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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...

Fentanyl

Fentanyl (Sublimaze) is the most common synthetic narcotic I administer in the OR and the ICU. It is ~100x more potent than morphine and...

Methadone

Methadone (Dolophine) is a narcotic best known for providing a safe albeit slow recovery from opioid addiction (even in pregnancy) by replacing more traditional...

Sufentanil

Sufentanil (Sufenta) is the most powerful narcotic (~1000x more potent than morphine) approved for use in humans. In fact, it's so potent and has...

Hydromorphone

My opioid of choice in the perioperative and ICU settings is hydromorphone (Dilaudid). This medication is roughly 5-10 times more potent than morphine and...

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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