surgery

Post-Operative Atelectasis Responsible For Early Fevers?

"Wind, water, wound, walking, wonder drugs" are described as the "Ws" of post-operative fevers (atelectasis, UTI, wound infection, DVTs, and drug fevers, respectively). As a medical student, all of these made sense to me...

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, there is no blood flow anywhere. Because of systemic cooling, we mitigate...

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 monitors, an arterial line, a central line (often with pulmonary artery catheter),...

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 aortic stenosis - the Ozaki repair performed by Dr. Ozaki himself! This...

“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 cardiac arrest is routinely utilized as part of cardiopulmonary bypass...

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 the patient's comorbidities, other sites are often cannulated (left heart bypass, femoral-femoral peripheral...

Surgery And Pediatric Rotation Notes

During my surgery and pediatrics rotations, I wrote down things related to practice questions I did and compiled them into a PDF for anyone who wants to review the "high yield" topics without having...

First Week Of Neurosurgery

I'm continuing to enjoy an incredible breadth of cases in neurosurgery - deep brain stimulation in Parkinson's, the orbitozygomatic approach for a middle fossa tumor, ventricular explorations, and laminectomies are some of the latest...

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