**8. Conclusion**

Hip replacement made of experienced surgeon is the best analgesic for hip fractures. Regional anaesthesia is essential for hip arthroplasty programmes depending on anaesthetist's experience and choice. Good analgesia and the avoidance of post-operative nausea and vomiting (PONV) are prerequisites for early ambulation and patient compliance with post-operative protocols. Regional anaesthesia, both neuraxial and peripheral blocks, is superior to systemic opioid analgesia at all-time points in the first 3 days following surgery and by avoiding opioids the risks and incidence of opioid analgesia is removed. Early ambulation is a key part of the management of patients with hip fractures. Safety of drugs for intrathecal injections and complications from spinal anaesthesia continue to be examined and re-examined in order to improve the safety of the technique. More studies will be needed to further understand and improve the clinical use of spinal anaesthesia.
