icu
Medical
TEE In The Cardiothoracic ICU
As a cardiothoracic (CT) intensive care unit (ICU) physician, knowing how to balance resuscitation with inotrope and vasopressor support is a large part of my job. For patients on post-operative days (POD) 0 or...
Rishi -
Education
Right Upper Lobe Bronchoscopy
As an intensivist and cardiothoracic anesthesiologist, bronchoscopy is an incredibly common procedure I perform in the ICU (from in front of the patient) and OR (from behind the patient). A small camera on the...
Rishi -
Education
Thermogard – Targeted Temperature Management (TTM)
Targeted temperature management (TTM) following out-of-hospital cardiac arrest (OHCA) has been shown to confer survival and neuroprotective benefits. A 2016 review in Resuscitation found this to also apply to a wide scope of patients...
Rishi -
Education
RK.MD Mechanical Circulatory Support (MCS) Reference Sheet
As a follow-up to my perioperative and critical care reference sheet, I've created a similar one for mechanical circulatory support (MCS). The same instructions apply:
This sheet doesn't constitute medical advice, and I'm NOT responsible...
Rishi -
Medical
3 C’s Of Code Blues – Calmly Communicating With Confidence
Code blues requiring advanced cardiovascular life support (ACLS) can be anxiety-ridden for anyone. This post will not discuss the actual algorithms but rather what I call the "3 Cs" of running a good code...
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Medical
Tips For Critical Care Anesthesiology (CCA) Fellowship
Critical Care Anesthesiology (CCA) is a one year fellowship following the completion of an anesthesiology residency. The application process is run by San Francisco Match (SFMatch) and begins in November of the applicant's CA-2...
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Medical
Percutaneous Tracheostomy
Percutaneous tracheostomy ("perc trach") is a procedure that is routinely performed at the bedside on patients who require prolonged mechanical ventilation or airway control due to an upper airway obstruction or for pulmonary hygiene....
Rishi -
Education
Posey Cufflator Manometer
Endotracheal tubes (ETTs) and tracheostomy tubes have pilot balloons which are inflated to expand a pilot cuff situated within the trachea below the vocal cords. This is termed a "secure airway."
If this cuff is...
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