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Vasopressin – The Forgotten Pressor

Vasopressin, otherwise known as antidiuretic hormone (ADH), is a peptide hormone synthesized in the hypothalamus and released by the posterior pituitary gland. Its physiologic...

Treating A Number With Bicarbonate

Once a patient's arterial pH falls below ~7.10, many of our resuscitative measures (namely vasoactive agents) fail in the face of worsening acidemia. While...

Pre-Operative Oral Multimodal Analgesia

More and more institutions are beginning to implement "enhanced recovery after surgery" (ERAS) protocols which include a multimodal analgesia regimen where opioids are only...

What Does Gtt Mean?

Medical jargon is riddled with abbreviations, many of which are universally understood and some of which are very specialized. Yes, I'm looking at you,...

Furosemide and Venodilation

Furosemide (Lasix) is a loop diuretic that works on the Na/K/2Cl cotransporter in the thick ascending loop of Henle. It's a medication we routinely...

ABOUT RISHI

Anesthesiology chief resident physician at Baylor College of Medicine and future combined fellow in critical care and cardiothoracic anesthesiology at Harvard looking to improve medical education and patient safety with technology and quality initiatives.