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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 are procured,...

The Lethal Triad In Trauma

The lethal triad in trauma - acidosis, hypothermia, and coagulopathy - defines much of what I do in the ICU and cardiothoracic ORs. It’s...

Blood Gas Interpretation – Determining Acidosis and Alkalosis

There are four classic disturbances in traditional acid-base equilibria: respiratory acidosis, respiratory alkalosis, metabolic acidosis, and metabolic alkalosis. The body tries to compensate for...

Bicarbonate

Oh bicarbonate... how you've become the drug which elicits the majority of my soap box lessons on ICU rounds and in the operating room....

Cerebral Autoregulation

Most organ systems have some form of autoregulation to provide a steady supply of blood flow and oxygen to maintain normal physiologic function. This...

ABOUT RISHI

I'm a double board certified adult cardiothoracic anesthesiologist and intensivist looking to improve medical education, diagnostics, and patient safety while promoting team-based, patient-centered care.

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