Galois General Anesthesia Without an Airway?

Some surgeons are asking for the combined approach of a spinal antarlet placer, a GA. The concept of Galois GA without an airway is not something that we were very big on here because of the potential risk of complications. If this procedure ends up outlasting the spinal, now I have to deal with an airway in the lateral position and an obese patient under the drapes,. And so this adds a layer of complexity and that does become a consideration preoperatively during surgery.