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Submissions from 2026

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Multidisciplinary Escalation and Hemostatic Control in Refractory Postpartum Hemorrhage Following Cesarean Delivery, Farah Aboufakhr and Roy Soto

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Silenced in the OR: A Just Culture Perspective, Esha Ahmed, Bianca Benacquista, and Roy Soto

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The Quiet Nod: Navigating Confidential Care for Adolescents, Esha Ahmed, Bianca Benacquista, and Roy Soto

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Intraoperative Hypercapnia and Respiratory Acidosis During Robotic Paraesophageal Hernia Repair, Doha Amin, Vivian Chang, Nasim Shakibai, and Roy Soto

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Obstetric Patient Viewpoints on the Involvement of Medical Trainees in the Skill Attainment of Spinal Blocks, Epidurals, Pelvic Exams, Vaginal Deliveries, and Cesarean Deliveries, Michael Balce, Krickett Kazyak, and Roy Soto

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From the Operating Room to the Capitol Building: Training Anesthesiology Residents to Advocate Through Simulation, Michael Balce, Roy Soto, and Eric Reilly

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Unintended Consequences of Metric Redefinition: Evaluating the ShiftFromClinical and MPOG Based Criteria to Financially Driven Neostigmine Targets in a Systemwide Cost Containment Program, Bianca Benacquista, Sarah Kadado, Ryan Nowatzke, and Roy Soto

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A Collapsing Airway: Tracheomalacia and Subglottic Stenosis After Repeated Intubations in a Child With Dravet Syndrome, Bianca Benacquista and Sarina T. Khan

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Delayed Volatile Anesthetic-Associated Rhabdomyolysis With Hypermetabolic Intraoperative Signals in a Previously Healthy Child, James Burmeister, Lauren Faraj, and Eric Reilly

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Diverging Trends in Anesthesiology Residency Competitiveness and Workforce Demand: An NRMP Analysis (2019-2025), James Burmeister and Roy Soto

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A Breath Away from Collapse: Anesthetic Challenges of an Incidental Mediastinal Mass, Vivian Chang and Roy Soto

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Intraoperative Ventilatory Compromise Following Intubation in an Infant: A Diagnostic Challenge, Vivian Chang and Patrick Stafford

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Anesthetic Implications of Prolonged Apneic Breath Hold During Robotic Bronchoscopy, Bianca Elias and Roy Soto

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Ketamine Effect on Postoperative Nausea and Vomiting (PONV), Rania Fardous, Vivian Chang, and Roy Soto

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Prone Ventilation and Tongue Suspension for Airway Management in Severe Pierre Robin Sequence, Rania Fardous and Youssef Daklallah

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Postpartum Hypoxia in Preeclampsia: A Diagnostic and Management Challenge After Cesarean Delivery, Joshua Jones, Nelson Jones, and Josh Thomas

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Optimizing Patient-Facing AI Chatbot Questions to Improve Readability and Actionability in Anesthesia Education, Sarah Kadado, Bianca Elias, and Roy Soto

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A Closing Window: Acute Airway Obstruction Following Jet Ventilation in Post-Thyroidectomy Vocal Cord Paralysis Repair, Spencer Kitchen, Joshua Jones, and Roy Soto

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Displacement, Misplacement, Replacement: Cardiac Arrest and Abdominal Compartment Syndrome After ETT Dislodgment and Unrecognized Esophageal Intubation, Spencer Kitchen and Roy Soto

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Refractory Pain: An Anesthetic Approach in Sickle Cell Disease, Jimmy Lau, Victoria Schomer, and Roy Soto

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Unspoken Pain: The Impact of Cultural Differences on Symptom Reporting and Delayed Care in Sciatic Nerve Pain, Sarah Mansour, Michael Balce, and Roy Soto

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Laryngeal Cleft in a Neonate with VACTERL Association: Perioperative Management Considerations, Katerina Mattia, Nasim Shakibai, and Kaveh Aslani

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Endo-Bentall Procedure: A Case Report and Review of Postoperative Complications, Katerina Mattia and Roy Soto

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Anesthetic Management for Concurrent GLP-1 and Opioid Use, Zainab Raza, Ellanya Kallabat, and Roy Soto

