If you can explain to family and patients that in your opinion spinal would be better or “safer” and you tell them the very low incidence of spinal hematoma I think it is acceptable risk to use spinal technique. Most of our old and frail NOF pts will have spinals. Occasionally general anaesthesia
I agree with you both NAP3 is the only big series looking at neuraxial complications Significant Spinal haematoma associated with spinal anaesthesia was absent Whereas it demonstrated the patients we need to consider/monitor most carefully are the sick elderly patients with TEAs withmajor surgery