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Antegrade Cerebral Perfusion (ACP)

Deep hypothermic circulatory arrest ("circ arrest") is often required for partial or total aortic arch reconstructions. At this point in the surgery,...

Surgical Steps In Heart Transplantation

Orthotopic heart transplantations (OHTs) are some of my favorite procedures as a cardiothoracic anesthesiologist! After establishing general endotracheal anesthesia (GETA) with standard...

Ozaki Procedure – Autologous Pericardial Aortic Valve

In my first year of anesthesiology residency, I had the opportunity to do a very unique aortic valve replacement (AVR) case for...

“You’re Going To Stop My Heart?!”

Cardiac arrest is one of the most feared complications in medicine as it tends to usually precede death despite appropriate interventions. However, a controlled...

What Is Cardiopulmonary Bypass (CPB)

This post outlines the steps in traditional, central cannulation for cardiopulmonary bypass (CPB). Depending on the nature of the surgery and patient's...

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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