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Locums After Residency: The Good, the Bad, the Ugly (Non-CME), Eric Reilly

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Tracheostomy in Infant with Hypoxic Brain Injury, Amanda Romaya and Roy Soto

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Perioperative Anaphylaxis Complicated by Myocardial Infarction: Intraoperative Management, Alyssa Sommerfeld, Patrick Thrasher, and Roy Soto

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No Block, No Time: Emergent General Anesthesia for Failed Neuraxial in a Morbidly Obese Patient, Sumana Tangirala, Rania Fardous, and Roy Soto

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Sympathomimetic Storm: Cocaine-Associated Stroke and Perioperative Implications, Joshua Thomas, Jazmine Skala-Wade, and Roy Soto

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Refractory Hypoglycemia in an Emergent Exploratory Laparotomy, Patrick Thrasher, Ellanya Kallabat, and Sabreena Kammo

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Eclamptic vs Epileptic Seizures in the Labor and Delivery Unit, Patrick Thrasher, Ellanya Kallabat, and Roy Soto

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Gastric Emptying of Whey Protein Nutritional Drinks Compared to Apple Juice: A Prospective Ultrasound-Based Study, Carlos Tobar, Nasim Shakibai, and Roy Soto

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Refeeding Syndrome Causing Hemodynamic Instability After Enteral Nutrition Initiation, Carlos Tobar and Roy Soto

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Takayasu Arteritis Presenting as Critical Left Main Coronary Artery Disease in a Young Patient, Carlos Tobar and Roy Soto

Submissions from 2025

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Perioperative Considerations of a Myasthenia Gravis Patient With Epidural Metastasis and Prior Pneumonectomy: A Case Report, Farah Aboufakhr, Julie Kado, and Christina Thomas

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Mitral Paravalvular Leak Closure Via Left Anterolateral Thoracotomy, Farah Aboufakhr and Jose Navas-Blanco

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Perioperative Management of Multinodular Goiter, Nikhil Aggarwal, Ava Harvey, Joshua Jones, and Wei Lau

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Serotonin Syndrome in the Operating Room Following Use of Fentanyl in a Patient on a Monoamine Oxidase Inhibitor, Frass Ahmed, Rania Fardous, and Roy Soto

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Exparel Interscalene Block & Respiratory Failure, Samantha Alexander, Elizabeth Giaimo, and Roy Soto Corewell Health East

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Sugammadex Utilization: A Systems Based Practice & Health System Analysis, Samanth Alexander, Maya Jaradi, Ryan Nowatzke, and Roy Soto

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Minimally Invasive Management Options For Thoracic Outlet Syndrome, Angelica Alexopoulos, Vivian Chang, Joon Sung, and Roy Soto

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Emergent Airway Management in the Setting of Severe Facial Trauma, Angelica Alexopoulos, Jackson Stevens, and Joseph Melrose

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Temperature Matters: Rocuronium Storage Conditions and Incomplete Neuromuscular Blockade in a Complex Pancreaticoduodenectomy, Hashim Aslam, Maya Jaradi, Eric Battista, and Roy G. Soto

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Nausea and Vomiting After General Anesthesia: A Case of Unmet Expectations, Hashim Aslam, Maya Jaradi, Joshua Jones, and Roy G. Soto

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When Mimicry Holds the Key: Navigating Anesthesia in a Nonverbal Autistic Child With a Mysterious Neuromuscular Disorder, Tristan Attisha, Joshua Jones, Mazen Zamzam, and Roy Soto

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Recognizing and Managing Perioperative Stroke in Postoperative Cardiac Cases, Jade Ayers, Farah Aboufakhr, and Roy Soto

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Patients Can Have Do-Not-Resuscitate Orders in the Operating Room: Results From An Ethics Simulation, Michael Balce, Jacob Applegarth, and Roy Soto

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A Review of Intraoperative and Postoperative Complications Associated With Shockwave Lithotripsy, Michael Balce, Hannah Gallegos, and Andrew Schuldt

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Avoiding Sudden Death: A Review of at Risk Populations and Perioperative Treatment for Severe Hypertrophic Cardiomyopathy, Michael Balce, Hannah Gallegos, and Bruce Skolnik

