Pain, Analgesic Use, and Patient Satisfaction With Spinal Versus General Anesthesia for Hip Fracture Surgery

LettersJanuary 2023Pain, Analgesic Use, and Patient Satisfaction With Spinal Versus General Anesthesia for Hip Fracture SurgeryJoel Yarmush, MD, Mohamed Ehab Ramadan, MBBCh, MSc, PhDJoel Yarmush, MDDepartment of Anesthesiology, New York Presbyterian Brooklyn Methodist Hospital, Brooklyn, New YorkSearch for more papers by this author, Mohamed Ehab Ramadan, MBBCh, MSc, PhDDepartment of Anesthesiology, New York Presbyterian Brooklyn Methodist Hospital, Brooklyn, New YorkSearch for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/L22-0365 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail TO THE EDITOR: Neuman and colleagues (1) compared spinal with general anesthesia in 1600 patients undergoing hip fracture surgery in a pragmatic randomized trial. The primary outcome was a composite of death or new inability to walk without human assistance at 60 days after surgery. The authors report that spinal anesthesia was not superior to general anesthesia in terms of survival or recovery of ambulation. Although these results are reassuring, we are skeptical about the role of the type of anesthesia on these outcomes. We believe that the results are probably more a factor of the type of fracture, the ...Reference1. Neuman MD, Feng R, Ellenberg SS, et al; REGAIN (Regional versus General Anesthesia for Promoting Independence after Hip Fracture) Investigators. Pain, analgesic use, and patient satisfaction with spinal versus general anesthesia for hip fracture surgery. A randomized clinical trial. Ann Intern Med. 2022;175:952-60. [PMID: 35696684] doi:10.7326/M22-0320 LinkGoogle Scholar Author, Article, and Disclosure InformationAffiliations: Department of Anesthesiology, New York Presbyterian Brooklyn Methodist Hospital, Brooklyn, New YorkDisclosures: Authors have reported no disclosures of interest. Forms can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=L22-0365. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoPain, Analgesic Use, and Patient Satisfaction With Spinal Versus General Anesthesia for Hip Fracture Surgery Mark D. Neuman , Rui Feng , Susan S. Ellenberg , Frederick Sieber , Daniel I. Sessler , Jay Magaziner , Nabil Elkassabany , Eric S. Schwenk , Derek Dillane , Edward R. Marcantonio , Diane Menio , Sabry Ayad , Manal Hassan , Trevor Stone , Steven Papp , Derek Donegan , Mitchell Marshall , J. Douglas Jaffe , Charles Luke , Balram Sharma , Syed Azim , Robert Hymes , Ki-Jinn Chin , Richard Sheppard , Barry Perlman , Joshua Sappenfield , Ellen Hauck , Mark A. Hoeft , Ann Tierney , Lakisha J. Gaskins , Annamarie D. Horan , Trina Brown , James Dattilo , Jeffrey L. Carson , and Pain, Analgesic Use, and Patient Satisfaction With Spinal Versus General Anesthesia for Hip Fracture Surgery Yu Toda , Hiroto Ishiki , Taku Machida , Naruaki Kawasaki , and Eisuke Kobayashi Pain, Analgesic Use, and Patient Satisfaction With Spinal Versus General Anesthesia for Hip Fracture Surgery Mark D. Neuman , Susan S. Ellenberg , Jeffrey L. Carson , and Frederick E. Sieber Metrics January 2023Volume 176, Issue 1KeywordsAnalgesicsAnesthesiaAnesthesiologyGeneral anesthesiaHip fracturesHospital medicine ePublished: 17 January 2023 Issue Published: January 2023 Copyright & PermissionsCopyright © 2023 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...