Norman A. Smyke, Jr., MD, Medical Director Center for Blood Conservation at Grant, Medical Director Otterbein/Grant Nurse Anesthesia Program, OhioHealth Grant Medical Center, Grant Anesthesia Services, Columbus.

Carol A. Sedlak, PhD, RN, FAAN, Professor Emeritus, Kent State University, College of Nursing, Kent, OH.

Correspondence: Norman A. Smyke, Jr., MD, OhioHealth Grant Medical Center, Grant Anesthesia Services, 111 South Grant Ave, Columbus, OH 43215 ([email protected]).

The authors have disclosed no conflicts of interest.