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When the Tap Turns Critical: Hemorrhagic Shock Following Paracentesis for Decompensated Cirrhosis, Vivian Chang and Roy Soto

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Perioperative Challenges of Abdominal Compartment Syndrome in Complex Hernia Repair, Vivian Chang, Patrick Thrasher, and Roy Soto

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Perioperative Fluid Management in Central Arginine Vasopressin Deficiency, Jack Dryden, Victoria Schomer, and Roy Soto

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Managing Hyponatremia in a Liver-Kidney Transplant Patient During a Nationwide IV Fluid Shortage: A Perioperative Challenge, Rania Fardous and Saifeldin Mahmoud

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Pregnancy-Induced Narcolepsy: A Case Study, Gabrielle Gappy, Nasim Shakibai, Christie Vahabzadeh, and Roy Soto

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Mobitz Type 1 Heart Block After Cesarean Section With Spinal Anesthesia: A Case Study, Gabrielle Gappy, Nasim Shakibai, Christie Vahabzdeh, and Roy Soto

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Anesthetic Management and Challenges in a Patient With a BMI Over 90, Elizabeth Giaimo, Nasim Shakibai, and Bruce Skolnik

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Unknown Splenic Artery Aneurysm Rupture After Cesarean Delivery, Elizabeth Giaimo, Nasim Shakibai, and Christine Vahabzadeh

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The Bullae Challenge: Anesthetic Considerations in the Face of Vanishing Lungs, Amanda Herrera and Roy Soto

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Pelvic Pain Perplexity: A Case of Post-Zoster Sacral Plexopathy, Amanda Herrera, Patrick Thrasher, and Roy Soto

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Pediatric Airway Management: Surgical Removal of a Wooden Skewer From the Oral Cavity, Anna Jahshan-Abdalla, Patrick Stafford, and Rania Fardous

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Managing the Unexpected: Ruptured Splenic Artery Aneurysm in a Pregnant Patient, Maya Jaradi, Hashim Aslam, Michael Balce, Christie Vahabzadeh, and Roy Soto

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From TOLAC to Total Abdominal Hysterectomy: Perioperative Challenges in a Case of Severe Postpartum Hemorrhage, Maya Jaradi, Hashim Aslam, Eric Battista, and Roy Soto

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Perioperative Management of Combined Liver-Kidney Transplantation Requiring Massive Transfusion, Austin Johnson, Rania Fardous, and Roy Soto

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Tug of War: A Multidisciplinary Approach to a Retained Epidural Catheter After Delivery, Joshua Jones, Nelson Jones, and Jack Folbe

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Breathing For Two: Anesthetic Management of Severe Subglottic Stenosis in Pregnancy, Joshua Jones, Joshua Shafquat, and Nelson Jones

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Perioperative Management Pitfalls: Vasopressor Extravasation in Septic Shock, Nelson Jones, Joshua Jones, and Roy Soto

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Anesthetic Management of an Elderly Patient With Idiopathic Pulmonary Fibrosis Undergoing Spinal Surgery, Sarah Kadado, Eric Battista, and Roy Soto

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Management of Agitation, Analgesia, and Sedation in an Intubated SICU Patient, Ellanya Kallabat and Roy Soto

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A Shocking Airway: Airway Management and Anesthetic Considerations in a High-Voltage Electrical Injury, Spencer Kitchen and Jose R. Navas Blanco

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Pump Removed, Problems Remain: Navigating Intrathecal Pain Pump Removal and Opioid Conversion Challenges, Spencer Kitchen, Daniel Sapeika, and Rebecca Clemans

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Anesthetic Management and Airway Challenges in High-Risk Burn Patients, Hannah Lee, Joshua Jones, and Roy Soto

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AI-Assisted Self-Diagnosis: Navigating Patient Anxiety and Clinical Accuracy, Grace Li, Rania A. Fardous, and Roy G. Soto

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Perioperative Risks of Cannabis Use: Aspiration During Elective Surgery, Grace Li, Rania A. Fardous, and Roy G. Soto

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When You Don't Trust Your Gut: A Case of Pneumatosis Intestinalis in a Complex Geriatric Patient, Madison McClune, Michael Balce, and Roy Soto

