My name is Dr. Satish Nandyala. I received my medical education at Osmania Medical College in India, followed by an Internal Medicine residency at Montefiore Medical Center in New York. I then completed a Critical Care fellowship at the Cleveland Clinic in Cleveland.
Objective of this Blog: The training I received at these esteemed institutions highlighted the critical importance of evidence-based practice in critical care. Traditional critical care often relies on dogma rooted in personal and practical experiences, which can lead to inferior outcomes compared to evidence-based approaches. Additionally, much of the care in intensive care units tends to be reactive rather than proactive.
Through my experiences, I have learned the value of consistently questioning and analyzing everything I encounter. If something seems illogical, I strive to understand why. Conversely, if something appears logical, I still investigate the reasons behind it. This approach is complemented by continuous literature review. I have also gained significant insights from engaging with various blogs that offer diverse perspectives and stimulate critical thinking.
This blog primarily consists of my personal notes collected from various journals, blogs, and teachers during my self-directed learning journey. While I don’t recall all the sources, I have greatly benefited from open-source materials and decided to share this information for others to benefit as well.
This blog does not aim to provide exhaustive information on any topic; resources like UptoDate already fulfill that role. Instead, it offers concise reviews of common ICU issues based on evidence. I encourage readers to consult the full articles linked throughout in each post. My hope is that this blog fosters critical thinking, challenges conventional practices, and encourages constructive criticism as we work together to care for critically ill patients. It also serves as a resource for nurses, residents, fellows, and hospitalists, offering accessible and free education. If time doesn’t permit discussion during rounds, this blog may clarify the rationale behind my practices.
Disclaimer: I have no conflicts of interest to disclose. This blog is intended solely for informational purposes and should not be considered medical advice for your patients. The content reflects my personal experiences and interpretations as a physician.
While i always strive to update information on this site, I also make no claims of the accuracy of the information contained herein; and these suggested guidelines are not a substitute for clinical judgment. Neither me nor any other party involved in the preparation of the articles in this blog shall be liable for any special, consequential, or exemplary damages resulting in whole or part from any user’s use of or reliance upon this material.
Some of the contents in this blog are also taken from public websites. If you read something I’ve published on this site and you discover that it is taken from a website without giving credit to that site, please write to me so I can make the necessary changes. Some of the content might have been from a personal blog and might have crept into my notes. Any unintentional infringement is regretted, and I acknowledge that all content is based on others’ research and efforts. I simply compiled and presented the information and take no credit for the original work.
Contact me: If any one wants to contribute to this blog, please contact me at pocketicu@hotmail.com . I am also on twitter X@PocketICU and Linkedin @ Satishnandyala. I am open to suggestions from anyone and everyone. The focus is on evidence based practice rather than practice based on hearsay.
PS: Beliefs and personal experiences should never override evidence-based medicine. Any patient could die “in spite” of us providing the best care but no patient should die “because” of us providing care.
