizes the classification for patients awaiting a heart transplant. Gone are the days of…
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Anesthesia For Transcatheter Aortic Valve Replacement (TAVR)
The overwhelming majority of anesthetics I provide for transcatheter aortic valve replacements (TAVR) are monitored anesthesia care (MAC) – sedation…
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Ozaki Procedure – Autologous Pericardial Aortic Valve
In my first year of anesthesiology residency, I had the opportunity to do a very unique aortic valve replacement (AVR)…
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