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General versus spinal anesthesia for the elderly hip fractured patient

Kowark, Ana; Rossaint, Rolf; Coburn, Mark

Current Opinion in Anesthesiology: February 2019 - Volume 32 - Issue 1 - p 116–119
doi: 10.1097/ACO.0000000000000679
GERIATRIC ANESTHESIA: Edited by Rainer Kiefmann

Purpose of review There is an urge to improve care for patients with hip fracture. The present review will compare the efficacy of spinal versus general anesthesia for patients requiring hip fracture surgery.

Recent findings The present review gives an overview with particular emphasis on literature published during the past 24 months.

Summary So far, no clear evidence form randomized trials exists to identify the best anesthesia technique for hip fracture surgery. However, several large-scale pragmatic trials are ongoing and will provide future guidance.

Department of Anaesthesiology, Medical Faculty RWTH Aachen, Germany

Correspondence to Prof. Mark Coburn, Department of Anaesthesiology, Medical Faculty RWTH Aachen, Pauwelsstrasse 30, D-52074 Aachen, Germany. Tel: +49 241 8088179; fax: +49 241 8082593; e-mail:

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