SPINAL OR GENERAL ANESTHESIA FOR HIP FRACTURE - REGAIN II

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2023-12-22 09:57

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This video rebuffs the misleading conclusions in the articles published by Dr. Neuman and colleagues, in the New England Journal of Medicine (NEJM) (2021)(1) and the Annals of Internal Medicine (2022)(2), respectively, on the relative merits of spinal anesthesia versus general anesthesia conducted on patients with a hip fracture. The benefits of spinal anesthesia in very ill patients are obvious to anyone who practices clinical anesthesiology. Spinal anesthesia requires less invasive monitoring and hemodynamic interventions. While this may not be reflected in composite death as an outcome at 60 days, spinal anesthesia results in a much more stable postoperative course and a lower burden of care. I invite all of my anesthesiology colleagues, particularly those with expertise in regional anesthesia, to act now to atone the conclusion of the studies on Spinal versus General Anesthesia for Patients with Hip Fracture that is, potentially, harmful, both to our patients and our profession.

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