Essays on anaesthesia, the ICU, and the practice of medicine.
Long-form notes for clinicians, students, and the patients curious enough to read further than the consent form.
16 articles across all topics
- MD Anaesthesia
Advanced practice note
16 July 2026 · 7 min
Oxygen delivery is not a number. It is a chain of assumptions.
A physiology-first note on using cardiac output, haemoglobin, arterial oxygen content, and tissue demand as a connected clinical model.
- MD Anaesthesia
Advanced practice note
2 July 2026 · 8 min
Induction hypotension is a diagnosis, not simply a reading
A structured way to distinguish loss of vascular tone, impaired preload, reduced contractility, and obstruction in the minutes around induction.
- MD Anaesthesia
Advanced practice note
11 June 2026 · 7 min
When airway pressure rises, separate resistance from compliance
Peak pressure is an alarm. Plateau pressure, flow, capnography, and the clinical picture turn it into a usable differential diagnosis.
- MD Anaesthesia
Advanced practice note
15 May 2026 · 7 min
Spinal anaesthesia is a haemodynamic intervention before it is a technique
Block height matters, but the more useful question is how sympathetic block, venous return, vascular tone, and baseline physiology will interact.
- Patient Awareness
8 July 2026 · 5 min
Five questions worth asking before anaesthesia
A calm pre-anaesthetic conversation helps turn uncertainty into a plan. Here are the questions that give patients the most useful answers.
- Critical Care
19 June 2026 · 5 min
A handover is not an interruption to care. It is care.
The transfer between teams is where context is either protected or lost. A note on making the most ordinary conversation in medicine more reliable.
- Medical Education
28 May 2026 · 4 min
The fastest way to learn physiology is to follow a patient
Textbooks give you the map. A real clinical problem shows you why the terrain matters.
- Anaesthesia
12 September 2025 · 7 min
What anaesthesia actually does, and why the OR is the safest room in the hospital
A plain-language tour of modern anaesthesia: the monitors, the medications, and the quiet vigilance that keeps a surgical patient unaware, unaffected, and unharmed.
- ICU
21 August 2025 · 6 min
The first 24 hours in the ICU: what families should understand
The intensive care unit is loud, technical, and often frightening. A short guide to what is happening, what the numbers mean, and the questions worth asking.
- Surgical Safety
30 July 2025 · 5 min
Why the surgical safety checklist still matters
The two-minute pause before incision is one of the most studied interventions in medicine. It is also one of the easiest to perform badly.
- Pain Management
4 July 2025 · 6 min
Pain is not weakness: rethinking how we treat acute pain
Undertreated pain has measurable consequences for recovery, mental health, and outcomes. A short argument for taking it seriously.
- MBBS Guidance
18 June 2025 · 5 min
The advice I give every MBBS student in their first week
Five years is shorter than it sounds. A short letter to the version of myself that walked into a medical college for the first time.
- Residency Life
22 May 2025 · 6 min
Residency as a decade-long skill, not a three-year sprint
The habits formed in residency outlast residency. A note on pacing, judgement, and the long view.
- Women in Medicine
10 April 2025 · 5 min
Women in anaesthesia: a quiet revolution worth naming
The composition of the anaesthesia workforce is changing. What that means for training, for departments, and for patients.
- Myth Busting
2 March 2025 · 5 min
Five anaesthesia myths it is time to retire
From the fear of not waking up to the idea that spinal anaesthesia causes lifelong back pain: a quiet correction.
- Patient Awareness
14 February 2025 · 5 min
Before your surgery: a checklist for patients and families
A short, practical guide to the conversations and preparations that make the day of surgery quieter, safer, and clearer.