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This case illustrates the need for maintaining a high index of suspicion for aspiration risk in patients with achalasia during their precarious and stressful course of management, and the importance of collaboration between the anesthesia and the gastroenterology care teams in safely managing these patients.Traditionally, anesthetic records were in paper format. An increasing volume of complex data, legislation, and quality improvement initiatives related to clinical documentation have promoted the transition to digital records. Anesthe