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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

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

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

Submissions from 2024

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High Pressure , High Stakes: A Review of Intubation Approach and Complications That May Arise in Patients With Known Pulmonary Hypertension, Farah Aboufakhr and Moumen Asbahi

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Reversal Failure: Cardiovascular Compromise Following Protamine Sulfate Administration Requiring VA-ECMO Support, Farah Aboufakhr and Julie Kado

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Intraoperative Carbon Dioxide Embolism, Samantha Alexander, Anna Jahshan-Abdulla, and Roy Soto

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Use of Sugammadex Outside of FDA Guidelines, A Quality Improvement Opportunity, Samantha Alexander, Christopher Parrino, Kelly Zhou, Roy Soto, and Megan Anders

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Diagnosis and Management of Acute Chest Syndrome, Zachary Awad and Roy Soto

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Implications of Granulomatosis with Polyangiitis on Anesthetic Management, Zachary Awad and Roy Soto

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Management of Recurrent Pheochromocytoma, Zachary Awad and Roy Soto

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Exploring Potential Causes and Investigations Regarding Young Individuals That Suffer From Aortic Dissections, Michael Balce and Heidi Davis

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A Hole-Hearted Treatment: A Review of Complications That May Arise Following an Acute Myocardial Infarction, Michael Balce, Allen Haddad, and Roy Soto

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Interventional Pain Procedures in a Patient with May-Thurner Syndrome, Eric Battista and Rebecca Clemans

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Thromboembolic Prophylaxis in High Risk Patients With Contraindications to Chemical and Mechanical Prophylaxis, Eric Battista and Roy Soto

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Radial Arterial Pressure Monitoring for Cardiac Surgery: An Appropriate Gold Standard?, Erica Bolz, Ariel Niederhauser, and Roy Soto

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Methemoglobinemia in a Patient With Undiagnosed G6PD Deficiency, Matthew Brockberg, Joshua Jones, and Bassel Kadi

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Anesthetic Considerations of Placenta Accreta Spectrum Disorder, Matthew Brockberg, Joshua Jones, and Christie Vahabzadeh

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Anesthetic Management During a Congenital Diaphragmatic Hernia Repair, Dominique Donatelli, Adib Moussa, and Paragi Patel

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Transfusion Related Acute Lung Injury in Postpartum Hemorrhage, Dominique Donatelli, Ariel Niederhauser, and Shikha Shukla

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Improving Patient Safety Through Access to Sugammadex in the PACU Setting, Dominique Donatelli and Roy Soto

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ECMO-Related Compartment Syndrome: Mitigation, Risks, and Treatment, Jack Dryden, Joshua Jones, and Roy Soto

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Impella Placement and VA-ECMO in the Setting of Dilated Cardiomyopathy, Jack Dryden, Joshua Jones, and Roy Soto

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Ethical Considerations of Volunteer Translators, Jack Dryden and Roy Soto

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Acute Cardiac Failure & Catecholamine Depletion in Young Patients, Jack Dryden, Roy Soto, and Dominic Tomasi

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Addressing CSF Leak Challenges: Anesthetic Consideration in Complex Skull Base Surgery, Bianca Elias, Zehn Wani, and Roy Soto

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Breaking Down Language Barriers: Enhancing Patient Care Through Effective Communication, Bianca Elias, Zehn Wani, and Roy Soto

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Navigating Anesthetic Challenges in Duchenne Muscular Dystrophy, Rania Fardous and Moumen Asbahi

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Beyond the Pandemic: Post COVID-19 Pulmonary Fibrosis and Considerations for General Anesthesia, Rania Fardous and Roy Soto

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Management of Post-Extubation Stridor and Laryngeal Edema, Rania Fardous and Roy Soto

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Change in NMBA Practice Patterns Following Sugammadex Availability, Natalie Finazzo, Samantha Alexander, and Roy Soto

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Rapidly Expanding Neck Hematoma and Post-Operative Airway Compromise, Natalie Finazzo, Nasim Shakibai, and Roy Soto

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Pneumothorax and Hypoxia in PACU, Natalie Finazzo, Jackson Stevens, and Roy Soto

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Novel Use of Independent Lung Ventilation After Intrapleural Wound Vac Placement, Daniel Finn, Jacob Mesiti, Michael Tolkacz, Thomas Watson, and Moumen Asbahi

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Tension pneumothorax in the PACU, Jeremiah Fowler, Dominique Donatelli, and Patrick Stafford

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Perioperative Management of a Patient With a CO2 Embolism, Elizabeth Giaimo, Natalie Finazzo, and Heidi Davis

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Difficult Airway Management in a Patient With a Complete Cervical Fusion, Elizabeth Giaimo, Natalie Finazzo, and Yilun Wang

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A Ten-Year Longitudinal Analysis of Resident Burnout Scores, Amanda Herrara and Roy Soto