In my mind, MAC increases aspiration risk. GA decreases it if you tube the guy.
I don't know about what the grey haired docs (metaphorically speaking of course) feel like, but I think doing a MAC case is damn hard and stressful. The more I do anesthesia, the more I think a better MAC is 2 of versed and a long conversation with the patient.
What I don't get is why so many people want to "not know what is going on?" If I were getting my knee scope, I would want no sedation, I would bring in my ipod and watch a movie. I never have time to watch movies otherwise, probably cuz I waste to much time here.
Actually, I would watch Sarah Silverman episodes. Those are very entertaining, don't you all think!