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April 30, 1955


Author Affiliations

118 W. Mill St. Richland Center, Wis.

JAMA. 1955;157(18):1635. doi:10.1001/jama.1955.02950350049022

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To the Editor:—  Since I never heard of anyone successfully operating on a 103-year-old patient who has suffered a fracture of the femur, this is to report on the treatment of hip fractures in one such patient and two others who were over 90. All were treated in a small hospital in a rural community without the help of specialists. Spinal anesthesia was used in each case because it provides better relaxation, thus facilitating quicker reduction of the fracture. The patient is given 8 mg. of morphine and 0.2 mg. of scopolamine subcutaneously about an hour before operation. For the spinal anesthesia I use 150 mg. of procaine and 23 mg. of ephedrine in 2 cc. of spinal fluid; 23 mg. of ephedrine is also given intramuscularly. As soon as the patient is anesthetized he is placed on the affected side for about six minutes, and then he is placed

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