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Importantly, these guidelines describe the core aims and principles of peri\u2010operative management, recommending greater standardisation of anaesthetic practice as a component of multidisciplinary care. Although much of the 2011 guidance remains applicable to contemporary practice, new evidence and consensus inform the additional recommendations made in this document. Specific changes to the 2011 guidance relate to analgesia, medicolegal practice, risk assessment, bone cement implantation syndrome and regional review networks. Areas of controversy remain, and we discuss these in further detail, relating to the mode of anaesthesia, surgical delay, blood management and transfusion thresholds, echocardiography, anticoagulant and antiplatelet management and postoperative discharge destination. Finally, these guidelines provide links to supplemental online material that can be used at readers' institutions, key references and UK national guidance about the peri\u2010operative care of people with hip and periprosthetic fractures during the COVID\u201019 pandemic.<\/jats:p>","DOI":"10.1111\/anae.15291","type":"journal-article","created":{"date-parts":[[2020,12,2]],"date-time":"2020-12-02T09:52:32Z","timestamp":1606902752000},"page":"225-237","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":318,"title":["Guideline for the management of hip fractures 2020"],"prefix":"10.1111","volume":"76","author":[{"given":"R.","family":"Griffiths","sequence":"first","affiliation":[{"name":"Department of Anaesthesia Peterborough and Stamford Hospitals NHS Trust Peterborough, UK and Chair Working Party Association of Anaesthetists UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S.","family":"Babu","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia Warrington and Halton Hospitals NHS Trust Warrington UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P.","family":"Dixon","sequence":"additional","affiliation":[{"name":"Department of Trauma and Orthopaedics South Tyneside and Sunderland NHS Trust, Sunderland, UK and British Orthopaedic Association Orthopaedic Trauma Society UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"N.","family":"Freeman","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia Leeds Teaching Hospitals NHS Trust Leeds UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D.","family":"Hurford","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia Cwm Taf Morgannwg University Health Board and Chair Welsh Frailty Fracture Network, UK UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"E.","family":"Kelleher","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia University of Galway Galway Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"I.","family":"Moppett","sequence":"additional","affiliation":[{"name":"Division of Clinical Neuroscience School of Medicine University of Nottingham UK"},{"name":"Department of Anaesthesia Nottingham University Hospitals Nottingham UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D.","family":"Ray","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia Royal Infirmary Edinburgh and Honorary Clinical Senior Lecturer University of Edinburgh Edinburgh UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"O.","family":"Sahota","sequence":"additional","affiliation":[{"name":"Department of Healthcare of Older People Nottingham University Hospitals, Nottingham, UK and British Geriatrics Society UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"Shields","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia Royal Hospitals Belfast UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S.","family":"White","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia Brighton and Sussex University Hospitals NHS Trust Brighton UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,12,2]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/anae.14225"},{"key":"e_1_2_12_3_1","first-page":"85","article-title":"Management of proximal femoral fractures 2011","volume":"67","author":"Griffiths R","year":"2011","journal-title":"Anaesthesia"},{"issue":"1","key":"e_1_2_12_4_1","first-page":"81","article-title":"Peri\u2010operative care of the elderly 2014","volume":"69","author":"Griffiths R","year":"2014","journal-title":"Anaesthesia"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/anae.13036"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/anae.14530"},{"key":"e_1_2_12_7_1","unstructured":"NHS England.Clinical guide for the perioperative care of people with fragility fractures during the Coronavirus pandemic.2020.https:\/\/www.england.nhs.uk\/coronavirus\/wp\u2010content\/uploads\/sites\/52\/2020\/03\/C0086_Specialty\u2010guide\u2010_Fragility\u2010Fractures\u2010and\u2010Coronavirus\u2010v1\u201026\u2010March.pdf(accessed 01\/07\/2020)."},{"key":"e_1_2_12_8_1","unstructured":"FICM ICS AoA RCoA.Perioperative care of patients with hip and major fragility fractures during the COVID\u201019 pandemic. 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