Franklin Dexter1, Richard H Epstein2. 1. Division of Management Consulting, Department of Anesthesia, University of Iowa, 200 Hawkins Drive, 6-JCP, Iowa City, IA, 52242, USA. Franklin-Dexter@UIowa.edu. 2. Department of Anesthesiology, Perioperative Medicine & Pain Management, Miller School of Medicine, University of Miami, 1400 NW 12th Avenue, Suite 3075, Miami, FL, 33136, USA.