50% Dextrose (D50)

50% dextrose solution (D50) typically comes as a 50 cc prefilled syringe containing 25 grams of dextrose. As an anesthesiologist and intensivist, I most commonly administer D50 to treat profound hypoglycemia or...

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...

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...

The Denervated Heart

The concept of a denervated heart is a significant consideration in patients receiving orthotopic heart transplants. When these donor hearts are procured, there’s no way to preserve native autonomic regulation (ie, vagal...

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 for patients with acute heart failure awaiting a heart transplant. With CentriMag...

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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