TY  - JOUR
T1  - SPinal anesthesia for hip pinning given with the patient supine
AU  - Winnie AP
Y1  - 1969/03/03
N1  - 10.1001/jama.1969.03150220079007
JO  - JAMA
SP  - 1663
EP  - 1666
VL  - 207
IS  - 9
N2  - It is common practice when administering a spinal anesthetic to a patient with a fractured hip to give the anesthetic to the patient before moving him or her to the fracture table. This requires that the patient then be moved to the fracture table shortly after a chemical sympathectomy. The result is an excessively high incidence of hypotension; in this elderly and frequently debilitated group of patients, hypotension all too often does irreparable damage. By administering the anesthetic to the patient on the fracture table, the need to move the patient after the onset of anesthesia is avoided. This simple change in technique has been shown to reduce the incidence of hypotension by more than two thirds and the mortality by more than one half.
SN  - 0098-7484
M3  - doi: 10.1001/jama.1969.03150220079007
UR  - http://dx.doi.org/10.1001/jama.1969.03150220079007
ER  -