Hip fractures are a large source of morbidity and mortality, and significant attention has been directed at establishing whether use of spinal anesthesia as an alternative to general anesthesia can improve outcomes.1 Randomized clinical trials are currently under way to investigate this question,2,3 but there has already been sufficient support for this hypothesis that practice guidelines have promoted greater use of spinal anesthesia.4 However, no national analyses have demonstrated whether practice patterns have already shifted in advance of trial data, to our knowledge.
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Maxwell BG, Spitz W, Porter J. Association of Increasing Use of Spinal Anesthesia in Hip Fracture Repair With Treating an Aging Patient Population. JAMA Surg. Published online November 20, 2019. doi:https://doi.org/10.1001/jamasurg.2019.4471
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