Articles  |   February 2014
SEE Question
Article Information
Cardiovascular Anesthesia / Central and Peripheral Nervous Systems / Education / CPD / Regional Anesthesia / Articles
Articles   |   February 2014
SEE Question
ASA Monitor 02 2014, Vol.78, 50.
ASA Monitor 02 2014, Vol.78, 50.
You are planning the anesthetic for an upcoming carotid endarterectomy. Based on the equivocal results of the General Anaesthesia versus Local Anaesthesia for Carotid Surgery (GALA) trial, you decide to perform a general anesthetic. A colleague suggests always using nitrous oxide (N2O) for quicker emergence in these cases. Reflecting on a recent secondary analysis of the GALA trial, you respond:
The question about general versus local anesthesia for carotid endarterectomy was addressed by the GALA trial. This trial looked at more than 3,000 patients and ultimately concluded that there were no differences in 30-day occurrences of stroke, MI, or death between the two techniques.
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