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Positive End Expiratory Pressure (PEEP) and Cardiac Output

One of the cardiopulmonary challenges I constantly face as a cardiothoracic anesthesiologist and intensivist is balancing positive end-expiratory pressure (PEEP) with cardiac...

High Flow Nasal Cannula (HFNC)

High flow nasal cannula (HFNC) systems allow us to deliver warm, humidified oxygen at flow rates as high as 60 liters/min through small, pliable...

Interpreting Capnograms

Continuous capnography (measurement of carbon dioxide) is the gold standard for confirming endotracheal tube placement but is also utilized in the operating...

Hyperventilation And The Bohr Effect

Often times we hyperventilate patients in the operating room with the justification that a low PaCO2 will suppress a patient's desire to take spontaneous breaths...

Ventilation and Intubation

One of the most essential skills of airway management is the ability to bag ventilate a patient. This can be a reassuring sign in...

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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