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From Circuit to Scalpel: Managing VV-ECMO Dependence in Emergent Double Valve Repair, Madison McClune, Anna Jahshan-Abdalla, and Heidi Davis

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Critical Care Management of Pan-Resistant Acinetobacter Osteomyelitis Requiring Novel Antibiotic Therapy, Nidhi Navaratana, Patrick D. Thrasher, Nasim Shakibai, and Roy Soto

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Venovenous ECMO: A Life-Saving Intervention in a Young Asthmatic Patient, Nidhi Navaratna, Austin Johhnson, and Roy Soto

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Balancing Identity and Safety: Inclusive and Accurate Preoperative Assessments for Transgender Patients, Nidhi Navaratna and Roy G. Soto

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Exploring the Relationship Between Body Mass Index and Postoperative Nausea and Vomiting: A Single-Institution Analysis, Nidhi Navaratna, Patrick D. Thrasher, and Roy Soto

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Coexisting Acute Ischemic Stroke, Hyperviscosity Syndrome, and Multiple Myeloma in a Patient With Septic Shock, Jonathan Ong, Nikhil Aggarwal, Jackson Stevens, and Jose Navas-Blanco

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Medical Tourism and the Division in Anesthesia Surgical Clearance, Sama Ramo, Farah Aboufakhr, and Roy Soto

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Anesthetic Strategy in Jaundiced Patients: The Influence of Underlying Etiology, Revati Rashingkar, Farah Aboufakhr, and Roy Soto

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Perioperative Challenges in Myasthenia Gravis: A Case of Liver Transplantation, Revati Rashingkar, Farah Aboufakhr, and Roy Soto

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Severe Hypercarbia s/p Sedation in a Patient With Severe Pulmonary Hypertension, Victoria Schomer and Roy Soto

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Sudden Onset of Severe Headache in a Parturient, Victoria Schomer and Christie Vahabzadeh

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Hypothermic Fibrillatory Arrest: A Case Report, Nasim Shakibai, Matthew Brockberg, and Jose Navas Blanco

Hemodynamic Instability After Endovascular AAA Repair: A Case Report, Nasim Shakibai, Elizabeth Giaimo, and Jack Folbe

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Hemodynamic Instability After Endovascular AAA Repair: A Case Report, Nasim Shakibai, Elizabeth Giaimo, and Jack Folbe

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Management of Nutrition and Fluid Losses in the Setting of High Output Duodenostomy, Jazmine Skala-Wade and Roy Soto

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Minimizing Withdrawal With Prolonged Pediatric Sedation in the Setting of the ICU, Jazmine Skala-Wade and Roy Soto

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Homemade Single Lung CPAP During Device Shortage, Jackson Stevens, Elizabeth Giaimo, and Roy Soto

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Intraoperative Infusion of Sub-Hypnotic Propofol as Prevention for PONV: A Systematic Review, Jackson Stevens, Nasim Shakibai, Patrick Thrasher, and Roy Soto

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VV ECMO For Management of Septic Shock-Induced ARDS and Air Leak Syndrome, Joon Sung, Joshua Jones, Nelson Jones, and Roy Soto

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Eye See a Problem Here: Expeditious Diagnosis and Treatment of Orbital Compartment Syndrome During Orbital Surgery Following a Retrobulbar Block, Christina Thomas, Michael Balce, and Roy Soto

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Pulmonary Hypertension: A Challenging Extubation, Patrick Thrasher, Amanda Herrara, and Roy Soto

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Post-Partum Aortic Dissection, Patrick Thrasher, Amanda Herrera, and Roy Soto

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Pacing and Pressure - Anesthesia For HOCM and Dual Devices in Transsphenoidal Surgery, Nitin Venkatesh, Rania Fardous, Roy Soto, and Rohan Thakur

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Can Frailty Index Factors Predict Postoperative Dispositional Outcomes in Cardiac Surgery?, Mark Whitton and Jose Navas-Blanco

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Ethical Considerations and Management of Patients Refusing Blood Products in Trauma, Mazen Zamzam, Natalie Finazzo, Tristan Attisha, and Roy Soto

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Management of Malignant Hyperthermia and Pseudocholinesterase Deficiency in Trauma, Mazen Zamzam, Natalie Finazzo, and Roy Soto