In this episode of Updates in Anesthesiology, Dr. Hadzic explores the ongoing role of neuraxial anesthesia in hip fracture surgery following the widely publicized REGAIN and RAGA trials. Despite claims of equivalence between general and neuraxial techniques, Dr. Alexander Stone and colleagues argue that these trials may have lacked the statistical power and mechanistic clarity to support such a conclusion. We break down the clinical benefits of neuraxial anesthesia—like reduced pulmonary complications, VTE risk, and opioid use—and discuss why abandoning it as a default choice could be a misstep. Tune in for practical, evidence-based insights that help anesthesiologists personalize care and keep patient outcomes front and center.

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