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Table 3 Strength and direction of recommendations

From: Anesthetic management of carotid endarterectomy: an update from Italian guidelines

Judgment

Recommendations

The desirable effects clearly outweigh the undesirable effects

Strong for an intervention

The desirable effects are likely to outweigh the undesirable effects

Weak for an intervention

The balance between undesirable and desirable effects is closely balanced or uncertain

Recommendation for research and for limited use within clinical trials

The undesirable are likely to outweigh the desirable effects

Weak against an intervention

The undesirable clearly outweigh the desirable effects

Strong against an intervention

Best practice recommended based on the clinical experience of the expert panel

Good Practice Point (GPP)