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an the estimated iatrogenic nerve injury rate for lateral pinning. Therapeutic Level IV. See Instructions for Authors for a complete description of levels of evidence. Therapeutic Level IV. See Instructions for Authors for a complete description of levels of evidence.Olanzapine is increasingly used as a sleep aid in hospitalized patients. Although thought to have less extrapyramidal effects, known side effects include oversedation, arrythmias, and hypotension. We present the unusual case of hyperventilation with respiratory alkalo